A nurse in an outpatient clinic is caring for a client.
Select the 6 statements the nurse should include when reinforcing teaching to the client about the newly prescribed medication.
"This medication should start to alleviate the headache within 1 hour."
"You might experience a feeling of pressure in your chest after taking this medication."
"Do not take more than 200 milligrams of this medication within 24 hours."
"You can take a second dose of this medication at least 2 hours after the initial dose if the headache persists."
"You should discontinue this medication if pregnancy is planned or suspected."
"This medication can cause you to feel tired."
"You might experience a rash on your skin while taking this medication."
Correct Answer : A,B,C,D,E,F
A. "This medication should start to alleviate the headache within 1 hour.": Triptans typically provide relief within 1 to 2 hours after administration.
B. "You might experience a feeling of pressure in your chest after taking this medication.": Some clients report a sensation of tightness or pressure in the chest, which is a known, generally benign side effect of triptans.
C. "Do not take more than 200 milligrams of this medication within 24 hours.": A second dose can be taken at least 2 hours after the first dose if the headache persists, but the total dose should not exceed 200 mg in 24 hours for most formulations.
D. "You can take a second dose of this medication at least 2 hours after the initial dose if the headache persists.": A second dose can be taken at least 2 hours after the first dose if the headache persists, but the total dose should not exceed 200 mg in 24 hours for most formulations.
E. "You should discontinue this medication if pregnancy is planned or suspected." Triptans are classified as Category C drugs and should be avoided during pregnancy unless the potential benefit outweighs the risk.
F. "This medication can cause you to feel tired.": Feeling tired is a common side effect of triptans.
G. "You might experience a rash on your skin while taking this medication.": A rash is not a common or expected side effect of triptans. Skin reactions are not a primary concern with these medications unless the client has an allergic response.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Contact the provider if you experience unexplained muscle pain.": Muscle pain is not a typical adverse effect of exenatide; this advice would apply to statins or drugs associated with rhabdomyolysis.
B. "Take the medication at bedtime.": Exenatide is usually taken twice daily, 1 hour before morning and evening meals, not at bedtime.
C. "Discard excess medication after 60 days.": Exenatide pens should typically be discarded 30 days after opening, not 60 days.
D. "Inject the medication into the subcutaneous tissue of your abdomen.": Correct. Exenatide is administered subcutaneously, typically in the abdomen, thigh, or upper arm.
Correct Answer is C
Explanation
A. Taking ginkgo biloba increases phenytoin levels: Ginkgo biloba can actually decrease the effectiveness of phenytoin, not increase it.
B. Taking phenytoin diminishes potassium levels: Phenytoin does not significantly affect potassium levels.
C. Monitor for gingival hyperplasia: Gingival hyperplasia is a common side effect of phenytoin.
D. Minimize exposure to sunlight: While this is a good practice, it is not as significant as monitoring for gingival hyperplasia with phenytoin use.
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