A nurse is caring for a client who has a new prescription for a nitroglycerin transdermal patch. Which of the following actions should the nurse take?

Take the patch off prior to bathing the client.

Monitor for hypertension after application of the patch.

Rotate the application sites of the patch.

Remove the patch every 24 hr.

Answer and Explanation

The Correct Answer is C

A. Take the patch off prior to bathing the client: It is unnecessary to remove the patch before bathing. The patch is waterproof and designed to stay on during such activities.
B. Monitor for hypertension after application of the patch: Hypotension, not hypertension, is a potential side effect of nitroglycerin due to vasodilation. Monitoring for hypotension is essential.
C. Rotate the application sites of the patch: Rotating application sites prevents skin irritation and ensures proper absorption of the medication.
D. Remove the patch every 24 hr: Nitroglycerin patches are typically removed for 10-12 hours each day to prevent tolerance but not necessarily at 24-hour intervals.

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Correct Answer is B

Explanation

A. Urinary retention: Urinary retention is not a typical adverse effect of lorazepam.
B. Dizziness: Lorazepam, a benzodiazepine, commonly causes CNS effects such as dizziness, drowsiness, and confusion.
C. Decreased appetite: Appetite changes are not commonly associated with lorazepam.
D. Hypertension: Lorazepam may cause hypotension, not hypertension, especially with IV administration.

A. Tinnitus B. Tachycardia C. Polyuria D. Photophobia

Correct Answer is A

Explanation

A. Tinnitus: Gentamicin is an aminoglycoside antibiotic that can cause ototoxicity, which includes symptoms such as tinnitus (ringing in the ears).
B. Tachycardia: This is not a typical adverse effect of gentamicin.
C. Polyuria: Gentamicin does not commonly cause increased urine output.
D. Photophobia: This is not a known side effect of gentamicin.

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Prescribed Medication	Nursing Instruction
Albuterol	"Take your albuterol when you are having difficulty breathing.” "Hold your breath for 20 seconds when taking your albuterol.”
Salmeterol	"Take the salmeterol 5 minutes before the albuterol when you need both medications." "Take the salmeterol 2 times each day."
Fluticasone	"Rinse out your mouth after taking the fluticasone." "Take the fluticasone as needed for an asthma attack."

A nurse is caring for a client who has a new prescription for a nitroglycerin transdermal patch. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a new prescription for lorazepam. For which of the following adverse effects should the nurse monitor?

Correct Answer is B

Explanation

A nurse is caring for a client receiving gentamicin. For which of the following should the nurse monitor the client?

Correct Answer is A

Explanation

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