A nurse is caring for a client who has chronic hypertension. The client's morning vital signs include BP 140/80 mm Hg, heart rate 54/min, and respiratory rate 18/min. Which of the following medications should the nurse plan to withhold?

Hydrochlorothiazide

Lisinopril

Atenolol

Aspirin

Answer and Explanation

The Correct Answer is C

A. Hydrochlorothiazide does not affect heart rate and can be safely given.
B. Lisinopril does not cause bradycardia.
C. Atenolol is a beta-blocker that slows heart rate; withholding is necessary for bradycardia.
D. Aspirin does not influence heart rate and is not contraindicated.

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Correct Answer is A

Explanation

A. Headache: Headaches are a common adverse effect of nitroglycerin due to vasodilation and increased blood flow to the brain.
B. Polyuria: Nitroglycerin does not affect urinary output.
C. Ringing in the ears: Tinnitus is not associated with nitroglycerin use.
D. Increased blood pressure: Nitroglycerin causes vasodilation, which typically lowers blood pressure rather than increasing it.

A. Take the patch off prior to bathing the client. B. Monitor for hypertension after application of the patch. C. Rotate the application sites of the patch. D. Remove the patch every 24 hr.

Correct Answer is C

Explanation

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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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 chronic hypertension. The client's morning vital signs include BP 140/80 mm Hg, heart rate 54/min, and respiratory rate 18/min. Which of the following medications should the nurse plan to withhold?

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has a new prescription for nitroglycerin transdermal patches to treat angina. The nurse should inform the client that which of the following manifestations is an adverse effect of the medication?

Correct Answer is A

Explanation

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?

Correct Answer is C

Explanation

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