A nurse is educating a client who is newly prescribed scopolamine (Scopace) patches for treating motion sickness. Which of the following client statements indicate to the nurse that the teaching has been effective? (Select All That Apply.).

(Select All that Apply.)

"I should apply this patch behind my ear."

"This patch should be replaced every 7 days."

"I should not use a second patch if the initial patch is ineffective."

"Before putting on my patch, I should wipe the area with an alcohol swab."

Answer and Explanation

Correct Answer : A,C

A. "I should apply this patch behind my ear.": This is correct because the scopolamine patch is designed to be applied behind the ear, where it can effectively deliver medication through the skin.

B. "This patch should be replaced every 7 days.": This is incorrect because the scopolamine patch should be replaced every 72 hours (3 days), not every 7 days.

C. "I should not use a second patch if the initial patch is ineffective.": This is correct because using more than one patch at a time can lead to an overdose of the medication, which can cause serious side effects.

D. "Before putting on my patch, I should wipe the area with an alcohol swab.": This is incorrect because using an alcohol swab can irritate the skin and affect the absorption of the medication. The area should be clean and dry, but not cleaned with alcohol.

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Correct Answer is A

Explanation

A. Prolonged QT interval – This is correct. Ondansetron can cause prolongation of the QT interval, increasing the risk of arrhythmias, including torsades de pointes. This is a serious complication that requires monitoring, particularly in clients with cardiac risks.

B. Extrapyramidal symptoms – This is incorrect. Ondansetron does not typically cause extrapyramidal symptoms, which are more associated with dopamine antagonists like metoclopramide or prochlorperazine.

C. Nausea – This is incorrect. Ondansetron is specifically used to treat nausea and vomiting, not to cause them. If nausea persists, it may indicate treatment failure or another underlying issue.

D. Vomiting – This is incorrect. Ondansetron is an antiemetic and works to prevent vomiting. Vomiting would not be a complication of this medication under proper use.

A. "I will take both aluminum hydroxide (Amphojel) and cimetidine (Tagamet HB) at the same time." B. "I will take aluminum hydroxide (Amphojel) 1 hour before taking cimetidine (Tagamet HB)." C. "I can take aluminum hydroxide (Amphojel) 2 hours before taking cimetidine (Tagamet HB)." D. None of the above

Correct Answer is A

Explanation

A. "I will take both aluminum hydroxide (Amphojel) and cimetidine (Tagamet HB) at the same time." – This is correct. Taking aluminum hydroxide and cimetidine simultaneously reduces the effectiveness of cimetidine by impairing its absorption. This statement indicates a need for further teaching.

B. "I will take aluminum hydroxide (Amphojel) 1 hour before taking cimetidine (Tagamet HB)." – This is incorrect. Taking aluminum hydroxide 1 hour before cimetidine allows enough time for the antacid's effects on stomach acidity to stabilize, reducing interference.

C. "I can take aluminum hydroxide (Amphojel) 2 hours before taking cimetidine (Tagamet HB)." – This is incorrect. Taking the antacid 2 hours before cimetidine provides sufficient time for proper absorption of the medication.

D. None of the above – This is incorrect because statement A reflects improper administration.

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A nurse is educating a client who is newly prescribed scopolamine (Scopace) patches for treating motion sickness. Which of the following client statements indicate to the nurse that the teaching has been effective? (Select All That Apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has been prescribed ondansetron (Zofran) for postoperative nausea and vomiting. Which of the following is a complication associated with this medication?

Correct Answer is A

Explanation

A nurse is caring for a client who is prescribed aluminum hydroxide (Amphojel) and cimetidine (Tagamet HB). Which of the following statements from the client requires additional teaching?

Correct Answer is A

Explanation

Three hours after self-administering regular insulin subcutaneously, the client contacts you at the provider's office by telephone to report that she is shaking, sweating, and has a rapid pulse. Which of the following actions should you NOT advise her to take? (Select All That Apply.)

A nurse is providing an in-service about insulin to a group of patients who are diagnosed with diabetes. Complete the sentence with the appropriate responses. The onset of lispro (Humalog) is dropdown An example of a long-acting insulin is dropdown

A nurse is caring for a 62-year-old client with diabetes who has a new prescription for metoclopramide (Reglan). Which of the following statements is true regarding metoclopramide (Reglan)? (Select All That Apply.)

Which of the following medications are not used to treat motion sickness? (Select All That Apply.)

A nurse is educating a client about self-administering regular insulin. The nurse should instruct the client to rotate injection sites to prevent which of the following?

A nurse is preparing to provide an in-service to the community about misoprostol (Cytotec). Which of the following statements should the nurse include in her teaching to the community?