A nurse is evaluating a client's understanding of their medication

Exhibits

The nurse returns in 1 week for a follow up appointment. For each client statement indicate if the client understood the teaching or needs further teaching

"I will notify my health care provider if I have severe or persistent heartburn."

"If I miss a dose, I can take it later in the day."

"I will take my medication the same time and day every week."

"I can take an antacid with my medication to reduce heartburn."

"I can drink my coffee right after taking my medication."

"I need to sit upright for 30 minutes after I take my medication."

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"},"F":{"answers":"A"}}

Rationale:

"I will notify my health care provider if I have severe or persistent heartburn.": Alendronate can cause esophageal irritation and heartburn. Reporting severe or persistent symptoms ensures safe continuation or adjustment of therapy.
"If I miss a dose, I can take it later in the day.": Alendronate should be taken on the scheduled day, and the next dose should only be taken at the next weekly interval; taking extra doses can increase risk of adverse effects.
"I will take my medication the same time and day every week.": Consistency in weekly dosing maintains therapeutic levels and effectiveness in preventing bone loss and fractures.
"I can take an antacid with my medication to reduce heartburn.": Antacids interfere with absorption of alendronate and should not be taken within 30–60 minutes before or after the medication.
"I can drink my coffee right after taking my medication.": Coffee, as well as other beverages like milk or juice, can reduce absorption of alendronate. Only plain water should be used, and the client should avoid other beverages for at least 30 minutes after ingestion.
"I need to sit upright for 30 minutes after I take my medication.": Remaining upright prevents esophageal irritation and allows proper absorption, which is a key safety measure when taking alendronate.

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Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"}}

Explanation

The therapeutic effect of ACE inhibitors is unrelated to their mechanism of action: This is inaccurate because the therapeutic effects, including vasodilation and lowered blood pressure, are directly linked to ACE inhibition.
Understanding the mechanism of action helps anticipate potential side effects of ACE inhibitors: Knowing that ACE inhibitors reduce angiotensin II and aldosterone helps the nurse anticipate side effects such as hypotension, hyperkalemia, and persistent cough.
ACE inhibitors work by inhibiting the angiotensin-converting enzyme, leading to vasodilation: This directly explains the mechanism, resulting in decreased blood pressure and reduced afterload, which are the therapeutic goals in hypertension and heart failure management.

All medications within the ACE inhibitor class have identical therapeutic effects: While similar, individual ACE inhibitors differ in duration of action, metabolism, and dosing, so effects are not identical across the class.

A. Hyperventilate the client on 100% oxygen prior to suctioning B. Lubricate the suction catheter tip with sterile saline. C. Perform chest physiotherapy prior to suctioning D. Suction two to three times with a 60-second pause between passes.

Correct Answer is A

Explanation

A. Hyperventilate the client on 100% oxygen prior to suctioning: Pre-oxygenating the client helps prevent hypoxemia during suctioning, especially when removing copious secretions. Delivering 100% oxygen for 30–60 seconds before the procedure increases oxygen reserves and improves patient safety.

B. Lubricate the suction catheter tip with sterile saline: Lubricating the catheter with saline is not recommended because it does not improve suctioning efficacy and may introduce infection. Sterile water or saline is only used to loosen thick secretions if prescribed.

C. Perform chest physiotherapy prior to suctioning: Chest physiotherapy can assist with mobilizing secretions, but it is not always required immediately before suctioning. The priority is ensuring airway patency and preventing hypoxemia during suctioning.

D. Suction two to three times with a 60-second pause between passes: Suction passes should be limited to 10–15 seconds with intermittent oxygenation between passes. Prolonged suctioning or extended pauses can increase the risk of hypoxemia and patient distress.

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A nurse is evaluating a client's understanding of their medication Exhibits The nurse returns in 1 week for a follow up appointment. For each client statement indicate if the client understood the teaching or needs further teaching

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is monitoring a client in a cardiac care unit. Exhibits A nurse is educating a client on the mechanism of action of ACE inhibitors, such as Lisinopril. Which of the following statements about ACE inhibitors mechanism of action and their therapeutic effects is accurate?

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"}}

Explanation

A nurse is performing tracheostomy care for a client and suctioning to remove copious secretions. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is assessing a client who is experiencing prostatic hypertrophy. Which of the following findings associated with urinary retention should the nurse expect? (Select all that apply)

Which of the following is the most important safety precaution to take when administering enteral feeding to a patient?

A nurse is providing teaching to an assistive personnel (AP) about caring for clients with restraints. Which of the following statements by the AP indicates an understanding of the teaching?

A nurse is caring for a client who has a prescription for a clear liquid diet. Which of the following foods should the nurse allow the client to have?

A nurse is observing a client's nonverbal behavior. When evaluating this behavior, the nurse should factor in which of the following principles influencing nonverbal communication?

A nurse is teaching a client how to draw up regular insulin and NPH insulin into the same syringe. Which of the following instructions should the nurse include?

A nurse is teaching a client who takes warfarin daily. Which of the following statements by the client indicates a need for further teaching?

A patient is learning to use the three-point gait with crutches. Which action indicates they have mastered this technique?

A nurse is evaluating a client's understanding of their medication

Exhibits

The nurse returns in 1 week for a follow up appointment. For each client statement indicate if the client understood the teaching or needs further teaching