A nurse is talking with a client who is about to start taking nitroglycerin oral, sustained-release capsules. Which of the following instructions should the nurse include?

Take the medication with meals.

Swallow the capsules whole.

Stop taking the medication if you develop headaches.

Take 1 capsule at the onset of anginal pain.

Answer and Explanation

The Correct Answer is B

A) Take the medication with meals:
Nitroglycerin oral, sustained-release capsules should be taken on an empty stomach to enhance absorption. Taking them with meals may delay or alter the absorption rate, potentially affecting the medication's effectiveness.

B) Swallow the capsules whole:
Nitroglycerin sustained-release capsules should be swallowed whole without crushing or chewing. Breaking or crushing the capsules can lead to rapid release of the medication, which may cause adverse effects such as sudden drops in blood pressure or headaches.

C) Stop taking the medication if you develop headaches:
Headaches are a common side effect of nitroglycerin due to its vasodilatory effects. Clients are often advised to continue taking the medication as prescribed and inform their healthcare provider about persistent or severe headaches.

D) Take 1 capsule at the onset of anginal pain:
Nitroglycerin is typically used to relieve anginal pain when it occurs. However, sustained-release formulations are not intended for immediate relief of acute angina attacks. Fast-acting formulations like sublingual nitroglycerin tablets are used for acute pain relief.

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Correct Answer is A

Explanation

A) Triazolam orally at bedtime:
Triazolam is a benzodiazepine medication used for its sedative and anxiolytic properties. It can cause daytime sedation and impair psychomotor function, making activities such as driving hazardous. Instructing the client to avoid performing such activities while taking triazolam ensures their safety and minimizes the risk of accidents.

B) Polyethylene glycol dissolved in 240 ml of water once daily:
Polyethylene glycol is a osmotic laxative used to treat constipation. It does not cause sedation or impair cognitive function, so there is no need to avoid hazardous activities while taking this medication.

C) Adalimumab subcutaneously every 2 weeks:
Adalimumab is a biologic medication used to treat autoimmune diseases such as rheumatoid arthritis and inflammatory bowel disease. It does not typically cause sedation or impair cognitive function, so hazardous activities are generally not restricted while taking adalimumab.

D) Ketoconazole orally once daily with food:
Ketoconazole is an antifungal medication that does not usually cause sedation or impair cognitive function. There is no specific restriction on hazardous activities while taking ketoconazole unless the client experiences unusual side effects affecting alertness or coordination, which should be discussed with a healthcare provider.

A. Draw up the NPH insulin into the syringe first. B. Inject air into the regular insulin first. C. Shake the NPH insulin until it is well-mixed D. Discard regular insulin if it appears cloudy

Correct Answer is D

Explanation

A) Dyspnea:
Diphenhydramine primarily addresses allergic reactions such as urticaria (hives) rather than respiratory symptoms like dyspnea associated with blood transfusion reactions.

B) Fever:
The administration of diphenhydramine during blood transfusions is aimed at mitigating allergic reactions, particularly urticaria, rather than fever as a symptom.

C) Low-back pain:
Diphenhydramine is not indicated for preventing or managing low-back pain, which is not typically associated with allergic reactions to blood transfusions.

D) Urticaria:
Diphenhydramine is administered to prevent or reduce symptoms of allergic reactions, particularly urticaria (hives), which can occur during blood transfusions due to immune responses to transfused blood components.

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A nurse is talking with a client who is about to start taking nitroglycerin oral, sustained-release capsules. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a provider's office is reinforcing teaching with a client who is taking multiple medications. The nurse should instruct the client to avoid performing hazardous activities while taking which of the following medications that can cause daytime sedation?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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