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 B

Explanation

A) Chill the otic solution prior to administration:
Chilling ear drops is not typically necessary or recommended. Cold solutions can cause discomfort or dizziness when instilled into the ear. Room temperature or slightly warmed ear drops are generally more comfortable for the client.

B) Pull the pinna upward and backward:
This is the correct action for administering ear drops to an adult client. Pulling the pinna (outer ear) upward and backward helps straighten the ear canal, allowing the drops to enter the ear canal properly.

C) Avoid applying pressure to the tragus of the ear:
The tragus is the small cartilaginous flap in front of the ear canal. Applying pressure to the tragus can help facilitate the flow of medication into the ear canal rather than avoiding it. Gently pressing on the tragus after instilling the drops can aid in distributing the medication.

D) Don sterile gloves to instill the medication:
Sterile gloves are not typically required for administering ear drops unless the nurse is dealing with a client with a compromised immune system or open ear canal. Standard precautions (clean hands) are usually sufficient for administering ear drops.

A. Pantoprazole B. Simvastatin C. Valsartan D. Metformin

Correct Answer is D

Explanation

A) Pantoprazole:
Pantoprazole is a proton pump inhibitor used to reduce stomach acid. It does not typically require withholding before radiological studies with IV contrast dye.

B) Simvastatin:
Simvastatin, a statin medication used to lower cholesterol, does not need to be withheld before radiological studies with IV contrast dye.

C) Valsartan:
Valsartan, an angiotensin II receptor blocker used for hypertension, does not typically need to be withheld before radiological studies with IV contrast dye.

D) Metformin:
Metformin, an oral antidiabetic medication, should be withheld before radiological studies with IV contrast dye. There is a risk of lactic acidosis when metformin interacts with IV contrast dye, particularly in clients with impaired renal function.

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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

The nurse is preparing to administer ear drops to an adult client. Which of the following actions should the nurse plan to take?

Correct Answer is B

Explanation

A nurse is reviewing the chart of a client who is scheduled to have radiological studies of the kidneys performed with the use of IV contrast dye. Which of the following client medications should the nurse withhold prior to the examination?

Correct Answer is D

Explanation

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