A nurse is collecting data from a client prior to administering nifedipine.
For which of the following findings should the nurse contact the provider?.

BP of 148/94 mm Hg

Peripheral edema of the ankles.

Heart rate of 66/min.

Increased alkaline phosphatase level.

Answer and Explanation

The Correct Answer is B

The correct answer is choice B. Peripheral edema of the ankles.

Choice A rationale:

A blood pressure of 148/94 mm Hg is elevated, but it is not an immediate contraindication for administering nifedipine. Nifedipine is often used to treat hypertension.

Choice B rationale:

Peripheral edema is a common side effect of nifedipine and can indicate worsening fluid retention. The nurse should contact the provider to assess the need for adjusting the medication or implementing additional interventions.

Choice C rationale:

A heart rate of 66/min is within the normal range (60-100/min) and does not require immediate action before administering nifedipine.

Choice D rationale:

An increased alkaline phosphatase level can indicate liver or bone disease, but it is not directly related to the administration of nifedipine. However, it should be monitored and discussed with the provider.

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Correct Answer is A

Explanation

Enteric-coated aspirin is designed to dissolve in the intestines rather than the stomach to reduce gastrointestinal irritation. Crushing the medication would destroy the coating, causing the aspirin to be released in the stomach, which could lead to side effects like stomach ache or indigestion.

A. "If I crush it, you might experience a stomach ache or indigestion.”: This is accurate, as crushing the enteric coating would expose the stomach to aspirin, increasing the risk of irritation or ulceration.
B. "I will crush it and mix it in some ice cream for you.”: This is incorrect, as crushing enteric-coated aspirin is not recommended due to the loss of the protective coating.
C. "That would release all the medication at once, rather than over time.”: This is incorrect, as enteric-coated aspirin is not a time-release formulation; the coating is for stomach protection, not controlled release.
D. "Stomach acid will inactivate some of the medication if I crush the medication.”: This is incorrect, as stomach acid does not significantly inactivate aspirin, but rather the concern is increased gastric irritation.

The best response is A, as it correctly explains the risk of crushing the enteric-coated aspirin.

Final Answer: A. "If I crush it, you might experience a stomach ache or indigestion.”

A. "I will hold the inhaler with my non-dominant hand.”. B. "I will hold my breath at least 10 seconds after inhaling the medication.”. C. "I will wait 10 min between each inhalation.”. D. "I will tilt my head forward while inhaling the medication.”.

Correct Answer is B

Explanation

Choice A rationale:

The hand used to hold the inhaler does not affect its effectiveness.

Choice B rationale:

Holding breath allows more medication to reach the lungs.

Choice C rationale:

Waiting 1 minute, not 10, between inhalations allows for better absorption.

Choice D rationale:

Head position does not affect inhalation.

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A nurse is collecting data from a client prior to administering nifedipine. For which of the following findings should the nurse contact the provider?.

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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A nurse is collecting data from a client prior to administering nifedipine.
For which of the following findings should the nurse contact the provider?.