The client is a 54-year-old male with a history of hypertension and type 2 diabetes. He takes spironolactone 25 mg per day, metformin 500 mg twice a day, and 25 units of insulin glargine.

The nurse notifies the provider that the client is having trouble remembering to take his second dose of captopril.

Which ACE inhibitors can be given only once per day? Select all that apply

Captopril

Ramipril

Lisinopril

Quinapril

Trandolapril

Answer and Explanation

Correct Answer : B,C,D,E

ACE inhibitors are a class of medications used to treat conditions like hypertension and heart failure. Some ACE inhibitors are available in formulations that can be given once daily, which can improve compliance and convenience for patients. The ACE inhibitors listed above (Ramipril, Lisinopril, Quinapril, and Trandolapril) have once-daily dosing options. Captopril, on the other hand, is typically administered two to three times a day, so it is not a once-daily option.

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Correct Answer is B

Explanation

A. Avoiding prolonged exposure to direct sunlight is not a specific recommendation for erythromycin use.

The correct instruction for the nurse to provide to the client is:

B. Use an additional form of contraception.

Explanation:

Erythromycin is an antibiotic, and it can potentially reduce the effectiveness of oral contraceptives. Therefore, it is advisable to use an additional form of contraception, such as condoms, while taking erythromycin to prevent unintended pregnancy.

C. Stopping the oral contraceptive immediately could lead to unintended pregnancy and is not a recommended course of action.

D. Taking the medications at least 12 hours apart is not a standard recommendation for these medications, and it doesn't address the potential decrease in contraceptive effectiveness.

A. Anxiety and headaches increase with the use of ginkgo biloba. B. Nausea and diarrhea can occur when using this supplement. C. Aspirin and non-steroidal anti-inflammatory drugs interact with ginkgo. D. Ginkgo biloba use should be limited and not taken during pregnancy.

Correct Answer is D

Explanation

A. Anxiety and headaches increase with the use of ginkgo biloba:

While anxiety and headaches are potential side effects of ginkgo biloba, they are not as critical as the information about pregnancy avoidance.

B. Nausea and diarrhea can occur when using this supplement:

Gastrointestinal side effects are relatively common with ginkgo biloba use but do not take precedence over pregnancy-related concerns.

C. Aspirin and non-steroidal anti-inflammatory drugs interact with ginkgo:

Drug interactions are important to consider, but the safety of ginkgo biloba during pregnancy is a more critical issue for this client.

The most important information for the nurse to include in the teaching plan for a female client with multiple sclerosis who is using the herbal supplement ginkgo biloba is:

D. Ginkgo biloba use should be limited and not taken during pregnancy.

Explanation: Ginkgo biloba has been associated with several potential side effects and interactions, but the most critical piece of information for this client is the limitation of its use and the importance of avoiding it during pregnancy. Ginkgo biloba should not be used during pregnancy due to concerns about its potential effects on fetal development. It is essential to prioritize this information to ensure the client's safety.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is taking an oral contraceptive receives a new prescription for erythromycin. Which instruction should the nurse provide to the client?

Correct Answer is B

Explanation

A female client with multiple sclerosis reports having less fatigue and improved memory since she began using the herbal supplement, ginkgo biloba. Which information is most important for the nurse to include in the teaching plan for this client?

Correct Answer is D

Explanation

The nurse is administering the muscle relaxant baclofen by mouth (PO) to a client diagnosed with multiple sclerosis. Which intervention should the nurse implement?

The healthcare provider prescribes the antibiotic tetracycline HCI for an adult client that arrived at an outpatient clinic. Which instruction should the nurse include in the teaching plan for this client?

The nurse initiates an infusion of piperacillin-tazobactam for a client with an urinary tract infection. Five minutes into the infusion, the client reports not feeling well. Which client manifestation should the nurse identify as a reason to stop the infusion?

A client with chemotherapy induced nausea receives a prescription for metoclopramide. Which adverse effect is most important for the nurse to repart?

The nurse is caring for a client who has been taking ibuprofen. Which finding is most important for the nurse report to the healthcare provider?

A client receives a new prescription for montelukast. Which information should the nurse include in the client's teaching?

The nurse is planning to administer the antiulcer gastrointestinal (GI) agent sucralfate to a client with peptic ulcer disease. Which action should the nurse include in this client's plan of care?

The nurse administers naloxone to a client with opioid-induced respiratory depression. One hour later, nursing assessment reveals that the client has a respiratory rate of 4 breaths/minute, oxygen saturation of 75%, and is unable to be aroused. Which action should the nurse implement?