The nurse is performing teaching with a client being discharged with a prescription for dabigatran. Which of the following is a priority in client education?

Dabigatran is not reversible.

Blood in urine and stool is normal with dabigatran.

Do not discontinue medication abruptly.

Dabigatran has many food interactions.

Answer and Explanation

The Correct Answer is C

A. While dabigatran has limited options for reversal, educating the client about not abruptly discontinuing the medication is more critical to prevent thrombotic events.
B. Blood in the urine and stool is not normal and would indicate a possible complication, not a normal effect.
C. Abrupt discontinuation of dabigatran can lead to an increased risk of thromboembolism. It is crucial to educate the client about the importance of maintaining consistent use of the medication.
D. Dabigatran does not have significant food interactions that would be the priority concern over the risk of abrupt discontinuation.

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Correct Answer is D

Explanation

A. Hyperglycemia typically does not cause blurry vision and yellow/green halos.
B. Captopril (Capoten) is an ACE inhibitor and is not associated with visual disturbances like halos.
C. Verapamil (Calan) is a calcium channel blocker and does not typically cause visual symptoms such as halos.
D. Digoxin (Lanoxin) toxicity can lead to visual disturbances, including blurry vision and seeing yellow/green halos, which are classic signs of toxicity.

A. Clients with new onset signs and symptoms of schizophrenia. B. Clients who have not responded to SSRIS and TCAs. C. In combination with an SSRI for clients with increased symptoms. D. Postpartum depression and lactating clients.

Correct Answer is B

Explanation

A. Phenelzine is not indicated for the treatment of schizophrenia.
B. Phenelzine, a monoamine oxidase inhibitor (MAOI), is typically reserved for clients with depression who have not responded to first-line treatments such as SSRIs and TCAs.
C. Combining an SSRI with an MAOI like phenelzine is contraindicated due to the risk of serotonin syndrome.
D. Phenelzine is generally not recommended for postpartum depression, especially in lactating clients, due to potential risks to the infant.

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The nurse is performing teaching with a client being discharged with a prescription for dabigatran. Which of the following is a priority in client education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a client on a telemetry unit when the client states, "My vision is blurry, and I have been seeing yellow/green halos everywhere I look." Which of the following would the nurse suspect?

Correct Answer is D

Explanation

The nurse understands which of the following clients with depression are appropriate for phenelzine [Nardil]?

Correct Answer is B

Explanation

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