The nurse is teaching a client how to use nasal spray. What will the nurse include in the teaching plan? (Select all that apply.)

Sit up comfortably in the bed.

Tilt the head slightly to the side.

Insert the tip of the nose piece into one nostril.

Hold the breath for a few seconds after administering the spray.

Blow the nose 1 minute after administering the spray.

Answer and Explanation

Correct Answer : B,C,D

A. Sit up comfortably in the bed is incorrect; the client should be in an upright position, which can be done while sitting up comfortably, but it’s essential to emphasize a more upright posture for optimal administration.

B. Tilt the head slightly to the side is correct; this position helps facilitate the delivery of the medication into the nasal passages.

C. Insert the tip of the nose piece into one nostril is correct; proper insertion ensures effective delivery of the medication.

D. Hold the breath for a few seconds after administering the spray is correct; this allows the medication to be absorbed more effectively.

E. Blow the nose 1 minute after administering the spray is incorrect; clients should avoid blowing their nose immediately after use to allow for proper absorption of the medication.

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Correct Answer is B

Explanation

A. Rebound hypertension can occur if antihypertensive medications are abruptly stopped, but it is not a direct reason for switching from an ACE inhibitor to an angiotensin II receptor blocker.

B. A persistent cough is a well-known side effect of ACE inhibitors due to the accumulation of bradykinin. If the client experienced this side effect, it would likely prompt the healthcare provider to switch to an angiotensin II receptor blocker, which does not typically cause this issue.

C. A transient ischemic attack (TIA) would require urgent intervention but is not a reason for changing from an ACE inhibitor to an angiotensin II receptor blocker.

D. Non-adherence to ACE inhibitor treatment may lead to ineffective blood pressure control but would not directly justify a switch to a different class of medication.

A. Sodium levels B. Bone marrow function C. Calcium levels D. Potassium levels

Correct Answer is D

Explanation

A. Sodium levels are important to monitor, but they are not the primary concern with furosemide treatment.

B. Bone marrow function is not a direct concern related to furosemide therapy.

C. Calcium levels are less critical compared to potassium when monitoring a client on furosemide.

D. Potassium levels are correct because furosemide is a loop diuretic that can lead to significant potassium loss, putting the client at risk for hypokalemia, which can have serious cardiac implications.

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The nurse is teaching a client how to use nasal spray. What will the nurse include in the teaching plan? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with hypertension has had their ACE inhibitor discontinued and an angiotensin II receptor blocker prescribed. What factor may have contributed to this change in medication?

Correct Answer is B

Explanation

The nurse is caring for a client who is experiencing pulmonary edema. The client is treated with furosemide. What will the nurse monitor most closely?

Correct Answer is D

Explanation

A nurse is educating a patient about the use of famotidine. Which statement by the patient indicates the need for further teaching?

A postsurgical client has been receiving morphine by patient-controlled analgesia for 2 days. What action by the nurse best addresses potential adverse effects?

A patient receiving heparin therapy develops bruising and bleeding gums. What should the nurse suspect and what is the appropriate action?

Which patient should be advised by the nurse to avoid over-the-counter cold and allergy preparations that contain phenylephrine?

A client is receiving opioid therapy. The nurse should be alert to the possibility that which could occur if the client receives an opioid agonist-antagonist?

A client has been prescribed a tricyclic antidepressant and the nurse recognizes the client's associated risk for anticholinergic effects. What should the nurse teach the client about preventing and managing these adverse effects? (Select all that apply.)