What is an essential teaching point for a client prescribed Losartan?
Suggest the client increase their Losartan dose if they miss a scheduled dose.
Advise the client to take Losartan with a high-fat meal to enhance absorption.
Instruct the client to report any signs of swelling in the face, lips, throat, or tongue immediately to the healthcare provider.
Encourage the client to abruptly stop taking Losartan if they experience dizziness.
The Correct Answer is C
A. Clients should never double or increase their dose after missing one, as doing so can result in dangerously low blood pressure, dizziness, or fainting. The correct action is to take the next dose at the regular scheduled time.
B. Losartan can be taken with or without food, and a high-fat meal does not enhance absorption or therapeutic effect. Advising this could mislead the client about proper medication administration.
C. Swelling of the face, lips, throat, or tongue (angioedema) is a rare but serious adverse reaction associated with Losartan and other angiotensin receptor blockers (ARBs). It can cause airway obstruction and requires immediate medical evaluation. Educating the client about this sign is crucial for early recognition and prompt intervention.
D. Abruptly stopping Losartan can lead to rebound hypertension, which increases the risk of heart attack or stroke. Clients should be instructed to contact their healthcare provider before making any medication changes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C"]
Explanation
A. Clonidine does not treat hyperthyroidism; it acts on the central nervous system to reduce sympathetic outflow, not thyroid hormone activity.
B. Clonidine is sometimes used off-label to help manage symptoms of depression or anxiety, particularly when related to hyperarousal or withdrawal.
C. Clonidine is used to reduce withdrawal symptoms and cravings in opioid dependence, helping manage agitation, anxiety, and sweating during detoxification.
D. Clonidine has no antimicrobial properties and is not used for infection management.
E. Clonidine does not raise blood sugar levels; if anything, it may cause mild decreases in glucose due to reduced sympathetic tone.
F. Clonidine is not indicated for diabetes management; it primarily affects blood pressure and withdrawal symptoms, not glucose control.
Correct Answer is D
Explanation
A. Assessing for signs of respiratory distress is important for clients with cardiac or pulmonary conditions, but it is not the primary assessment related to furosemide use.
B. Monitoring for skin rash development may be necessary if an allergic reaction occurs, but it is not a key routine assessment for this medication.
C. Checking blood glucose levels daily is more relevant for clients taking corticosteroids or antidiabetic medications, not loop diuretics like furosemide.
D. Monitoring electrolyte levels regularly is essential because furosemide causes loss of potassium, sodium, calcium, and magnesium, which can lead to complications such as hypokalemia, muscle weakness, or cardiac dysrhythmias.
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