Which of these comments by a client taking a calcium channel blocker would indicate the need for additional teaching?

"I will rise slowly from lying to sitting, to standing."

"I will elevate my legs if edema occurs."

"I will take the medication with grapefruit juice.”

"I can limit my risk for constipation by increasing fluid and fiber."

Answer and Explanation

The Correct Answer is C

a) Rising slowly from lying to sitting and standing is a precaution to prevent orthostatic hypotension, a potential side effect of calcium channel blockers.

b) Elevating legs if edema occurs is a reasonable response to manage peripheral edema associated with calcium channel blockers.

c) Grapefruit juice can interact with calcium channel blockers, leading to increased drug levels and potential toxicity. This statement indicates a need for additional teaching.

d) Increasing fluid and fiber to limit the risk of constipation is a reasonable measure associated with the use of calcium channel blockers.

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Correct Answer is D

Explanation

a) Checking the pulse is not directly related to the use of inhaled steroids. It's important for assessing certain medications, but not for inhaled steroids.

b) Taking the medication before eating is not a specific recommendation for inhaled steroids. It's more important to follow the specific instructions provided for the particular medication.

c) Limiting caffeine intake is not a standard recommendation for the use of inhaled steroids. This action is not directly related to potential complications with these medications.

d) Rinsing the mouth after inhaling the medicine is crucial to prevent the development of oral candidiasis, a common complication associated with inhaled steroids.

A. The beta-blocker can mask the symptoms of hypoglycemia. B. Using the two agents together increases the risk of ketoacidosis. C. Propranolol increases insulin requirements because of receptor blocking. D. The beta-blocker can cause insulin resistance.

Correct Answer is B

Explanation

A) While beta-blockers can mask some symptoms of hypoglycemia, the major concern in this scenario is ketoacidosis.

B) Beta-blockers, like propranolol, can mask the typical symptoms of hypoglycemia (tachycardia, palpitations), leading to a delayed recognition of low blood sugar levels.

C) Propranolol may enhance the hypoglycemic effect of insulin, but the primary concern in this case is ketoacidosis.

D) Beta-blockers can indeed cause insulin resistance, but the primary concern in this context is the risk of ketoacidosis.

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Which of these comments by a client taking a calcium channel blocker would indicate the need for additional teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has asthma the appropriate use of inhaled fluticasone. What advice should the nurse give to help the client avoid complications with the use of inhaled steroids?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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