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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a) The statement about not taking a scheduled-dose preparation of acetaminophen with opioid analgesics is unrelated to the client's question about alcohol consumption.
b) Excessive alcohol intake increases the risk of acetaminophen-induced liver damage. The recommended maximum dose is 3 grams per day to minimize the risk of hepatotoxicity.
c) The recommendation of not exceeding 2 gm of acetaminophen a day is conservative, but the commonly accepted maximum is 3 grams per day.
d) While the general guideline is not to exceed 4 grams of acetaminophen per day for the general population, individuals with alcohol consumption may be more susceptible to liver damage, so a lower limit is often advised.
Correct Answer is C
Explanation
a) Monitoring for Cushing's symptoms is important, but it is not a statement indicating a good understanding of the withdrawal process from glucocorticoids.
b) Telling the client to never take steroids again is an overly generalized statement and does not reflect a nuanced understanding of the medication.
c) Not attempting to taper off the medication without consulting the provider is the correct approach. Abrupt discontinuation can lead to adrenal insufficiency, and the tapering schedule should be individualized.
d) Reducing the dose by half each day without proper guidance may result in withdrawal symptoms and is not a recommended strategy.
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