A client has a medical prescription for nifedipine [Adalat XL]. Which of the following should the nurse teach the client about this medication?

"Swallow the medication whole and do not cut, crush, or chew the medication."

"Take your blood pressure in the morning."

"Use caution with over-the-counter (OTC) cold medications."

"Take the medication before bedtime."

Answer and Explanation

The Correct Answer is A

A. Nifedipine [Adalat XL] is a long-acting calcium channel blocker, and it should be swallowed whole to maintain its extended-release properties and ensure proper absorption.
B. Blood pressure should be monitored regularly, but taking it in the morning is not specifically related to nifedipine's use.
C. While caution with OTC medications is generally good advice, it is not specific to nifedipine.
D. The timing of the medication (morning vs. bedtime) is not typically specified unless otherwise directed by the healthcare provider.

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Correct Answer is D

Explanation

A. Adding another drug is premature; fluoxetine may need more time to show effects.
B. While some antidepressants may show effects in 1-3 weeks, fluoxetine typically requires a full 4-6 weeks to demonstrate its therapeutic effects.
C. Switching to another antidepressant after only one week may be premature; fluoxetine often takes longer to be effective.
D. Antidepressants like fluoxetine generally take 4-6 weeks to show significant effects, so patience is necessary for the medication to reach its full potential.

A. Renal function tests B. Capillary blood glucose level C. Blood pressure D. Serum electrolyte levels

Correct Answer is B

Explanation

A. Renal function tests are important for overall health but are not the priority in this scenario.
B. Propranolol can mask the symptoms of hypoglycemia, which is a common complication in clients with type 1 diabetes. The nurse should first check the client's blood glucose level to assess for hypoglycemia.
C. While blood pressure is important, the symptoms described are more indicative of hypoglycemia.
D. Serum electrolyte levels might be relevant but are not the immediate concern with the described symptoms.

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A client has a medical prescription for nifedipine [Adalat XL]. Which of the following should the nurse teach the client about this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client prescribed fluoxetine (Prozac) returns to the clinic one week after beginning therapy and states, "This drug is not working, I am still very sad." Which of the following would be the nurse's best response?

Correct Answer is D

Explanation

A client with type 1 diabetes is taking propranolol [Inderal], acting confused, and reports weakness and feeling shaky. What must the nurse check first?

Correct Answer is B

Explanation

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