A client taking anticholinergic drugs should be taught to minimize the risks of heat exhaustion and heat stroke. What would be one way to meet this goal?

Routinely exercise indoors

Wear dark, warm clothing during the summer months

Avoid extremes of temperature on exertion

Take frequent showers in the evenings and early mornings

Answer and Explanation

The Correct Answer is C

A) Routinely exercise indoors:
Exercising indoors may be beneficial for individuals taking anticholinergic drugs to minimize the risk of heat-related complications. However, this option does not directly address the need to avoid extremes of temperature on exertion, which is crucial for preventing heat exhaustion and heat stroke. While indoor exercise can provide a controlled environment, it does not eliminate the risk entirely, especially if the indoor area is not adequately ventilated or air-conditioned.

B) Wear dark, warm clothing during the summer months:
Wearing dark, warm clothing during the summer months can exacerbate the risk of heat-related complications for individuals taking anticholinergic drugs. Dark clothing absorbs more heat from the sun, increasing body temperature, and warm clothing further contributes to heat retention. This option does not align with the goal of minimizing the risk of heat exhaustion and heat stroke.

C) Avoid extremes of temperature on exertion:
This is the correct answer. Avoiding extremes of temperature on exertion is essential for individuals taking anticholinergic drugs to reduce the risk of heat-related complications such as heat exhaustion and heat stroke. Exertion in hot environments can lead to excessive sweating and dehydration, further compromising thermoregulation. By avoiding extremes of temperature and moderating exertion, individuals can better regulate body temperature and minimize the risk of heat-related adverse effects.

D) Take frequent showers in the evenings and early mornings:
While taking frequent showers in the evenings and early mornings may help cool the body and reduce the risk of heat-related discomfort, it does not specifically address the need to avoid extremes of temperature on exertion. While personal hygiene practices are important, they should be supplemented with measures aimed at preventing heat-related complications, such as avoiding exertion in extreme temperatures. Therefore, this option does not fully meet the goal of minimizing the risk of heat exhaustion and heat stroke for individuals taking anticholinergic drugs.

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Correct Answer is D

Explanation

A) Apples:
Apples are not contraindicated with spironolactone use. There are no known interactions between spironolactone and apples.

B) Fish:
Fish is not contraindicated with spironolactone use. There are no known interactions between spironolactone and fish.

C) Crackers:
Crackers are not contraindicated with spironolactone use. There are no known interactions between spironolactone and crackers.

D) Bananas:
Bananas are high in potassium, and spironolactone is a potassium-sparing diuretic. Ingesting potassium-rich foods such as bananas while taking spironolactone can increase the risk of hyperkalemia. Therefore, the nurse should instruct the client to avoid consuming large amounts of potassium-rich foods like bananas to prevent adverse effects."

A. Take this medication with food. B. Monitor for a cough. C. Avoid bananas D. Hold medication for heart rate less than 100/min.

Correct Answer is B

Explanation

A) Take this medication with food:
Captopril is an ACE inhibitor, known to work best on an empty stomach. Food can reduce its absorption, impacting its effectiveness. Thus, while clients can take captopril with or without food, it's generally recommended to take it on an empty stomach for optimal results.

B) Monitor for a cough:
Captopril, an ACE inhibitor, commonly induces a persistent, dry cough due to the accumulation of bradykinin. This side effect can be bothersome and may necessitate discontinuation of the medication. Therefore, patients should be vigilant for the onset of a cough and promptly report it to their healthcare provider.

C) Avoid bananas:
Although captopril can occasionally lead to hyperkalemia, advising patients to avoid bananas specifically may not be necessary. While bananas are potassium-rich, restricting them alone might not significantly impact potassium levels. However, patients should be educated on monitoring potassium intake and informed of potential dietary modifications if hyperkalemia occurs.

D) Hold medication for heart rate less than 100/min:
Captopril is not known to directly affect heart rate. This instruction may be more applicable to medications like beta-blockers, which can lower heart rate as part of their mechanism of action. Therefore, holding captopril for heart rates below 100/min may not be clinically indicated.

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A client taking anticholinergic drugs should be taught to minimize the risks of heat exhaustion and heat stroke. What would be one way to meet this goal?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When providing medication te”ching to a client who has been prescribed spironolactone for hypertension, what foods should the nurse instruct the client to avoid?

Correct Answer is D

Explanation

A nurse is teaching a client who has a new prescription for captopril. Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

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A client taking anticholinergic drugs should be taught to minimize the risks of heat exhaustion and heat stroke. What would be one way to meet this goal?

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