A clinic nurse has been assigned a 49-year-old female client who has a history of diabetes. A recent diagnosis of hypertension has been made, and the client has been prescribed a hydrochlorothiazide and metoprolol. The client will be scheduled to return to the clinic once a month for the next 6 months. A priority action by the nurse will be to:

question the client about her dietary intake.

monitor the client's blood pressure.

weigh the client.

monitor the client's respiratory rate.

Answer and Explanation

The Correct Answer is B

A. While dietary intake is important, especially regarding sodium and fluid balance, it is not the highest priority compared to monitoring blood pressure.

B. Monitoring the client's blood pressure is essential to evaluate the effectiveness of the prescribed antihypertensive medications and to ensure the client is within the target range for managing her hypertension.

C. Weighing the client is important for monitoring fluid retention, especially with hydrochlorothiazide, but it is secondary to direct blood pressure monitoring.

D. Monitoring the respiratory rate is generally less critical in this scenario unless there are specific concerns related to medication side effects or respiratory conditions.

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Correct Answer is B

Explanation

A. Excessive thirst is not a common adverse effect associated with albuterol.

B. Albuterol, a beta-agonist, can cause tachycardia as an adverse effect; a heart rate of 99 beats/min may indicate this response.

C. An oral temperature of 100°F may suggest a mild infection or other issues, but it is not a specific adverse effect of albuterol.

D. Diarrhea is not typically associated with albuterol use and is less likely to be attributed to the medication.

A. "Milk helps the medication absorb more quickly." B. "You should avoid milk and dairy products when taking tetracycline, as they reduce its effectiveness." C. "It is safe to take milk with tetracycline, as long as you increase your water intake." D. "It is fine to drink milk if taken at least 1 hour before or 2 hours after."

Correct Answer is B

Explanation

A. Milk does not enhance the absorption of tetracycline; rather, it contains calcium, which can bind to the antibiotic and reduce its absorption.

B. Avoiding milk and dairy products while taking tetracycline is essential as they reduce the medication's effectiveness by forming insoluble complexes with the drug.

C. Taking milk with tetracycline is not safe due to the risk of decreased absorption; simply increasing water intake does not negate this interaction.

D. While spacing the intake of milk and tetracycline might seem beneficial, it is best to avoid dairy entirely during the treatment to ensure maximum efficacy of the medication.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a 38-year-old client who has been diagnosed with asthma and is prescribed albuterol. What assessment finding should the nurse most likely attribute to adverse medication effects?

Correct Answer is B

Explanation

A nurse is caring for a patient with acne who has been prescribed tetracycline. The patient states that they drink a glass of milk every morning with breakfast. What is the nurse's best response?

Correct Answer is B

Explanation

Which would be important to perform for a client who has received an anticholinergic agent? (Select all that apply.)

Order: IV Fluids: LR @ 85 mL/hr Tubing Factor: 20 gtts/mL How many gtts/min are the IV fluids infusing? Round your answer to the nearest whole number.

Interpret and spell the abbreviation: SL

A patient is prescribed long-acting insulin (glargine) for basal control of blood glucose. Which statement by the nurse is correct when educating the patient?

Which patient should be advised by the nurse to avoid over-the-counter cold and allergy preparations that contain phenylephrine?

A client has been prescribed an oral drug that is known to have a high first-pass effect. Which measure has the potential to increase the amount of the free drug that is available to body cells?

A client diagnosed with hyperlipidemia has been taking atorvastatin for several months. How can the therapeutic effect of the medication be determined?