A nurse in a provider's office is assisting in the care of a client.

Which of the following instructions should the nurse include when reinforcing teaching to the client about their medication? Select all that apply.

Lie down with feet elevated if dizziness occurs while taking this medication.

Apply the patch daily to a hairless area of the skin.

The medication will be effective 30 to 45 min following application.

Remove the patch 12 to 14 hr following application.

Remove the patch if you experience a headache.

Place the patch on the same area every day.

Answer and Explanation

Correct Answer : A,B,D

A. Lie down with feet elevated if dizziness occurs while taking this medication.: Dizziness may occur due to hypotension caused by nitroglycerin. Elevating the feet can improve blood flow to the brain and alleviate symptoms.
B. Apply the patch daily to a hairless area of the skin.: The patch should be applied to a clean, dry, and hairless area to ensure proper adhesion and absorption of the medication.
C. The medication will be effective 30 to 45 min following application.: Nitroglycerin patches are used for long-term prevention of angina, not immediate relief, which is provided by sublingual or spray formulations. The patch takes several hours to reach full effect.
D. Remove the patch 12 to 14 hr following application.: Removing the patch for 12 to 14 hours each day prevents tolerance to the medication. This is typically referred to as a "nitrate-free" interval.
E. Remove the patch if you experience a headache.: Headaches are a common side effect of nitroglycerin due to vasodilation. Clients should not remove the patch but may use analgesics like acetaminophen to manage the headache.
F. Place the patch on the same area every day.: The patch site should be rotated daily to prevent skin irritation.

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Correct Answer is B

Explanation

A. Heart rate: While important, it is not as directly impacted by codeine as respiratory rate.
B. Respiratory rate: Codeine is an opioid and can cause respiratory depression. Monitoring respiratory rate is the priority.
C. Blood pressure: Hypotension may occur but is less urgent than respiratory depression.
D. Level of consciousness: Sedation is a possible effect, but respiratory rate takes precedence in monitoring.

A. "This medication should start to alleviate the headache within 1 hour." B. "You might experience a feeling of pressure in your chest after taking this medication." C. "Do not take more than 200 milligrams of this medication within 24 hours." D. "You can take a second dose of this medication at least 2 hours after the initial dose if the headache persists." E. "You should discontinue this medication if pregnancy is planned or suspected." F. "This medication can cause you to feel tired." G. "You might experience a rash on your skin while taking this medication."

Correct Answer is ["A","B","C","D","E","F"]

Explanation

A. "This medication should start to alleviate the headache within 1 hour.": Triptans typically provide relief within 1 to 2 hours after administration.
B. "You might experience a feeling of pressure in your chest after taking this medication.": Some clients report a sensation of tightness or pressure in the chest, which is a known, generally benign side effect of triptans.
C. "Do not take more than 200 milligrams of this medication within 24 hours.": A second dose can be taken at least 2 hours after the first dose if the headache persists, but the total dose should not exceed 200 mg in 24 hours for most formulations.
D. "You can take a second dose of this medication at least 2 hours after the initial dose if the headache persists.": A second dose can be taken at least 2 hours after the first dose if the headache persists, but the total dose should not exceed 200 mg in 24 hours for most formulations.
E. "You should discontinue this medication if pregnancy is planned or suspected." Triptans are classified as Category C drugs and should be avoided during pregnancy unless the potential benefit outweighs the risk.
F. "This medication can cause you to feel tired.": Feeling tired is a common side effect of triptans.
G. "You might experience a rash on your skin while taking this medication.": A rash is not a common or expected side effect of triptans. Skin reactions are not a primary concern with these medications unless the client has an allergic response.

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A nurse in a provider's office is assisting in the care of a client. Which of the following instructions should the nurse include when reinforcing teaching to the client about their medication? Select all that apply.

Nursing Test Bank

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Correct Answer is B

Explanation

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Correct Answer is ["A","B","C","D","E","F"]

Explanation

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A nurse in a provider's office is assisting in the care of a client. Which of the following instructions should the nurse include when reinforcing teaching to the client about their medication? Select all that apply.

A nurse in a provider's office is assisting in the care of a client.

Which of the following instructions should the nurse include when reinforcing teaching to the client about their medication? Select all that apply.