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. Tachycardia: Bradycardia, rather than tachycardia, is more typical of opioid toxicity.
B. Sedation: Oxycodone toxicity causes CNS depression, resulting in sedation, respiratory depression, and pinpoint pupils.
C. Dilated pupils: Pinpoint pupils are a classic sign of opioid toxicity.
D. Tachypnea: Respiratory depression, rather than tachypnea, is expected in opioid toxicity.

A. Take your albuterol when you are having difficulty breathing. B. Hold your breath for 20 seconds when taking your albuterol. C. Take the salmeterol 5 minutes before the albuterol when you need both medications. D. Take the salmeterol 2 times each day. E. Rinse out your mouth after taking the fluticasone. F. Take the fluticasone as needed for an asthma attack.

Correct Answer is ["A","D","E"]

Explanation

Albuterol

"Take your albuterol when you are having difficulty breathing.": Albuterol is a short-acting beta-agonist (SABA) used as a rescue inhaler for acute symptoms such as wheezing and shortness of breath.

"Hold your breath for 20 seconds when taking your albuterol.": This is incorrect as holding the breath for 10 seconds after inhalation is sufficient to allow the medication to reach the lungs. Holding it longer is unnecessary and impractical.

Salmeterol

"Take the salmeterol 2 times each day.": Salmeterol is a long-acting beta-agonist (LABA) intended for long-term control of asthma symptoms, not for acute attacks. It should be taken twice daily as prescribed.

"Take the salmeterol 5 minutes before the albuterol when you need both medications.": This is incorrect because salmeterol is not a rescue medication and should not be used for immediate relief. Albuterol should be taken first if both medications are prescribed together, allowing the airways to open for better absorption of salmeterol.

Fluticasone

"Rinse out your mouth after taking the fluticasone.": Fluticasone is an inhaled corticosteroid, and rinsing the mouth helps prevent oral thrush, a common side effect.

"Take the fluticasone as needed for an asthma attack.": This is incorrect because fluticasone is a maintenance medication for inflammation and is not effective for acute asthma attacks.

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Prescribed Medication	Nursing Instruction
Albuterol	"Take your albuterol when you are having difficulty breathing.” "Hold your breath for 20 seconds when taking your albuterol.”
Salmeterol	"Take the salmeterol 5 minutes before the albuterol when you need both medications." "Take the salmeterol 2 times each day."
Fluticasone	"Rinse out your mouth after taking the fluticasone." "Take the fluticasone as needed for an asthma attack."

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.

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Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who is experiencing oxycodone toxicity. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

Correct Answer is ["A","D","E"]

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.