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

Exhibits

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

Remove the patch if you experience a headache.

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

The medication will be effective 30 to 45 min following application

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

Remove the patch 12 to 14 hr following application.

Place the patch on the same area every day.

Answer and Explanation

Correct Answer : A,B,C,D,E

A.   Headache is a common side effect of nitroglycerin, and if it becomes severe or persistent, the client should remove the patch and seek medical advice.
B.   Nitroglycerin can cause dizziness or lightheadedness, especially when changing positions. If the client experiences dizziness, lying down with feet elevated can help alleviate symptoms and prevent falls.
C.   Nitroglycerin patches typically take about 30 to 45 minutes to begin working after application. This information helps the client understand the expected onset of action of the medication.
D.   Nitroglycerin patches should be applied to a clean, hairless area of the skin, usually on the chest or upper arm, to ensure optimal absorption of the medication.
E.   Nitroglycerin patches are typically worn for 12 to 14 hours at a time and then removed for a nitrate- free period to prevent tolerance. Following this schedule helps maintain the effectiveness of the medication.
F.   To prevent skin irritation or tolerance to the medication, it is recommended to rotate the application site of the nitroglycerin patch with each new patch. This helps ensure consistent absorption and effectiveness of the medication.

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Correct Answer is B

Explanation

B. Fatty foods can delay the absorption of sildenafil, potentially delaying its onset of action. While it's not necessary to completely avoid fatty foods, consuming a high-fat meal shortly before taking sildenafil may delay its effects. Therefore, it's advisable to avoid large, high-fat meals before taking sildenafil to optimize its effectiveness.
A. Sildenafil is typically taken on an as-needed basis, approximately 30 minutes to 1 hour before anticipated sexual activity. Taking sildenafil more than once a day is not recommended and can increase the risk of adverse effects and complications.
C. Sildenafil is a medication used to treat erectile dysfunction by improving blood flow to the penis, but it does not protect against sexually transmitted diseases (STDs).
D. Constipation is not a common side effect of sildenafil. Common side effects of sildenafil include headache, flushing, indigestion, nasal congestion, and dizziness. Constipation is not typically associated with sildenafil use.

A. Request a different medication from the provider B. Administer the medication to the client. C. Premedicate the client with diphenhydramine. D. Request a different route of administration from the provider.

Correct Answer is B

Explanation

A. There is no need for change of antibiotic as there is no cross-rectivity between macrolides and penicillins.
B. Given the client's severe allergy to penicillin, it would be safe to administer erythromycin, a macrolide, as there is no risk of cross-reactivity.
C. Diphenhydramine is an antihistamine commonly used to treat allergic reactions, but premedicating the client with diphenhydramine is not necessary.
D. Changing the route of administration would not alter the risk of an allergic reaction.

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

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has a prescription for sildenafil to treat erectile dysfunction. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is preparing to administer erythromycin PO to a client who has an infection. The nurse checks the client's medical record and notes that the client has a severe allergy to penicillin. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is administering the first dose of ramipril to a client who has hypertension. The client reports feeling dizzy and lightheaded. Which of the following should the nurse administer?

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A nurse working in an urgent care clinic is collecting data from a client who takes montelukast. Which of the following is an expected therapeutic effect of this medication?

A nurse is reinforcing teaching with a client who has a new prescription for nitroglycerin transdermal patches to treat angina. The nurse should inform the client that which of the following manifestations is an adverse effect of the medication?

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A nurse is monitoring a client who is receiving a transfusion of packed RBCs. The nurse should identify which of the following findings as an indication of a febrile nonhemolytic reaction?

A nurse is caring for a client who is receiving treatment for chronic alcohol use disorder. Which of the following medications should the nurse plan to administer to assist the client in maintaining abstinence by aversion therapy?

A nurse is caring for a client who has chronic hypertension. The client's morning vital signs include BP 140/80 mm Hg, heart rate 54/min, and respiratory rate 18/min. Which of the following medications should the nurse plan to withhold?

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

Exhibits

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