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.
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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Garlic may potentiate the effects of warfarin, an anticoagulant medication. When taken together, garlic can increase the risk of bleeding due to its antiplatelet properties, potentially leading to an increased risk of bruising or bleeding episodes.
B. Hydrochlorothiazide is a diuretic medication used to treat hypertension and edema. There is no known significant interaction between hydrochlorothiazide and garlic.
C. Dicloxacillin is an antibiotic medication from the penicillin class. There is no known significant interaction between dicloxacillin and garlic.
D. Esomeprazole is a proton pump inhibitor (PPI) used to reduce stomach acid production. There is no known significant interaction between esomeprazole and garlic.
Correct Answer is D
Explanation
D. The expected therapeutic effect of montelukast is the reduction of bronchial inflammation. By blocking leukotriene receptors, montelukast helps to prevent the constriction of airway muscles, decrease mucus secretion, and reduce inflammation in the airways. This can lead to improved asthma control and symptom management.
A. Montelukast is not indicated for the treatment of gastric acid-related conditions such as gastroesophageal reflux disease (GERD) or peptic ulcers.
B. Montelukast is not typically associated with peripheral vasodilation. Its primary mechanism of action involves blocking the action of leukotrienes, which are inflammatory mediators involved in allergic and asthmatic reactions.
C. Montelukast does not affect white blood cell (WBC) count.
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