A nurse is caring for a client who has a new prescription for a nitroglycerin transdermal patch. Which of the following actions should the nurse take?

Take the patch off prior to bathing the client.

Monitor for hypertension after application of the patch.

Rotate the application sites of the patch.

Remove the patch every 24 hr.

Answer and Explanation

The Correct Answer is C

A. Take the patch off prior to bathing the client: It is unnecessary to remove the patch before bathing. The patch is waterproof and designed to stay on during such activities.
B. Monitor for hypertension after application of the patch: Hypotension, not hypertension, is a potential side effect of nitroglycerin due to vasodilation. Monitoring for hypotension is essential.
C. Rotate the application sites of the patch: Rotating application sites prevents skin irritation and ensures proper absorption of the medication.
D. Remove the patch every 24 hr: Nitroglycerin patches are typically removed for 10-12 hours each day to prevent tolerance but not necessarily at 24-hour intervals.

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Correct Answer is D

Explanation

A. Concurrent use of chondroitin: Chondroitin is commonly used to treat osteoarthritis and can generally be used safely alongside celecoxib.
B. Concurrent use of calcium supplements: Calcium supplements do not have a contraindication with celecoxib and can be used concurrently.
C. Penicillin allergy: A penicillin allergy does not affect the use of celecoxib, as it is unrelated to the penicillin class of antibiotics.
D. Sulfonamide allergy: Celecoxib is a sulfonamide-based medication, so clients with a sulfonamide allergy should not take it due to the risk of an allergic reaction.

A. Urinary retention B. Dizziness C. Decreased appetite D. Hypertension

Correct Answer is B

Explanation

A. Urinary retention: Urinary retention is not a typical adverse effect of lorazepam.
B. Dizziness: Lorazepam, a benzodiazepine, commonly causes CNS effects such as dizziness, drowsiness, and confusion.
C. Decreased appetite: Appetite changes are not commonly associated with lorazepam.
D. Hypertension: Lorazepam may cause hypotension, not hypertension, especially with IV administration.

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A nurse is caring for a client who has a new prescription for a nitroglycerin transdermal patch. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a client who has a new prescription for celecoxib to treat osteoarthritis. Which of the following should the nurse recognize as a contraindication for this medication?

Correct Answer is D

Explanation

A nurse is caring for a client who has a new prescription for lorazepam. For which of the following adverse effects should the nurse monitor?

Correct Answer is B

Explanation

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