A nurse is reinforcing teaching about cyclosporine with a client who is postoperative following a kidney transplant. Which of the following statements indicates an understanding of the information?

"I can take ibuprofen to treat headaches."

"I will get out of bed slowly in the morning."

"I can expect hair loss when taking this medication."

"I will call my doctor if I have a sore throat."

Answer and Explanation

The Correct Answer is D

A. "I can take ibuprofen to treat headaches.": Ibuprofen can increase the risk of kidney damage and should be avoided in transplant clients.
B. "I will get out of bed slowly in the morning.": While this is good general advice, it is not specific to cyclosporine therapy.
C. "I can expect hair loss when taking this medication.": Hair loss is not a common side effect of cyclosporine.
D. "I will call my doctor if I have a sore throat.": Cyclosporine suppresses the immune system, making the client more susceptible to infections, such as sore throat.

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Correct Answer is A

Explanation

A. Headache: Headaches are a common adverse effect of nitroglycerin due to vasodilation and increased blood flow to the brain.
B. Polyuria: Nitroglycerin does not affect urinary output.
C. Ringing in the ears: Tinnitus is not associated with nitroglycerin use.
D. Increased blood pressure: Nitroglycerin causes vasodilation, which typically lowers blood pressure rather than increasing it.

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.

Body System	Findings
Vital Signs/General History	Temperature 35.4 °C (97.6 °F), oral Heart rate 75/min Respiratory rate 16/min Blood pressure 100/74 mmHg Oxygen saturation 99% on room air Client is a vegetarian and takes a multivitamin daily Client reports having three to four alcoholic beverages a couple times per week.
Integumentary	Skin color is consistent with genetic background. No rashes or lesions. The client has varicose veins.
Cardiovascular/Respiratory	S1S2 auscultated. No murmurs. All peripheral pulses 2+. Lung sounds clear bilaterally.
Gastrointestinal/Genitourinary	Abdomen soft, nontender. Normoactive bowel sounds in all 4 quadrants. Last bowel movement was 3 days ago. Voids four to five times a day. Urine is clear, yellow, and odorless. Last menstrual period was 3 months ago.
Neurologic/Musculoskeletal	Alert and oriented to person, place, and time. Client takes diazepam as needed for anxiety. Client has full range of motion and is able to maintain flexion against resistance in all four extremities.

A nurse is reinforcing teaching about cyclosporine with a client who is postoperative following a kidney transplant. Which of the following statements indicates an understanding of the information?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

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

Explanation

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