A nurse is reinforcing teaching with a client who is taking diltiazem sustained-release tablets for hypertension. Which of the following instructions should the nurse include?
Store the medication in the refrigerator.
Take the medication at mealtime.
Drink grapefruit juice with the medication.
Swallow the medication whole.
The Correct Answer is D
A. Store the medication in the refrigerator: Diltiazem sustained-release tablets do not need to be refrigerated; they should be stored at room temperature, away from moisture and heat.
B. Take the medication at mealtime: It is not necessary to take diltiazem with food unless specifically advised by a healthcare provider. Generally, it can be taken with or without food.
C. Drink grapefruit juice with the medication: Grapefruit juice should be avoided with diltiazem as it can increase the risk of adverse effects by altering the metabolism of the drug.
D. Swallow the medication whole: This is correct as sustained-release tablets should not be chewed or crushed. They are designed to release the medication slowly over time, which can be disrupted if the tablet is altered.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Dyspnea: This is correct as dyspnea (difficulty breathing) can be a sign of fluid overload, particularly when excess fluid accumulates in the lungs.
B. Pruritus: This is more indicative of an allergic reaction rather than fluid overload.
C. Fever: This is often associated with transfusion reactions or infection, not specifically fluid overload.
D. Bradycardia: This is less commonly associated with fluid overload and more often seen in other conditions or complications.
Correct Answer is B
Explanation
A. "I should take my supplement with an antacid to prevent an upset stomach": This is incorrect as antacids can interfere with the absorption of iron. Iron supplements should be taken on an empty stomach for better absorption.
B. "I should increase my fiber intake while taking this supplement": This is correct as increasing fiber can help manage constipation, a common side effect of iron supplementation.
C. "I should drink my liquid iron supplement undiluted": This is incorrect. Liquid iron supplements should be diluted to prevent staining of teeth and to improve tolerance.
D. "I should notify my doctor if my stools turn black": This is incorrect because black stools are a common side effect of iron supplementation and are generally not a cause for concern.
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