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 B
Explanation
A. Ammonia 55 mcg/dL (10 to 80 mcg/dL): This value is within the normal range and does not indicate an immediate concern for a liver biopsy.
B. Platelets 60,000/mm³ (150,000 to 400,000/mm³): This value is significantly below the normal range and indicates thrombocytopenia, which increases the risk of bleeding during a liver biopsy and should be reported to the provider.
C. Aspartate aminotransferase 34 units/L (0 to 34 units/L): This value is on the upper limit of normal and generally does not require reporting unless there are other clinical concerns.
D. Bilirubin 1.0 mg/dL (0.3 to 1.0 mg/dL): This value is at the upper limit of normal and does not require reporting unless there are additional symptoms or concerns.
Correct Answer is ["A","C","E"]
Explanation
A. Primary health problem: This is correct as it provides critical context for the client's current condition and the reason for the transfer.
B. Admission vital signs from 1 week ago: This is incorrect because recent vital signs are more relevant to the current status of the client; historical data from a week ago is less pertinent.
C. Scheduled times for dressing changes: This is correct as it is important for the receiving unit to know about ongoing care needs related to wound management.
D. Number of family members who have visited: This is incorrect as it does not pertain to the client's medical condition or immediate care needs.
E. Current medication prescriptions: This is correct as it is essential for the new care team to have information on the medications the client is currently taking to ensure continuity of care.
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