A nurse is teaching a client who has hypertension about the importance of adhering to their prescribed medication regimen. Which of the following statements by the client indicates a need for further teaching?

"I should not stop taking my medication even if I feel better."

"I should check my blood pressure regularly and record the readings."

"I should take my medication with grapefruit juice to enhance its absorption."

"I should inform my doctor if I experience any side effects from my medication."

Answer and Explanation

The Correct Answer is C

C) Incorrect. The client should avoid taking their medication with grapefruit juice as it can interfere with the metabolism of some antihypertensive drugs and increase the risk of adverse effects.

A) Correct. The client should not stop taking their medication even if they feel better as this can cause a rebound increase in blood pressure and worsen their condition.

B) Correct. The client should check their blood pressure regularly and record the readings to monitor their response to treatment and identify any changes that may require adjustment of their medication dose.

D) Correct. The client should inform their doctor if they experience any side effects from their medication such as dizziness, headache, fatigue, or cough, as these may indicate a need for a different drug or a lower dose.

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Correct Answer is B

Explanation

B) Correct. The nurse should instruct the client to hold their metformin for 48 hours before and after surgery as this drug can increase the risk of lactic acidosis in clients who are undergoing procedures that involve contrast media or who have impaired renal function due to dehydration or hypotension.

A) Incorrect. The nurse should not instruct the client to take their morning dose of metformin with a sip of water on the day of surgery as this can cause hypoglycemia during anesthesia or interfere with contrast media if used during surgery.

C) Incorrect. The nurse should not instruct the client to resume their metformin as soon as they can tolerate oral intake after surgery as this can cause lactic acidosis if the client's renal function is not fully restored or if they receive contrast media during surgery or postoperatively.

D) Incorrect. The nurse should not instruct the client to switch to insulin injections until they recover from surgery as this can cause hyperglycemia or hypoglycemia depending on the type and dose of insulin used and the client's nutritional status and blood glucose levels.

A. The nurse injects air into the NPH vial first, then into the regular vial. B. The nurse draws up regular insulin first, then NPH insulin. C. The nurse rolls the NPH vial between their palms before drawing up insulin. D. The nurse wipes the rubber stoppers of both vials with alcohol swabs.

Correct Answer is B

Explanation

A) Incorrect. The nurse should inject air into the regular vial first, then into the NPH vial. This can prevent contamination of the regular insulin with NPH insulin and ensure accurate dosing.

B) Correct. The nurse should draw up regular insulin first, then NPH insulin. This can prevent contamination of the regular insulin with NPH insulin and ensure accurate dosing. Regular insulin is clear and NPH insulin is cloudy.

C) Correct. The nurse should roll the NPH vial between their palms before drawing up insulin. This can resuspend the insulin particles that may have settled at the bottom of the vial and ensure uniform concentration.

D) Correct. The nurse should wipe the rubber stoppers of both vials with alcohol swabs before inserting needles. This can reduce the risk of infection and contamination.

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A nurse is teaching a client who has hypertension about the importance of adhering to their prescribed medication regimen. Which of the following statements by the client indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medication list of a client who has diabetes mellitus and is scheduled for surgery. The client takes metformin orally twice a day. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is preparing to administer insulin to a client who has type 1 diabetes mellitus. Which of the following actions by the nurse demonstrates proper technique for mixing regular and NPH insulin in the same syringe?

Correct Answer is B

Explanation

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A nurse is teaching a client who has hypertension about the importance of adhering to their prescribed medication regimen. Which of the following statements by the client indicates a need for further teaching?