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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
A) Correct. The nurse should check the client's apical pulse for one full minute before giving digoxin as this drug can cause bradycardia and heart block. The nurse should withhold the medication and notify the provider if the pulse is less than 60 beats/min or irregular.
B) Incorrect. The nurse should check the client's serum potassium level periodically while taking digoxin as this drug can cause hypokalemia or hyperkalemia, which can affect its therapeutic effect and toxicity. However, this is not a priority action before giving each dose of digoxin.
C) Incorrect. The nurse should check the client's blood pressure in both arms periodically while taking digoxin as this drug can cause hypotension or hypertension, which can affect its efficacy and safety. However, this is not a priority action before giving each dose of digoxin.
D) Incorrect. The nurse should check the client's serum digoxin level periodically while taking digoxin as this drug has a narrow therapeutic range and can cause toxicity if the level is above 2 ng/mL. However, this is not a priority action before giving each dose of digoxin.
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