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The client is going to be started on cholestyramine (Questran), 6 mg three times daily.
What instruction should the nurse provide to this client?

Take with food.

Take without food

Take in the morning

Take with large amounts of fluid.

Answer and Explanation

The Correct Answer is D

A. Taking cholestyramine with food may interfere with its absorption, reducing its effectiveness.

B. Taking cholestyramine without food is not typically recommended.

C. Taking cholestyramine in the morning is not specifically indicated; it can be taken at any time of the day.

D. Taking cholestyramine with large amounts of fluid helps prevent gastrointestinal side effects and improves its effectiveness in lowering cholesterol levels.

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Correct Answer is C

Explanation

A. Ibuprofen is not typically contraindicated with calcium channel blockers.

B. Ranitidine is not typically contraindicated with calcium channel blockers.

C. Digoxin, a cardiac glycoside, can interact with calcium channel blockers, leading to increased levels of digoxin and potential toxicity.

D. Acetaminophen is not typically contraindicated with calcium channel blockers.

A. "Place three tablets under your tongue, and call 911." B. “Swallow three tablets immediately for pain, and call 911.” C. "For chest pain, put one tablet under your tongue every 5 minutes; taking no more than a total of three tablets." D. "Call your healthcare provider when you have chest pain. The provider will tell you how many tablets to take."

Correct Answer is C

Explanation

A. Placing three tablets under the tongue at once is not the recommended initial dosing for nitroglycerin.

B. Nitroglycerin tablets should not be swallowed; they are meant to be taken sublingually (under the tongue) for quick absorption.

C. This is the correct instruction, reflecting the standard protocol for acute angina treatment with nitroglycerin: one tablet under the tongue every 5 minutes as needed, with no more than three tablets in 15 minutes. If pain persists, it is advised to call emergency services.

D. This instruction is inappropriate as it delays immediate treatment for chest pain, which can be critical in the event of acute angina or a heart attack.

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The client is going to be started on cholestyramine (Questran), 6 mg three times daily.What instruction should the nurse provide to this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The patient is instructed when taking calcium channel blockers to use extreme caution when taking which of the following medications?

Correct Answer is C

Explanation

The patient is being discharged with nitroglycerin (Nitrostat). Patient education would include instructions to:

Correct Answer is C

Explanation

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The client is going to be started on cholestyramine (Questran), 6 mg three times daily.
What instruction should the nurse provide to this client?