The nurse is assessing a client on a telemetry unit when the client states, "My vision is blurry, and I have been seeing yellow/green halos everywhere I look." Which of the following would the nurse suspect?

Hyperglycemia event

Captopril (Capoten) side effect

Verapamil (Calan) side effect

Digoxin (Lanoxin) toxicity

Answer and Explanation

The Correct Answer is D

A. Hyperglycemia typically does not cause blurry vision and yellow/green halos.
B. Captopril (Capoten) is an ACE inhibitor and is not associated with visual disturbances like halos.
C. Verapamil (Calan) is a calcium channel blocker and does not typically cause visual symptoms such as halos.
D. Digoxin (Lanoxin) toxicity can lead to visual disturbances, including blurry vision and seeing yellow/green halos, which are classic signs of toxicity.

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Correct Answer is C

Explanation

A. Zolpidem is used for insomnia and is not appropriate for managing alcohol withdrawal.
B. Morphine is an opioid analgesic and is not indicated for alcohol withdrawal.
C. Diazepam is a benzodiazepine commonly used to manage alcohol withdrawal symptoms, including preventing seizures and delirium tremens.
D. Fluoxetine is an antidepressant and is not used for acute alcohol withdrawal management.

A. Swallow 1 nitroglycerin tablet with a full glass of water and repeat in 5 minutes. B. Apply 1 nitroglycerin transdermal patch to your chest, ensuring to remove any previous patches. C. Place 3 nitroglycerin tablets under the tongue and notify physician if pain is not relieved. D. Take 1 tablet of nitroglycerin and call 911 or go to emergency department if chest pain is not relieved in 5 minutes, and repeat medication for a total of 3 tablets at 5 minute intervals.

Correct Answer is D

Explanation

A. Nitroglycerin should be placed sublingually and not swallowed.
B. This instruction pertains to transdermal nitroglycerin, not sublingual tablets.
C. The recommended use for sublingual nitroglycerin involves one tablet every 5 minutes, up to a total of 3 tablets if pain is not relieved, not placing multiple tablets at once.
D. If chest pain is not relieved by one sublingual nitroglycerin tablet, the patient should take up to a total of 3 tablets at 5-minute intervals and seek emergency help if pain persists.

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The nurse is assessing a client on a telemetry unit when the client states, "My vision is blurry, and I have been seeing yellow/green halos everywhere I look." Which of the following would the nurse suspect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is brought to the emergency department in acute alcohol withdrawal. Which of the following medications does the nurse anticipate will be ordered to prevent seizures and delirium tremens?

Correct Answer is C

Explanation

The client, diagnosed with coronary artery disease and a recent myocardial infarction, is being discharged. The client has a medical prescription for nitroglycerin sublingual as needed. Which nursing instruction is correct?

Correct Answer is D

Explanation

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