1. A nurse is providing teachingto a client who has alcohol use
disorder and a new prescription for carbamazepine. Which of the
following information should the nurse include in the teaching?
A. "This medication will help prevent seizures during alcohol
withdrawal."
B. "Taking this medication will decrease your cravings for
alcohol."
C."This medication maintains your blood pressure ata normal
level during alcohol withdrawal."'
D."Taking this medication will improve your ability to maintain
abstinence from alcohol." Correct Answer A. CORRECT:
Carbamazepine is used during withdrawal to decrease the risk
for seizures.
5. A nurse is planning to administer a first dose of captopril
(Capoten) to a hospitalized client who has hypertension. Which
of the following medications can intensify early adverse effects
of captopril? (Select all that apply.)
A. Simvastatin (Zocor)
B. Hydrochlorothiazide (Microzide)
,C. Phenytoin (Dilantin)
D. Clonidine (Catapres)
E. Aliskiren (Tekturna) Correct Answer Hydrochlorothiazide, a
thiazide diuretic, often is used to treat hypertension.
Diuretics can intensify first-dose orthostatic hypotension caused
by captopril and can continue to interact with antihypertensive
medications to cause hypotension. The nurse should monitor
carefully for hypotension, especially after the first dose of
captopril, and keep the client safe from injury.
Clonidine, a centrally acting alpha2 agonist, is an
antihypertensive medication that can interact with captopril to
intensify first-dose orthostatic hypotension.
The nurse should monitor carefully for hypotension, especially
after the first dose of captopril, and keep the client safefrom
injury.
Aliskiren, a direct renin inhibitor, is an antihypertensive
medication that can interact with captopril to intensify its first-
dose orthostatic hypotension. The nurse should monitor
carefully for hypotension, especially after the first dose of
captopril, and keep the client safe from injury.
A client has been prescribed oxybutynin for treatment of
overactive bladder and has been experiencing anticholinergic
side effects. List two (2) actions the client will take to prevent
adverse effects of the medication therapy. Correct Answer 1.
Anticholinergic effects: increase daily fiber, increase fluids 2-
3L/day, avoid driving if vision is impaired.
, 2. Monitor EKG because this medication can cause prolonged
QT wave.
A client is to take metronidazole. List three (3) teaching points
to review with the client prior to administering the first dose.
Correct Answer •Can cause GI discomfort- advise client to take
with food.
•Can cause darkening of urine- advise client that this is normal.
•Can cause numbness of extremities, ataxia, and seizures *Stop
medication and notify physician*
A client with a persistent upper respiratory infection develops
acute bronchitis and is given a prescription for guaifenesin
(Robitussin AC), an antitussive that contains codeine. Besides
the characteristics of the clients cough, which others pertinent
assessment findings should the nurse document? Correct
Answer Presence of respiratory secretions
A nurse is caring for a client who has a new prescription for
alosetron. What are the expected therapeutic effects of this
medication? Correct Answer effectiveness may be evidenced
by relief of diarrhea and decrease in urgency and frequency of
defecation
Evidence can by relief of diarrhea and decrease in urgency and
frequency of defecation. This is used for female clients that have
severe IBS-D that has lasted more than 6 months and has been
resistant to conventional management.
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