A nurse is providing discharge instructions to a client who has heart failure and a new prescription for captopril. Which of the following client statements indicates an understanding of the teaching?
a. "I should take this medication with food."
b. "I should take naproxen if I develop joint pa...
A nurse is providing discharge instructions to a client who has heart failure and a new prescription for
captopril. Which of the following client statements indicates an understanding of the teaching?
a. "I should take this medication with food."
b. "I should take naproxen if I develop joint pain."
c. "I should tell my provider if I develop a sore throat."
d. "I should expect the medication to cause my urine to look orange." - answersc. "I should tell my
provider if I develop a sore throat."
The client should report a sore throat to the provider because this can indicate neutropenia, a serious
adverse effect of captopril. Neutropenia can be reversed if it is identified early and the medication is
promptly discontinued.
A nurse is providing teaching to a client who has peptic ulcer disease and is to start a new prescription
for sucralfate. Which of the following actions of sucralfate should the nurse include in the teaching?
a. Decreases stomach acid and secretion
b. Neutralizes acid in the stomach
c. Forms a protective barrier
d. Treats ulcers by eradicating H. pylori - answersC. For a a protective barrier over ulcers
Secretions by the parietal chief cells, hydrochloric acid and pepsin, can further irritate the ulcerated
areas. Sucralfate, a mucosal protectant, forms a gel-like substance that coats the ulcer, creating a barrier
to hydrochloric acid and pepsin.
A nurse is providing teaching to a client who has multiple sclerosis and a new prescription for
methylprednisolone. Which of the following instructions should the nurse include? (SATA)
,a. Blood glucose levels will be monitored during therapy
b. Avoid contact with people who have known infections
c. Take the medication 1 hr before breakfast
d. Decrease dietary intake of foods containing potassium
e. Grapefruit juice can increase the effects of the medication - answersa. Blood glucose levels will be
monitored during therapy
b. Avoid contact with people who have known infections
e. Grapefruit juice can increase the effects of the medication
a. The nurse should monitor the client for hyperglycemia while providing methylprednisolone to the
client. Glucocorticoids, such as methylprednisolone, increase serum glucose levels and can require
management with insulin or antihyperglycemia.
b. The nurse should instruct the client to avoid exposures to infectious agents, such as contact with
those who have active infections or illnesses. Glucocorticoids, which as methylprednisolone, depress the
immune system, placing the client at an increased risk for developing an infection.
e. The nurse should in strict the client that grapefruit and grapefruit juice can increase the level of
methylprednisolone in the body.
The nurse is providing discharge teaching about handling medication to a client who is to continue
taking oral transmucosal fentanyl raspberry-flavored lozenges on a stick. Which of the following
information should the nurse include in the teaching?
a. Chew on the medication stick to release the medication
b. Leave the medication stick in one location of the mouth until melted
c. Allow the medication 1 hr for the analgesia effects to begin
d. Store unused medication sticks in a storage container - answersd. Store unused medication sticks in a
storage container
The nurse should instruct the client to store unused, or partially used, medications sticks in the safe
storage container that comes in the kit when the medication is initially prescribed.
, A nurse is reviewing the ECG of a client who is receiving IV furosemide for heart failure. The nurse
should identify which of the following findings as an indication of hypokalemia?
a. Tall, tented T waves
b. Presence of U waves
c. Widened QRS complex
d. ST elevation - answersb. Presence of U waves
A nurse is caring for a client and is taking oral morphine and docusate sodium. The nurse should instruct
the client that taking the docusate sodium daily can minimize which of the following adverse effects of
morphine?
a. Constipation
b. Drowsiness
c. Facial flushing
d. Itching - answersa. Constipation
Constipation is a common adverse effect of morphine that can be minimized by taking docusate sodium,
a stool softener that promotes easier evacuation of stool by increasing water and fat in the intestine.
A nurse is planning care for a client who is receiving mannitol via continuous IV infusion. The nurse
should monitor for which of the following adverse effects?
a. Weight loss
b. Increased intraocular pressure
c. Auditory hallucinations
d. Bibasilar crackles - answersd. Bibasilar crackles
Mannitol, an osmotic diuretic, can precipitate heart failure and pulmonary edema, therefore, the nurse
should recognize lung crackles as an indication of a potential complication and stop the infusion.
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