Nokea
A client who is prescribed sildenafil for pulmonary hypertension calls the clinic for advice. Which condition should the practical nurse notify the health care provider immediately and instruct the client to stop taking the medication?
- A. The client is experiencing vision and hearing loss.
- B. The client has an erection lasting longer than 2 hours.
- C. The client is complaining of nasal congestion.
- D. The client is complaining of feeling flushed.
Correct Answer: A
Rationale: The correct answer is A. If a client prescribed sildenafil for pulmonary hypertension experiences vision and/or hearing loss or an erection lasting more than 4 hours, the practical nurse should instruct the client to discontinue the medication immediately and notify the health care provider. These symptoms could indicate serious side effects that require prompt medical attention to prevent complications.
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A client with a history of atrial fibrillation is prescribed diltiazem. The nurse should monitor for which potential side effect?
- A. Hypotension
- B. Tachycardia
- C. Headache
- D. Hyperglycemia
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client with a diagnosis of generalized anxiety disorder is prescribed lorazepam. The client should be informed that this medication may have which potential side effect?
- A. Drowsiness
- B. Dry mouth
- C. Nausea
- D. Headache
Correct Answer: A
Rationale: The correct answer is A: Drowsiness. Lorazepam, a medication commonly used to treat anxiety disorders, can lead to drowsiness as a common side effect. It is important for clients to be aware of this potential effect, and they should be advised to avoid activities like driving until they understand how the medication affects them. Dry mouth, nausea, and headache are possible side effects of other medications but are less commonly associated with lorazepam.
A client with asthma is receiving long-term glucocorticoid therapy. The nurse includes a risk for impaired skin integrity on the client's problem list. What is the rationale for including this problem?
- A. Abnormal fat deposits impair circulation
- B. Frequent diarrhea can lead to skin issues
- C. Thinned skin bruises easily
- D. Decreased serum glucose prolongs healing time
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client who is newly diagnosed with erosive esophagitis secondary to GERD experiences symptoms after taking lansoprazole PO for one full week. Which actions should the nurse take?
- A. Confirm that the client is taking the medication correctly
- B. Auscultate the client's bowel sounds and assess the apical pulse
- C. Advise the client that healing typically takes several weeks
- D. Notify the healthcare provider to consider a higher dose
Correct Answer: C
Rationale: It is essential for the nurse to educate the client that healing from erosive esophagitis typically takes several weeks to manage expectations. This information helps the client understand the timeline for improvement and reduces anxiety about the effectiveness of the treatment. It is not necessary to confirm the timing of medication intake, assess bowel sounds, or measure the apical pulse in this scenario. Since symptoms have persisted after one week of lansoprazole, it may not be appropriate to immediately escalate to a higher dose without further assessment or guidance from the healthcare provider.
The healthcare provider is discharging a patient with a new prescription for ranitidine (Zantac). Which information would be important to include in the discharge teaching?
- A. Thrombolytic thrombocytopenic purpura (TTP) may occur
- B. Aspirin should not be taken with this medication
- C. The patient may experience iron deficiency anemia
- D. The patient may experience restlessness
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.