Nokea
A client with peptic ulcer disease is being taught about managing the condition. Which of the following statements indicates an understanding of the teaching?
- A. I should eat small, frequent meals that are low in fiber.
- B. I will limit my intake of caffeine-containing beverages.
- C. I should take NSAIDs to relieve my pain.
- D. I will drink milk before bedtime to decrease acid production.
Correct Answer: B
Rationale: Limiting intake of caffeine-containing beverages is important for managing peptic ulcer disease as caffeine can stimulate gastric acid secretion, which may worsen the condition. It is advisable to choose decaffeinated beverages and avoid caffeinated drinks to help reduce the risk of aggravating the ulcer.
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A patient is taking oral acetazolamide, a carbonic anhydrase inhibitor, to decrease intraocular pressure. When providing drug education, which side effect will the nurse advise the patient to anticipate?
- A. Increased weight
- B. Light sensitivity
- C. Burning or stinging of the eyes
- D. Increased urine output
Correct Answer: D
Rationale: Acetazolamide, a carbonic anhydrase inhibitor, promotes diuresis by inhibiting the reabsorption of bicarbonate in the kidneys, leading to increased urine output. This is a common side effect that patients should be informed about. Increased weight (A) is not typically associated with acetazolamide. Light sensitivity (B) and burning or stinging of the eyes (C) are more commonly associated with topical ophthalmic medications, not systemic acetazolamide.
A client has a new prescription for Nitroglycerin to treat angina. Which of the following instructions should the nurse include?
- A. Take this medication only when chest pain occurs.
- B. Store the medication in a cool, dry place.
- C. Apply the patch to a different site each time.
- D. Avoid consuming alcohol while taking this medication.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A healthcare professional is preparing to administer Diltiazem IV to a client who has atrial fibrillation. Which of the following findings should the healthcare professional report immediately?
- A. Bradycardia.
- B. Hypertension.
- C. Shortness of breath.
- D. Tachycardia.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client is prescribed Amitriptyline for depression. What should the nurse include in the teaching? (Select all that apply.)
- A. Expect therapeutic effects in 24 to 48 hours.
- B. Discontinue the medication after a week of improved mood.
- C. Change positions slowly to minimize dizziness.
- D. Decrease dietary fiber intake to control diarrhea.
Correct Answer: C
Rationale: The correct answer is C. Changing positions slowly can help prevent orthostatic hypotension, a common adverse effect of tricyclic antidepressants like Amitriptyline. It is essential to educate the client to avoid sudden position changes to minimize the risk of dizziness and falls. Choices A, B, and D are incorrect. Therapeutic effects of Amitriptyline may not be noticeable for 1-3 weeks, so expecting them in 24 to 48 hours (choice A) is unrealistic. Discontinuing the medication abruptly can lead to withdrawal symptoms and should be done gradually under healthcare provider supervision, so choice B is incorrect. Amitriptyline can actually cause constipation, so decreasing dietary fiber intake would not be recommended to control diarrhea, making choice D incorrect.
Which of the following is an antianginal and nitrate?
- A. Iron
- B. ACE Inhibitors
- C. Nitroglycerin
- D. Heparin
Correct Answer: C
Rationale: Nitroglycerin is an antianginal medication that belongs to the class of nitrates. It is used to relieve chest pain or angina by dilating blood vessels, which reduces the workload of the heart and improves blood flow to the heart muscle. Nitroglycerin helps to relax and widen blood vessels, increasing the supply of oxygen and blood to the heart. It is often used for the treatment and prevention of angina attacks. In contrast, options A, B, and D are not antianginal medications or nitrates.