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A nurse is reinforcing teaching with a client who has a new prescription for a transdermal nitroglycerin patch. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will apply the patch to my back.
- B. I will leave the patch on for 24 hours.
- C. I will rotate the application sites.
- D. I will apply a new patch if I have chest pain.
Correct Answer: C
Rationale: Rotating application sites prevents skin irritation and ensures consistent absorption of nitroglycerin from the transdermal patch.
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A nurse is caring for a client who has a new prescription for tamsulosin. Which of the following adverse effects should the nurse monitor for?
- A. Orthostatic hypotension
- B. Weight gain
- C. Hyperglycemia
- D. Tinnitus
Correct Answer: A
Rationale: Tamsulosin, an alpha-blocker, can cause orthostatic hypotension due to vasodilation, especially with the first dose.
A nurse is reinforcing teaching with a client who has a new prescription for a nitroglycerin sublingual tablet. Which of the following instructions should the nurse include?
- A. Swallow the tablet with water.
- B. Take the tablet every 10 minutes for chest pain.
- C. Store the tablets in a dark container.
- D. Keep the tablet under the tongue for 2 hours.
Correct Answer: C
Rationale: Storing nitroglycerin tablets in a dark container protects them from light, which can degrade the medication.
A nurse is caring for a client who has a new prescription for zolpidem. Which of the following adverse effects should the nurse monitor for?
- A. Drowsiness
- B. Weight gain
- C. Hyperglycemia
- D. Tinnitus
Correct Answer: A
Rationale: Zolpidem, a sedative-hypnotic, commonly causes drowsiness, which can affect safety and coordination.
A nurse is reinforcing teaching with a client who is scheduled for a barium swallow. Which of the following instructions should the nurse include?
- A. Fast for 8 hours before the procedure.
- B. Avoid dairy products after the procedure.
- C. Expect to receive sedation during the procedure.
- D. Take a laxative before the procedure.
Correct Answer: A
Rationale: Fasting for 8 hours before a barium swallow ensures a clear view of the esophagus and stomach.
A nurse is reinforcing teaching with a client who is scheduled for an electroencephalogram (EEG). Which of the following instructions should the nurse include?
- A. Avoid caffeine before the procedure.
- B. Take your antiseizure medication as prescribed.
- C. Wash your hair after the procedure.
- D. Expect to be sedated during the procedure.
Correct Answer: A
Rationale: Avoiding caffeine before an EEG prevents stimulation that could alter brain wave patterns and affect results.