Nokea
The client is taking metolazone and diltiazem for treatment of hypertension. Which statement made by the client to the nurse indicates further teaching is needed?
- A. I eat foods high in potassium to prevent the development of hypokalemia.
- B. Metolazone makes me urinate more, so I take my last dose at suppertime.
- C. I took my medication at breakfast with eggs, toast, grapefruit juice, and milk.
- D. Ibuprofen affects my urine output, so I prefer to take acetaminophen for pain.
Correct Answer: C
Rationale: A: Consuming foods daily that are high in potassium is recommended. Thiazide diuretics such as metolazone (Zaroxolyn) can result in hypokalemia. B: The diuretic metolazone (Zaroxolyn) should not be taken at bedtime to avoid nocturia and the subsequent loss of sleep. C: The client should not consume grapefruit juice because it inhibits the metabolism of diltiazem (Cardizem) and can cause toxicity. This client statement indicates the need for further teaching. D: NSAIDs such as ibuprofen (Advil, Motrin) can decrease the diuretic and antihypertensive effects of thiazide diuretics.
You may also like to solve these questions
The client is placed on lorazepam for short-term treatment of anxiety. Which instruction by the nurse is most important with lorazepam use?
- A. Take a second tablet if your anxiety is not being adequately relieved.
- B. If lorazepam is less effective after a few weeks, notify your provider.
- C. Avoid caffeinated foods and beverages, including tea and chocolate.
- D. If you are experiencing drowsiness or dizziness, notify your provider.
Correct Answer: B
Rationale: Lorazepam (Ativan) is a benzodiazepine anxiolytic and sedative-hypnotic medication. If it is less effective after a few weeks, the client may be developing a tolerance to lorazepam, and the HCP should be notified of this.
Which of the following statements is correct about Maslow's hierarchy of needs?
- A. There are psychosocial interventions that may be applicable to all of the levels.
- B. There are physical interventions that may be applicable to all of the levels.
- C. Two of the levels may require physical intervention while four of the levels may require psychosocial intervention.
- D. Four of the levels may require physical intervention, while two of the levels may require psychosocial intervention.
Correct Answer: C
Rationale: In Maslow's hierarchy of needs, two of the levels, physiological needs and safety and security needs, may require physical interventions. Four of the levels, safety and security needs, love and belonging needs, self-esteem needs, and self-actualization needs may require psychosocial intervention. Safety and security needs may require physical or psychosocial intervention.
The LPN is on a home visit with a client taking Amiodarone. Which of these statements would indicate that the client understands the potential drug side effects.
- A. It is normal if I have numbing or tingling in my feet.
- B. I need to make sure I wear sunblock when going outdoors.
- C. I need to take supplemental vitamin B12.
- D. I should avoid eating leafy vegetables.
Correct Answer: B
Rationale: Amiodarone can cause increased photosensitivity, so the client should ensure that he or she wears protection.
Client education by the nurse entails:
- A. Telling the client everything about his disease, what is going to happen in the course of the disease, and the outcome
- B. Giving information to the client that is accurate and understandable
- C. Telling the client that the pain he experiences might not be real
- D. Giving the client medication when pain is experienced
Correct Answer: B
Rationale: Client education entails giving the client accurate and understandable information to promote understanding and engagement in their care. The other options are either inappropriate or incomplete.
The school-aged child taking guanfacine for treating ADHD is being seen by the nurse at school. The child is pale, diaphoretic, and feeling dizzy. What should the nurse do first?
- A. Take the child's blood pressure
- B. Obtain a capillary glucose level
- C. Telephone the parent about the child
- D. Put a cool cloth on the child's forehead
Correct Answer: A
Rationale: Guanfacine (Tenex) can cause hypotension, making blood pressure the first assessment priority.