Nokea
The nurse has taught a client who has been prescribed clonidine via a transdermal patch. Which of the following statements by the client would indicate a need for further teaching?
- A. I can wear this patch while I shower.
- B. I should keep this patch on for five days.
- C. This medication may make me drowsy.
- D. If I ever have to have a magnetic resonance imaging (MRI), I will need to remove the patch before the test.
Correct Answer: B
Rationale: Clonidine transdermal patches are typically changed every 7 days, not 5 days, so the statement about keeping the patch on for five days indicates a need for further teaching. The other statements are correct: clonidine patches are water-resistant, can cause drowsiness, and must be removed before an MRI due to potential metal content.
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The nurse is caring for a client who is taking prescribed sildenafil. After reviewing the client's other medications, the nurse recognizes which medication would contraindicate sildenafil?
- A. furosemide
- B. isosorbide
- C. atorvastatin
- D. losartan
Correct Answer: B
Rationale: Sildenafil is contraindicated with nitrates like isosorbide due to the risk of severe hypotension. Furosemide, atorvastatin, and losartan do not have significant interactions with sildenafil.
The nurse is teaching a client who has hypertension about the newly prescribed medication, furosemide. Which of the following should the nurse include in the teaching?
- A. Limit intake of bananas, cantaloupe, and potatoes.
- B. Avoid taking the medication with grapefruit juice.
- C. Take this medication in the early part of the day.
- D. A nagging cough can occur as a side effect of the medication.
Correct Answer: A,C
Rationale: Furosemide, a loop diuretic, can cause hypokalemia, so limiting potassium-rich foods (bananas, cantaloupe, potatoes) is advised, and taking it early prevents nocturia. Grapefruit juice and cough are not concerns.
A nurse is caring for a client receiving nitroglycerin. It is essential to monitor the client's
- A. heart tones.
- B. respirations.
- C. urinary output.
- D. blood pressure.
Correct Answer: D
Rationale: Nitroglycerin, a vasodilator, can cause hypotension, so monitoring blood pressure is essential. Heart tones, respirations, and urinary output are less critical.
The nurse is counseling a client with congestive heart failure (CHF) about newly prescribed torsemide. The nurse determines that the teaching has been effective when the client plans to
- A. decreases their dietary potassium.
- B. record their daily urinary output.
- C. measure their weight daily.
- D. take their blood pressure and pulse daily.
Correct Answer: C
Rationale: Torsemide, a loop diuretic, requires daily weight monitoring to assess fluid status in CHF. Decreasing potassium is incorrect (risk of hypokalemia), and urinary output or vital signs monitoring is less critical.
The nurse is administering prescribed furosemide to a client. Which of the following clinical manifestations would be consistent with the client developing fluid volume deficit? Select all that apply.
- A. tachycardia
- B. bradypnea
- C. weight gain
- D. decreased urine output
- E. tenting of the skin
Correct Answer: A,D,E
Rationale: Furosemide, a loop diuretic, can cause fluid volume deficit, leading to tachycardia (increased heart rate to compensate for reduced volume), decreased urine output (due to dehydration), and tenting of the skin (a sign of dehydration). Bradypnea and weight gain are not typical signs of fluid volume deficit.