LPN Pharmacology Texas University | Nurselytic

Correct Answer: D

Rationale: The correct answer is D: Mood swings, depression, or suicidal ideation. Varenicline is a medication used to help people quit smoking by reducing the pleasure associated with nicotine. It can sometimes lead to changes in mood, including depression and even suicidal thoughts.
Therefore, it is crucial for the client to notify the provider immediately if they experience any mood swings, depression, or thoughts of suicide while taking varenicline. This is because these symptoms can be serious and require prompt medical attention to ensure the client's safety.

Choices A, B, and C are common side effects of varenicline but are not typically considered urgent enough to warrant immediate notification of the provider.

Correct Answer: C

Rationale: The correct answer is C: Do not discontinue medication abruptly. This is a priority in client education because dabigatran is an anticoagulant medication, and sudden discontinuation can increase the risk of blood clots and stroke. It is essential for the client to understand the importance of consistent use and to consult their healthcare provider before making any changes to their medication regimen.


Choice A is incorrect because while dabigatran is not reversible in emergency situations like warfarin, it does not take precedence over the importance of not abruptly stopping the medication.


Choice B is incorrect because blood in urine and stool is not normal with dabigatran and should be reported to the healthcare provider immediately.


Choice D is incorrect because dabigatran has fewer food interactions compared to other anticoagulants like warfarin, making it less of a priority in client education.

Correct Answer: B,D

Rationale: The correct answers are B (Dizziness) and D (Hypotension). Losartan is an angiotensin receptor blocker used to treat hypertension by relaxing blood vessels. Dizziness and hypotension are common side effects due to vasodilation, which can lower blood pressure too much. Monitoring for these side effects is crucial to prevent falls or other complications.

Choices A (Hypertension) and E (Tachycardia) are incorrect because losartan aims to lower blood pressure, not increase it.
Choice C (Hyperglycemia) is incorrect as losartan is not known to significantly affect blood sugar levels.

Correct Answer: A

Rationale: The correct answer is A: Heart Failure. Calcium channel blockers can cause negative inotropic effects leading to decreased contractility of the heart muscle, potentially resulting in heart failure. Monitoring for signs such as shortness of breath, edema, and fatigue is crucial. Drowsiness (
B), headache (
C), and hypertension (
D) are less commonly associated with calcium channel blockers and are not considered dangerous side effects.

Correct Answer: A,B,C,D

Rationale:
Correct Answer: A, B, C, D


Rationale:
A: Sublingual nitroglycerin tablets should be placed under the tongue for rapid absorption. Swallowing them would reduce effectiveness.
B: Nitroglycerin is light-sensitive and can lose potency if exposed, hence storing in the original container protects it.
C: Expired nitroglycerin may be less effective or even harmful, so it should be replaced before expiration.
D: Nitroglycerin can cause a drop in blood pressure, so taking it while lying or sitting and changing positions slowly can prevent dizziness or falls.

Summary:

Choice E is incorrect because headaches are a common side effect of nitroglycerin but should not be a reason to discontinue the medication without consulting a healthcare provider.