A client with Angina Pectoris asks the nurse about the next step if they take one tablet, wait 5 minutes, but still have Anginal pain. Which response should the nurse provide?

Correct Answer: B

Rationale: In case anginal pain persists after taking the first tablet and waiting 5 minutes, the priority step is to call emergency services (911) and then take a second sublingual tablet. Persistent pain could indicate a myocardial infarction, and immediate medical attention is crucial. If the pain continues even after the second tablet, the client can take a third tablet after an additional 5-minute wait.

Correct Answer: D

Rationale: The correct answer is D) Take colesevelam with food and at least one glass of water. Rationale: - Colesevelam is a bile acid sequestrant that works by binding to bile acids in the intestine, which can interfere with the absorption of other medications like digoxin. Taking colesevelam with food and water helps to prevent drug interactions and ensures proper absorption of both medications. Incorrect options: - Option A is incorrect because digoxin should not be taken with colesevelam due to the risk of decreased absorption. - Option B is not directly related to the interaction between digoxin and colesevelam. - Option C is unrelated to the instructions for taking colesevelam and does not address the potential drug interaction. Educational context: It is crucial for nurses to understand the potential drug interactions and instructions for administration of medications to ensure patient safety and treatment efficacy. Teaching patients about the proper administration of medications like colesevelam is essential to prevent complications and maximize therapeutic benefits.

Correct Answer: C

Rationale: Omeprazole or another proton pump inhibitor is commonly prescribed for clients taking dabigatran who experience abdominal pain and other gastrointestinal adverse effects associated with dabigatran use. Proton pump inhibitors help alleviate these symptoms by reducing gastric acid secretion, which can contribute to gastrointestinal discomfort.

Correct Answer: B

Rationale: Obtaining help from another healthcare professional to confirm the correct client and blood product is crucial in preventing an acute hemolytic reaction during a blood transfusion. This reaction occurs due to ABO or Rh incompatibility. Verifying the correct client and blood product reduces the risk of administering the wrong blood type, which could lead to a life-threatening reaction. It is essential to follow strict protocols to ensure patient safety during blood transfusions.

Correct Answer: C

Rationale: In this scenario, the correct instruction that the nurse should provide is option C: Allow a 2-hour interval between these medications. Explanation: Phenytoin is a medication that can interact with sucralfate when taken simultaneously. Sucralfate can bind to phenytoin in the gastrointestinal tract, reducing the absorption and effectiveness of phenytoin. By spacing out the administration of these medications by 2 hours, the interaction can be minimized, allowing each drug to be absorbed and utilized effectively. Why the other options are wrong: A) Taking an antacid with sucralfate can alter its pH-dependent mechanism of action, reducing its efficacy in treating Peptic Ulcer Disease. B) Taking sucralfate with milk can also affect its absorption and effectiveness due to changes in pH and potential interactions with components of the milk. D) Chewing sucralfate before swallowing is not recommended as it can alter its intended release and mechanism of action in the gastrointestinal tract. Educational context: Understanding drug interactions and appropriate medication administration is crucial in pharmacology. Nurses play a vital role in educating patients to ensure safe and effective medication use. This scenario highlights the importance of knowing how medications can interact and the significance of proper timing to optimize therapeutic outcomes.