a nurse is providing discharge instructions to a client who has a new prescription for clopidogrel which of the following instructions should the nur

ATI RN

ATI Pharmacology Proctored Exam

1. A client is being discharged with a new prescription for Clopidogrel. Which of the following instructions should the nurse include?

A. Avoid taking aspirin while on this medication.
B. Take this medication with food.
C. Avoid eating foods high in potassium.
D. Take this medication at bedtime.

Correct answer: A

Rationale: The correct instruction for a client prescribed Clopidogrel is to avoid taking aspirin while on this medication. Clopidogrel is an antiplatelet medication that can increase the risk of bleeding. Aspirin and other NSAIDs can potentiate the risk of bleeding, so they should be avoided while taking Clopidogrel to prevent adverse effects. Choices B, C, and D are incorrect because Clopidogrel does not need to be taken with food, there is no specific dietary restriction related to potassium, and the timing of administration (bedtime) is not a critical instruction for this medication.

2. Which of the following is not a side effect of the vasodilator Nifedipine?

A. Nausea
B. Flushed appearance
C. Vertigo
D. Sexual dysfunction

Correct answer: D

Rationale: Sexual dysfunction is not a common side effect of vasodilators such as Nifedipine. Nausea, flushed appearance, and vertigo are more commonly reported side effects associated with this medication. It's essential for healthcare providers to be aware of the potential side effects to monitor and manage them effectively in patients prescribed with Nifedipine.

3. A client has a new prescription for Alendronate to treat osteoporosis. Which of the following instructions should the nurse include?

A. Take the medication with a full glass of water after rising in the morning.
B. Lie down for at least 30 minutes after taking the medication.
C. Take the medication before bedtime to reduce the risk of esophageal irritation.
D. Crush the tablet and mix it with applesauce if having difficulty swallowing.

Correct answer: A

Rationale: The correct instruction is to take Alendronate with a full glass of water after rising in the morning. This helps reduce the risk of esophageal irritation, as the medication can cause irritation if not taken correctly. Taking it before bedtime (choice C) can increase the risk of irritation as the individual lies down. Lying down after taking the medication (choice B) can also lead to esophageal irritation. Crushing the tablet (choice D) is not recommended as Alendronate should be taken whole with a full glass of water.

4. Why should the nitrate patch be off for 8 hours per day?

A. “There is no reason to take the patch off each day.”
B. “The patch can be addictive; leaving it off reduces the addiction.”
C. “You should only leave the patch off for 15 minutes.”
D. “Leaving the patch off for 8 hours per day helps to delay the development of tolerance.”

Correct answer: D

Rationale: Removing the nitrate patch for 8 hours each day is essential to prevent the body from developing tolerance to the medication. By allowing the body to have a drug-free period, the effectiveness of the medication is maintained over time. This practice helps in ensuring that the nitrate patch continues to provide its intended therapeutic effects without diminishing its efficacy. Therefore, it is important for the client to adhere to the prescribed schedule of removing the patch for 8 hours daily to optimize the treatment outcomes.

5. A client is being discharged with a new prescription for an antihypertensive medication. Which of the following statements should the nurse provide?

A. Be sure to limit your potassium intake while taking the medication.
B. You should check your blood pressure every 8 hours while taking this medication.
C. Your medication dosage will be increased if you develop tachycardia.
D. Change positions slowly when you move from sitting to standing.

Correct answer: D

Rationale: The correct answer is D. Orthostatic hypotension is a common adverse effect of antihypertensive medications. The client should move slowly to a sitting or standing position and should be taught to sit or lie down if lightheadedness or dizziness occurs. Choices A, B, and C are incorrect. Limiting potassium intake is usually not necessary with antihypertensive medications. Checking blood pressure every 8 hours is not a standard recommendation unless specified by a healthcare provider. Increasing medication dosage due to tachycardia is not a typical practice for antihypertensive medications.