NU 578 UNIT 1- USA LATEST
Which statement is most appropriate for the nurse to include in the
discharge teaching plan for a 30-year-old woman beginning a new
prescription of clonidine [Catapres]?
.A. "If you stop taking this drug abruptly, your blood pressure might go
up very high.".
B. "You will need to have your blood drawn regularly to check for
anemia."
C. "Take this medication first thing in the morning to reduce nighttime
wakefulness."
D. "This medication often is used to manage hypertension during
pregnancy." - ANSWERS-A. "If you stop taking this drug abruptly, your
blood pressure might go up very high." Correct.
Rebound hypertension is a potential adverse effect of clonidine. Patients
should be warned against abrupt withdrawal. Clonidine is not associated
with anemia. It can cause drowsiness and usually is taken at night.
Clonidine is not recommended for pregnant patients.
Following the administration of guanfacine [Tenex], the nurse should
assess for which effects?
A. Constipation and tachycardia
B. Sweating and vivid dreams
C. Skin rash and headache
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, NU 578 UNIT 1- USA LATEST
D. Sedation and dry mouth - ANSWERS-D. Sedation and dry mouth
Correct
The major adverse effects of guanfacine [Tenex] are sedation and dry
mouth.
The nurse is preparing to administer medication to the following
patients. Which medication should the nurse question before
administering?
A. Clonidine [Duraclon] to a patient with severe pain
B. Guanfacine [Intuniv] to a patient with attention-deficit/hyperactivity
disorder (ADHD)
C. Reserpine to a patient with a history of depression
D. Methyldopa [Aldomet] to a patient with a diagnosis of hypertension -
ANSWERS-C. Reserpine to a patient with a history of depression
Correct
The reserpine's side effect of greatest concern is severe depression, and
it is contraindicated in patients with a history of depressive disorders.
The nurse is evaluating the teaching done with a patient who has a new
prescription for transdermal clonidine [Catapres-TTS]. Which statement
by the patient indicates understanding of the nurse's teaching?
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, NU 578 UNIT 1- USA LATEST
A. "I will apply the patch to a hairless, intact skin area on my upper
arm."
B. "I need to apply the patch before my evening meal."
C. "The patch will not cause any skin reaction."
D. "I will need to apply a new patch once every 3 to 4 days." -
ANSWERS-A. "I will apply the patch to a hairless, intact skin area on
my upper arm." Correct
For a transdermal clonidine patch the patient is instructed to apply the
patch to hairless, intact skin on the upper arm or torso, and to apply a
new patch every 7 days. Localized skin reactions are common with
transdermal clonidine patches.
B. "I need to apply the patch before my evening meal."
A patient who abuses cocaine, opioids, and other drugs frequently
abuses which drug?
A. Guanfacine
B. Reserpine
C. Methyldopa
D. Clonidine - ANSWERS-D. Clonidine Correct
Patients who abuse cocaine, opioids, and other drugs frequently abuse
clonidine as well. '
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PAGE
3
, NU 578 UNIT 1- USA LATEST
A nurse is preparing to give an oral dose of drug X to treat a patient's
high blood pressure. After giving the drug, the nurse finds that it not
only reduces the blood pressure without serious harmful effects, but it
also causes the patient to have nausea and headache. Based on this
information, which property of an ideal drug is this drug lacking?
A. Effectiveness
B. Safety
C. Selectivity
D. Ease of administration - ANSWERS-C. Selectivity Correct
The drug is effective in lowering the blood pressure and safe in that it
does not cause harmful effects. However, as do most drugs, it causes
other effects besides the one response desired; therefore, it lacks
selectivity. The oral form provides ease of administration.
The nurse is preparing to give a drug with certain properties. Which
property of the drug is the most compelling indication that it should not
be given?
A. The drug produces an unwanted side effect.
B. The drug is difficult to administer.
C. The drug's effects are reversible.
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PAGE
4
Which statement is most appropriate for the nurse to include in the
discharge teaching plan for a 30-year-old woman beginning a new
prescription of clonidine [Catapres]?
.A. "If you stop taking this drug abruptly, your blood pressure might go
up very high.".
B. "You will need to have your blood drawn regularly to check for
anemia."
C. "Take this medication first thing in the morning to reduce nighttime
wakefulness."
D. "This medication often is used to manage hypertension during
pregnancy." - ANSWERS-A. "If you stop taking this drug abruptly, your
blood pressure might go up very high." Correct.
Rebound hypertension is a potential adverse effect of clonidine. Patients
should be warned against abrupt withdrawal. Clonidine is not associated
with anemia. It can cause drowsiness and usually is taken at night.
Clonidine is not recommended for pregnant patients.
Following the administration of guanfacine [Tenex], the nurse should
assess for which effects?
A. Constipation and tachycardia
B. Sweating and vivid dreams
C. Skin rash and headache
END OF
PAGE
1
, NU 578 UNIT 1- USA LATEST
D. Sedation and dry mouth - ANSWERS-D. Sedation and dry mouth
Correct
The major adverse effects of guanfacine [Tenex] are sedation and dry
mouth.
The nurse is preparing to administer medication to the following
patients. Which medication should the nurse question before
administering?
A. Clonidine [Duraclon] to a patient with severe pain
B. Guanfacine [Intuniv] to a patient with attention-deficit/hyperactivity
disorder (ADHD)
C. Reserpine to a patient with a history of depression
D. Methyldopa [Aldomet] to a patient with a diagnosis of hypertension -
ANSWERS-C. Reserpine to a patient with a history of depression
Correct
The reserpine's side effect of greatest concern is severe depression, and
it is contraindicated in patients with a history of depressive disorders.
The nurse is evaluating the teaching done with a patient who has a new
prescription for transdermal clonidine [Catapres-TTS]. Which statement
by the patient indicates understanding of the nurse's teaching?
END OF
PAGE
2
, NU 578 UNIT 1- USA LATEST
A. "I will apply the patch to a hairless, intact skin area on my upper
arm."
B. "I need to apply the patch before my evening meal."
C. "The patch will not cause any skin reaction."
D. "I will need to apply a new patch once every 3 to 4 days." -
ANSWERS-A. "I will apply the patch to a hairless, intact skin area on
my upper arm." Correct
For a transdermal clonidine patch the patient is instructed to apply the
patch to hairless, intact skin on the upper arm or torso, and to apply a
new patch every 7 days. Localized skin reactions are common with
transdermal clonidine patches.
B. "I need to apply the patch before my evening meal."
A patient who abuses cocaine, opioids, and other drugs frequently
abuses which drug?
A. Guanfacine
B. Reserpine
C. Methyldopa
D. Clonidine - ANSWERS-D. Clonidine Correct
Patients who abuse cocaine, opioids, and other drugs frequently abuse
clonidine as well. '
END OF
PAGE
3
, NU 578 UNIT 1- USA LATEST
A nurse is preparing to give an oral dose of drug X to treat a patient's
high blood pressure. After giving the drug, the nurse finds that it not
only reduces the blood pressure without serious harmful effects, but it
also causes the patient to have nausea and headache. Based on this
information, which property of an ideal drug is this drug lacking?
A. Effectiveness
B. Safety
C. Selectivity
D. Ease of administration - ANSWERS-C. Selectivity Correct
The drug is effective in lowering the blood pressure and safe in that it
does not cause harmful effects. However, as do most drugs, it causes
other effects besides the one response desired; therefore, it lacks
selectivity. The oral form provides ease of administration.
The nurse is preparing to give a drug with certain properties. Which
property of the drug is the most compelling indication that it should not
be given?
A. The drug produces an unwanted side effect.
B. The drug is difficult to administer.
C. The drug's effects are reversible.
END OF
PAGE
4
