A client who is receiving pregabalin for fibromyalgia complains of tremors in the hands. Which action should the nurse implement?
Notify the healthcare provider.
Administer a PRN dose of an antianxiety drug.
Obtain orthostatic blood pressure readings.
Collect a capillary glucose level.
The Correct Answer is A
A. Tremors can be a side effect of pregabalin and may indicate a need to adjust the dosage or reconsider the medication; notifying the healthcare provider is appropriate.
B. Administering an antianxiety drug without consulting the healthcare provider may not address the underlying cause of the tremors and could lead to further complications.
C. Orthostatic blood pressure readings are not directly related to the symptom of hand tremors caused by pregabalin.
D. While glucose levels could influence symptoms, tremors are more likely a side effect of pregabalin rather than an indication of altered glucose levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E","F","H"]
Explanation
A. (The dose of insulin drawn up in the syringe): Ensures the correct dosage is being administered, which is critical to avoid under- or overdosing.
B. The site for the insulin administration is not typically double-checked with another nurse, as they are part of the nurse's standard assessment and practice.
C. (The type of insulin to be administered): Confirms that the correct insulin type (e.g., insulin lispro) is being given, as administering the wrong type could lead to improper glucose control.
D. (The sliding scale insulin lispro prescription): Verifies the correct sliding scale dosing, ensuring it matches the client's current blood glucose level.
E. (The insulin concentration): Ensures the insulin concentration is appropriate and aligns with the prescribed dose.
F. (The insulin vial for color and clarity): Confirms that the insulin is not compromised; any discoloration or cloudiness could indicate that the insulin is not safe to use.
H. (The expiration date on the insulin vial): Ensures the insulin is within its expiration date and effective.
G. The history and physical with the diabetes diagnosis listed are not typically double-checked with another nurse, as they are part of the nurse's standard assessment and practice.
Correct Answer is B
Explanation
A. Denying coughing spells could indicate effectiveness, but the key indicator is improved sleep, which directly reflects reduced nighttime coughing.
B. Being able to sleep through the night indicates the medication has effectively suppressed the cough, improving rest and reducing discomfort.
C. Expectorating bronchial secretions is associated with expectorants, not antitussives like benzonatate, which are meant to suppress coughing.
D. Reduced nasal discharge is more indicative of an antihistamine's effect rather than an antitussive like benzonatate.
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