A client with irritable bowel syndrome starts a new prescription for dicyclomine, an anticholinergic medication. The client reports the onset of sensitivity to bright sunlight and a dry mouth. How should the nurse respond?

Determine if the medication is being taken correctly.

Advise stopping the medication until the unpleasant effects wear off.

Schedule an appointment for evaluation by the healthcare provider.

Provide instructions in managing these side effects.

Answer and Explanation

The Correct Answer is D

Choice A reason: Determining if the medication is being taken correctly is important, but addressing the side effects directly is more immediate.

Choice B reason: Stopping the medication without consulting a healthcare provider is not recommended.

Choice C reason: Scheduling an appointment for evaluation is important but secondary to providing immediate management instructions.

Choice D reason: Managing side effects such as sensitivity to sunlight and dry mouth is essential for client comfort and compliance.

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Correct Answer is B

Explanation

Choice A reason: Phenazopyridine does not eliminate urinary bacteria. It is an analgesic that relieves pain, burning, and discomfort caused by irritation of the urinary tract mucosa.

Choice B reason: Phenazopyridine provides an analgesic effect for irritated bladder mucosa, which helps alleviate symptoms like pain and burning during urination.

Choice C reason: Phenazopyridine does not have antispasmodic properties; it primarily works as a pain reliever for the urinary tract.

Choice D reason: Using the medication after voiding after sexual intercourse is not related to the therapeutic effect of phenazopyridine. The focus should be on its analgesic properties.

A. Administer a PRN dose of an anti-anxiety drug. B. Notify the healthcare provider. C. Collect a capillary glucose level. D. Obtain orthostatic blood pressure readings.

Correct Answer is B

Explanation

Choice A reason: Administering a PRN dose of an anti-anxiety drug is not appropriate in this situation. Tremors could be a side effect of pregabalin or indicate a more serious issue that needs evaluation.

Choice B reason: Notifying the healthcare provider is the correct action. Tremors can be a side effect of pregabalin, and the healthcare provider should assess the client's condition and determine if adjustments to the medication or further evaluation are needed.

Choice C reason: Collecting a capillary glucose level is unnecessary unless there are specific concerns about hypoglycemia. Tremors in this context are more likely related to the medication.

Choice D reason: Obtaining orthostatic blood pressure readings is not directly related to the reported symptom of tremors. The primary focus should be on addressing the potential side effects of the medication.

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A client with irritable bowel syndrome starts a new prescription for dicyclomine, an anticholinergic medication. The client reports the onset of sensitivity to bright sunlight and a dry mouth. How should the nurse respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with cystitis receives a prescription for phenazopyridine. Which information should the nurse explain to the client about its therapeutic effect?

Correct Answer is B

Explanation

A client who is receiving pregabalin for fibromyalgia reports experiencing tremors in the hands. Which action should the nurse implement?

Correct Answer is B

Explanation

A client with a history of angina reports the onset of chest pain. The nurse determines that the heart rate is 104 beats/minute and the blood pressure is 138/86 mm Hg. A transdermal nitroglycerin patch was applied 30 minutes ago to the right upper chest. Which action should the nurse take?

Furosemide is prescribed for a client with a history of heart failure (HF). Which foods should the nurse encourage this client to eat?

A client receives a prescription for IV famotidine. Which finding indicates to the nurse the medication is effective?

Levothyroxine sodium is prescribed for a client with hypothyroidism. The nurse should instruct the client to report which symptom because it indicates that the client is taking too much levothyroxine sodium?

When administering zolpidem to an older client, which computer documentation indicates that the desired outcome has been achieved?

Prior to administering an oral dose of methylprednisolone, the nurse determines the client's serum total calcium level is 5.5 mg/dL (1.4 mmol/L). Which action is most important for the nurse to take?Reference Range: Total Calcium (9 to 10.4 mg/dL (2.3 to 2.6 mmol/L))

A client with a history of smoking cigarettes for many years arrives at the clinic and expresses a desire to stop smoking. The client receives a prescription for bupropion to reduce nicotine cravings. Which information should the nurse include in the discharge teaching?