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 C

Explanation

Choice A reason: Advising the use of an over-the-counter antipyretic is not the first step. It's important to assess for other symptoms that could indicate an allergic reaction or other complications.

Choice B reason: Asking if the medication has been kept refrigerated is relevant but secondary to assessing for other symptoms.

Choice C reason: Determining if any other symptoms have developed helps identify whether the fever is related to a possible allergic reaction, superinfection, or other adverse effects of the medication.

Choice D reason: Instructing the client to increase oral fluid intake is general advice that does not address the need to assess for other potentially serious symptoms.

A. Eliminates urinary bacteria. B. Provides an analgesic effect for irritated bladder mucosa. C. Calms spasms in the urinary tract. D. Use the medication after voiding after sexual intercourse.

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.

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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

Six days after starting a prescription for oral amoxicillin solution, a client calls the clinic to report the onset of a low-grade fever. Which action should the nurse implement?

Correct Answer is C

Explanation

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

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