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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Metformin is contraindicated with iodinated contrast due to the risk of lactic acidosis, a rare but serious complication. The nurse needs to follow up and likely hold the metformin before and after the CT scan to reduce this risk.
Choice B reason: A metal hip prosthesis may interfere with imaging, but this information is not as critical as the potential risk posed by metformin. The radiology team should be informed, but it does not require immediate follow-up in the same way as medication contraindications.
Choice C reason: A CT scan performed six months earlier does not contraindicate a repeat scan, although it may be relevant to the clinical history. The main concern is to ensure there are no contraindications to the contrast agent.
Choice D reason: The client's sobriety report does not affect the administration of a CT scan with contrast. This information is not directly relevant to the immediate safety and effectiveness of the imaging procedure.
Correct Answer is B
Explanation
Choice A reason: Obtaining another transdermal patch and positioning it on the client's left upper chest is unnecessary. The current patch is still effective and does not need to be replaced. The immediate goal is to manage the acute chest pain.
Choice B reason: Leaving the patch in place and administering a PRN dose of sublingual nitroglycerin is the correct action. Sublingual nitroglycerin works quickly to relieve acute chest pain by dilating the coronary arteries, providing immediate relief while the transdermal patch continues to offer sustained relief.
Choice C reason: Withholding further doses of nitroglycerin until contacting the healthcare provider is not appropriate when the client is experiencing acute chest pain. Immediate intervention with sublingual nitroglycerin is necessary to manage the pain and prevent further complications.
Choice D reason: Reassuring the client that the patch will begin to take effect within a few minutes is not sufficient. The transdermal patch provides slow-release medication, and sublingual nitroglycerin is needed for immediate relief of acute chest pain.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.