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: While monitoring for electrolyte imbalance is essential in many scenarios, it is not a primary action specific to administering sucralfate.

Choice B reason: Assessing for secondary Candida infection is not directly related to the administration of sucralfate. This medication is used for its protective effects on the stomach lining.

Choice C reason: Sucralfate should be given on an empty stomach for optimal effectiveness. It forms a protective barrier on the ulcer site and works best when it can directly adhere to the stomach lining without interference from food or other medications.

Choice D reason: Sucralfate is typically administered multiple times a day, not just once a day. Therefore, giving it once a day at bedtime does not follow the standard dosing regimen for this medication.

A. Begin the infusion and monitor the client's blood urea nitrogen (BUN), serum creatinine, and liver function tests. B. Hold the dose and notify the pharmacy to stop dispensing the next premixed doses. C. Begin the infusion and submit a drug reaction report to the nursing supervisor. D. Hold the dose and notify the healthcare provider of the changes in the laboratory studies.

Correct Answer is D

Explanation

Choice A reason: Continuing the infusion while monitoring the client's laboratory values is not appropriate when there is a rising trend in liver enzyme levels. This could indicate liver toxicity, and continuing the infusion may worsen the condition.

Choice B reason: While notifying the pharmacy to stop dispensing further doses is important, the priority action is to hold the current dose and notify the healthcare provider of the lab changes to get immediate guidance.

Choice C reason: Submitting a drug reaction report is part of the process, but the immediate action should be to address the potential liver toxicity by stopping the medication and informing the healthcare provider.

Choice D reason: Holding the dose and notifying the healthcare provider of the changes in laboratory studies is the most critical action. Rising AST levels suggest potential hepatotoxicity, and the healthcare provider needs to evaluate the client's condition and make decisions about continuing or discontinuing 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

The nurse is planning to administer sucralfate to a client with peptic ulcer disease. Which action should the nurse include in this client's plan of care?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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