A newly diagnosed epilepsy patient is prescribed diazepam. The nurse understands that this medication causes which of the following adverse effects?

Tachycardia

Increased tendon reflexes

CNS depression

Nervousness

Answer and Explanation

The Correct Answer is C

Choice A reason:

Tachycardia is not a common adverse effect of diazepam. While benzodiazepines like diazepam can cause changes in heart rate, they typically do not lead to tachycardia as a primary side effect.

Choice B reason:

Increased tendon reflexes are not associated with diazepam use. In fact, diazepam can cause muscle relaxation, leading to decreased reflexes rather than increased ones.

Choice C reason:

CNS depression is a well-known adverse effect of diazepam. This medication enhances the effect of the neurotransmitter GABA, leading to sedation, drowsiness, and overall central nervous system depression.

Choice D reason:

Nervousness is generally not a side effect of diazepam. This medication is used to reduce anxiety and promote calmness, so it is more likely to alleviate nervousness rather than cause it.

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Correct Answer is A

Explanation

Choice A reason:

A BMI of 40 indicates obesity, which can influence the effectiveness of progestin-only pills (POP) for contraception. Obesity may alter the metabolism and distribution of the hormone, potentially reducing its efficacy and increasing the risk of unintended pregnancy. This factor needs careful consideration and discussion with the healthcare provider.

Choice B reason:

Having no intention of conceiving within the next 36 months is not a contraindication for using a progestin-only pill. In fact, this aligns with the intended use of POP as a long-term contraceptive method. Therefore, it does not warrant an alert to the healthcare provider.

Choice C reason:

A history of night sweats is not specifically a contraindication for progestin-only pills. While it may be symptomatic of other underlying conditions that should be evaluated, it does not directly impact the safety or efficacy of POP for contraceptive use.

Choice D reason:

Currently taking ginger, a common supplement or dietary addition, does not interfere with the use of progestin-only pills. Ginger is not known to affect hormonal contraceptives significantly, so it is not considered a contraindication requiring provider notification.

A. Esophageal reflux B. Eating hot and spicy food C. Frequent episodes of vomiting D. Esophageal polyps

Correct Answer is A

Explanation

Choice A reason:

Esophageal reflux, or gastroesophageal reflux disease (GERD), can lead to Barrett's esophagus if left untreated. Chronic acid exposure from GERD causes changes in the esophageal lining, increasing the risk of developing Barrett's esophagus, a precancerous condition requiring monitoring and management.

Choice B reason:

Eating hot and spicy food may exacerbate symptoms of GERD but is not a direct cause of Barrett's esophagus. It can irritate the esophageal lining temporarily but does not lead to the cellular changes associated with Barrett's esophagus.

Choice C reason:

Frequent episodes of vomiting can damage the esophagus and lead to other complications but are not specifically linked to the development of Barrett's esophagus. The primary cause is chronic acid reflux rather than mechanical or chemical irritation from vomiting.

Choice D reason:

Esophageal polyps are growths that can occur in the esophagus but are not related to Barrett's esophagus. Barrett's esophagus results from prolonged acid exposure and cellular changes, whereas polyps are distinct growths that may require different monitoring and management strategies.

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A newly diagnosed epilepsy patient is prescribed diazepam. The nurse understands that this medication causes which of the following adverse effects?

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Naxlex Comprehensive Predictor Exams

The nurse is preparing to discharge a client newly prescribed a progestin-only pill (POP) for contraceptive prevention. Which contraindication associated with POP should the nurse alert the healthcare provider?

Correct Answer is A

Explanation

The nurse should be aware that Barrett's esophagus is a complication from what medical condition if left untreated?

Correct Answer is A

Explanation

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