A nurse is caring for a client who has been taking quetiapine for 1 week and reports dizziness. The client asks the nurse if the dizziness indicates an allergic reaction to the medication. Which of the following responses should the nurse make?

"Take your medication with a meal to decrease the onset of dizziness."

"Dizziness typically indicates an allergic response, so the medication should be stopped immediately."

"Take your medication first thing in the morning, and it will not cause as much dizziness."

"Dizziness is a common adverse effect of the medication and is related to low blood pressure."

Answer and Explanation

The Correct Answer is D

A.   Taking quetiapine with a meal might help reduce gastrointestinal side effects, but it will not necessarily prevent dizziness, which is a common side effect of the medication.
B.   Dizziness is not typically an allergic response to quetiapine, so stopping the medication immediately would not be appropriate without further evaluation.
C.   Taking the medication in the morning may not reduce dizziness since the side effect is related to the medication's effect on blood pressure, not the time of administration.
D.   Dizziness is a common side effect of quetiapine due to its sedative properties and its impact on blood pressure, particularly orthostatic hypotension, which is common with antipsychotic medications.

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Correct Answer is D

Explanation

A. Isolation is more characteristic of depressive episodes rather than mania. In acute mania, clients tend to be overly social and energetic, not isolative.
B. While clients in mania may display excessive energy, writing a detailed daily schedule is not a typical symptom. Mania is more often associated with impulsiveness and a lack of focus.
C. Refusing to engage in conversation would suggest withdrawal, which is common in depressive states, not mania.
D. A lack of sleep is a hallmark symptom of acute mania, as individuals often feel energized and do not require the usual amount of rest, leading to sleep disturbances.

A. Clients cannot refuse to take prescribed medications. B. Clients have the right to the least restrictive environment. C. Clients maintain the right to an attorney. D. Clients cannot withdraw consent after signing an informed consent form. E. Clients continue to have the right to privacy and confidentiality.

Correct Answer is ["B","C","E"]

Explanation

A. Clients have the right to refuse medications unless they are a danger to themselves or others. Informed consent is required for medication administration.
B. This is a fundamental right of clients in mental health care. The least restrictive environment promotes autonomy and allows clients to engage in care in the least intrusive way possible.
C. Clients have the right to legal representation, especially if they are facing involuntary admission or treatment. This is an important legal right in ensuring due process.
D. Clients can withdraw consent at any time, and it must be respected. This is a basic principle of client autonomy and rights in healthcare.
E. Privacy and confidentiality are core principles of healthcare. Clients in mental health facilities still have the right to keep their personal information confidential, except in cases where safety is at risk.

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A nurse is caring for a client who has been taking quetiapine for 1 week and reports dizziness. The client asks the nurse if the dizziness indicates an allergic reaction to the medication. Which of the following responses should the nurse make?

Nursing Test Bank

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