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 A

Explanation

A. Remaining with the client after meals helps provide emotional support and prevents purging behaviors that may occur in individuals with eating disorders like binge eating disorder.
B. Regular monitoring of weight is important, but frequent weighing may contribute to anxiety and focus on weight rather than addressing the underlying disorder.
C. Offering snacks on demand could encourage disordered eating patterns and may not help in establishing regular eating habits.
D. While involving the client in meal planning can be helpful for certain eating disorders, the focus should be on establishing a structured, balanced eating plan and addressing emotional needs rather than allowing unstructured eating.

A. Identify and schedule alternative group activities for the client. B. Keep a bright light on in the client's room at night. C. Encourage physical activity for the client during the day. D. Discourage the client from expressing feelings of anger.

Correct Answer is C

Explanation

A. Group activities may be beneficial later, but initially, the focus should be on more individual forms of support for clients with major depressive disorder.
B. Keeping a bright light on at night could disrupt the client's sleep and worsen their symptoms. Light therapy should be used during the day for the treatment of depression.
C. Encouraging physical activity is important for clients with major depressive disorder, as exercise can improve mood by increasing serotonin and endorphin levels, which can help reduce depressive symptoms.
D. It is important for clients with depression to express their feelings, including anger, in a therapeutic environment. Suppressing emotions can hinder the healing process.

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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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