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."
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Confidentiality rights are typically discussed during the orientation phase of the therapeutic relationship, not the working phase.
B. The working phase involves collaboration between the nurse and client to achieve goals. Evaluating progress is a key aspect of this phase.
C. Establishing boundaries is a task typically accomplished during the orientation phase, when the nurse and client are first getting to know each other.
D. Setting objectives is part of the initial phase of establishing the relationship and developing a treatment plan, not the working phase where action takes place.
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.
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