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 is a common adverse effect of the medication and is related to low blood pressure."
"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."
The Correct Answer is B
A. Taking medication with a meal may help alleviate gastrointestinal side effects but is unlikely to affect dizziness caused by medication.
B. Quetiapine, an antipsychotic medication, commonly causes orthostatic hypotension, which can lead to dizziness. Explaining this to the client helps provide education about the medication's side effects.
C. Dizziness is not typically indicative of an allergic reaction to quetiapine. Advising the client to stop the medication immediately based solely on dizziness is not appropriate.
D. Taking the medication in the morning may or may not affect dizziness, as it depends on the individual's response to the medication. Additionally, orthostatic hypotension can occur at any time of day, not just in the morning.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
A. Buprenorphine is not typically indicated for alcohol withdrawal; it is primarily used in the management of opioid dependence.
B. Bupropion is an antidepressant medication and is not indicated for the treatment of acute alcohol withdrawal.
C. Disulfiram is used as a deterrent to alcohol consumption in individuals who have achieved abstinence and is not indicated for acute alcohol withdrawal.
D. Chlordiazepoxide is a benzodiazepine medication commonly used to manage alcohol withdrawal symptoms, such as anxiety and agitation.
Correct Answer is A
Explanation
A. This question assesses the client's perception of the impact of the stroke on their life, providing insight into their coping abilities and emotional response.
B. This question addresses acceptance but may not fully assess the client's coping strategies or emotional response to the stroke.
C. This question addresses practical assistance with hygiene tasks but does not directly assess coping mechanisms.
D. This question focuses on the cause of the stroke rather than the client's coping abilities or emotional response.
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