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.
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Related Questions
Correct Answer is D
Explanation
A. Administering medications, such as atropine, requires nursing judgment and assessment of the client's condition, which should not be delegated to assistive personnel.
B. Witnessing the client's signature on the consent form ensures that the client provides informed consent for the procedure and requires nursing judgment.
C. Assessing the client's condition after the procedure involves monitoring vital signs, level of consciousness, and potential adverse reactions, which require nursing assessment and judgment.
D. Assisting the client to ambulate after the procedure is a task that can be safely delegated to assistive personnel, as long as the client's condition is stable and there are no contraindications to ambulation.
Correct Answer is C
Explanation
A. Changing the subject when the client becomes upset may invalidate their feelings and hinder emotional expression and processing.
B. Discouraging the client from forming new relationships may deprive the client of potentially meaningful connections during their remaining time.
C. Allowing the client unlimited time for the grieving process acknowledges the client's emotional response to their diagnosis and respects their individual needs and coping mechanisms.
D. Offering advice about treatment choices may be appropriate in some situations but should be done in collaboration with the client's healthcare team and in consideration of their wishes and values.
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