A nurse is caring for a client who refused a prescribed dose of valproic acid 250 mg PO. The client states, "I don't want to take that pill because it makes me feel nauseated." Which of the following actions should the nurse take? Select all that apply

Educate the client about the possible consequences of not taking the medication.

Suggest the client take food with the medication to minimize GI effects.

Document the client's refusal in the medication administration record.

Offer to administer the medication IM.

Recommend the client ask the provider to prescribe an enteric-coated medication.

Answer and Explanation

Correct Answer : A,B,C,E

A. Educating the client about the consequences of not taking valproic acid is essential to ensure they understand the importance of adherence to the medication regimen.

B. Suggesting that the client take the medication with food can help minimize gastrointestinal side effects such as nausea.

C. Documenting the client's refusal in the medication administration record is a critical step to maintain accurate medical records and to inform other healthcare providers.

D. Offering to administer the medication IM is not appropriate, as valproic acid is typically given orally and not via intramuscular injection.

E. Recommending the client ask the provider about an enteric-coated formulation may provide a more tolerable option to reduce gastrointestinal side effects.

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Correct Answer is B

Explanation

A. Hydrochlorothiazide does not prevent angiotensin II from binding with receptor sites; this action is typically associated with ACE inhibitors or angiotensin receptor blockers.

B. Hydrochlorothiazide decreases the reabsorption of sodium and water in the distal renal tubule, which leads to increased urine output and decreased blood volume, effectively lowering blood pressure.

C. Hydrochlorothiazide does not block beta receptors; this is the mechanism of action for beta-blockers.

D. Hydrochlorothiazide does not promote the movement of extravascular fluids into the vascular compartment; instead, it reduces blood volume by promoting diuresis.

A. Nitrates B. Sulfa-based medications C. Mostly cloudy D. Antilipemic agents E. Proton pump inhibitors

Correct Answer is B

Explanation

A. Nitrates: Nitrates are primarily used to manage angina or heart conditions and are unrelated to acetazolamide or its potential for allergic reactions.

B. Sulfa-based medications: Acetazolamide is a carbonic anhydrase inhibitor that contains sulfonamide groups. Clients with a sulfa allergy may experience a cross-sensitivity reaction, so it's important to confirm any history of sulfa allergies before administration.

C. Mostly cloudy: This option does not relate to any medication classification and is incorrect.

D. Antilipemic agents: Antilipemics are used to lower cholesterol and are not related to acetazolamide or its potential for allergic reactions.

E. Proton pump inhibitors: Proton pump inhibitors are used to reduce stomach acid and do not have a known cross-sensitivity with acetazolamide.

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A nurse is caring for a client who refused a prescribed dose of valproic acid 250 mg PO. The client states, "I don't want to take that pill because it makes me feel nauseated." Which of the following actions should the nurse take? Select all that apply

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Naxlex Comprehensive Predictor Exams

. A nurse is caring for a client who has a prescription for hydrochlorothiazide for the initial treatment of hypertension. Which of the following should the nurse recognize as the action of this medication?

Correct Answer is B

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A nurse is caring for a client who has open-angle glaucoma and a new prescription for acetazolamide. Prior to administering the first dose, the nurse should ask the client if they have an allergy to which of the following medication classifications?

Correct Answer is B

Explanation

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