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 A

Explanation

A. It is important to inform the client that nitrofurantoin can cause brown-colored urine as a harmless side effect and they should report this to their provider.

B. Nitrofurantoin is an antibiotic used to treat urinary tract infections and does not provide relief for peripheral nerve pain.

C. Nitrofurantoin should not be crushed because it can affect the medication's absorption and effectiveness.

D. While coughing is not a common side effect of nitrofurantoin, if the client develops a cough, it could indicate a serious reaction, so it is important to notify the provider. However, the primary teaching point for nitrofurantoin is regarding the urine discoloration.

A. A decrease in the amount of gastric acid production B. A decrease in the frequency of defecation C. An increase in gastric motility D. An increase in the absorption of water into the intestine

Correct Answer is B

Explanation

A. A decrease in the amount of gastric acid production: Alosetron is not used to decrease gastric acid production. This effect is more associated with medications such as proton pump inhibitors or H2 blockers.

B. A decrease in the frequency of defecation: Alosetron is used to treat irritable bowel syndrome with diarrhea (IBS-D) by reducing bowel movement frequency and improving stool consistency.

C. An increase in gastric motility: Alosetron works by decreasing intestinal motility, which helps reduce diarrhea, not by increasing it.

D. An increase in the absorption of water into the intestine: Alosetron does not specifically increase water absorption into the intestine. Its primary effect is slowing intestinal transit to reduce diarrhea.

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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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has a new prescription for nitrofurantoin. Which of the following Information should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is caring for a client who has a new prescription for alosetron. Which of the following therapeutic effects should the nurse expect the client to experience?

Correct Answer is B

Explanation

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