A nurse is providing education to a client who is prescribed tramadol. Which of the following instructions should the nurse include to ensure client safety?
It is ok to take this medication while working since its side effects are not as pronounced as other opioids
If changing position causes you to feel lightheaded, standing up immediately will help stabilize your balance and prevent you from falling.
Avoid driving and other activities that require mental alertness at the beginning of treatment.
This drug is very safe to take and has no associated side effects.
The Correct Answer is C
A. It is ok to take this medication while working since its side effects are not as pronounced as other opioids: Tramadol can cause dizziness, drowsiness, and impaired concentration, especially when starting therapy. Assuming it is safe to work without precautions may put the client at risk for accidents.
B. If changing position causes you to feel lightheaded, standing up immediately will help stabilize your balance and prevent you from falling: Standing quickly when feeling lightheaded can increase the risk of falls. The correct approach is to rise slowly from sitting or lying positions to minimize orthostatic hypotension.
C. Avoid driving and other activities that require mental alertness at the beginning of treatment: Tramadol can impair cognitive and motor skills, particularly during the initial stages of therapy. Advising the client to avoid driving or operating machinery ensures safety until they know how the medication affects them.
D. This drug is very safe to take and has no associated side effects: All medications, including tramadol, have potential side effects such as nausea, dizziness, constipation, and risk of dependence. Saying it is completely safe is inaccurate and unsafe.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Encouraging the client to eat only high-fat foods:High-fat foods alone may increase calories but lack balanced nutrition. Overemphasis on fats can lead to digestive issues and does not address the need for vitamins, protein, and other essential nutrients.
B. Limiting the client's fluid intake to reduce hydration:Reducing fluids is unsafe and can lead to dehydration, constipation, and impaired metabolic function. Adequate hydration is essential for overall health and appetite.
C. Providing the patient with smaller, more frequent meals that are nutrient dense:Smaller, nutrient-rich meals are easier to consume for patients with decreased appetite, helping increase caloric intake while providing essential nutrients to improve overall nutritional status.
D. Encouraging the client to skip meals to increase calorie intake:Skipping meals reduces total caloric intake and worsens malnutrition. This approach is unsafe and counterproductive for a patient who is already undernourished.
Correct Answer is A
Explanation
A. If they have had any past issues or allergies to the vaccine: Screening for previous allergic reactions or adverse events is critical to prevent severe reactions such as anaphylaxis. This safety check is a priority before any immunization.
B. If there are any questions regarding the client’s vaccine schedule: Addressing questions about the schedule is important for education and adherence but does not directly prevent an immediate adverse reaction. Safety screening takes precedence.
C. If they have an immunization card for documentation: Having a record ensures proper documentation and tracking of vaccines but does not impact the immediate safety of vaccine administration.
D. If they have a site preference for vaccine administration: While patient comfort is considered, site preference does not affect the safety or effectiveness of the vaccine. Priority is screening for allergies and contraindications.
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