A nurse is reviewing a patient’s medical record.
After reviewing the medical data, which of the following actions should the nurse plan to take?
Initiate seizure precautions.
Assist the patient to the bathroom.
Keep the patient’s head in a mid position.
Decrease oxygen to 1.5 L/min via nasal cannula.
The Correct Answer is A
Choice A rationale
Without specific patient data, it’s challenging to provide a detailed rationale.
However, initiating seizure precautions could be necessary if the patient’s medical record indicates a history of seizures or a condition that increases the risk of seizures.
Choice B rationale
Assisting the patient to the bathroom is a routine nursing intervention and would not typically be determined based on a review of the patient’s medical record.
Choice C rationale
Keeping the patient’s head in a mid position would depend on the patient’s condition and would not typically be determined based on a review of the patient’s medical record.
Choice D rationale
Decreasing oxygen to 1.5 L/min via nasal cannula would depend on the patient’s oxygen saturation levels and overall respiratory status.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Oxybutynin works by relaxing the muscles in the bladder. This helps decrease muscle spasms and improve the ability to control urination, thereby reducing the frequency of urination.
Therefore, this choice is correct.
Choice B rationale
Oxybutynin does not block the nervous system impulse to produce urine. It works primarily by relaxing the bladder muscles. Therefore, this choice is incorrect.
Choice C rationale
Oxybutynin does not reduce the rate at which the kidneys filter waste. Its primary action is on the bladder muscles. Therefore, this choice is incorrect.
Choice D rationale
Oxybutynin does not decrease the sensitivity of the urethral sphincter. Its main effect is to relax the bladder muscles. Therefore, this choice is incorrect.
Correct Answer is A
Explanation
Choice A rationale
Diltiazem is a calcium channel blocker used to treat high blood pressure and prevent chest pain (angina). It works by relaxing the blood vessels so the heart does not have to pump as hard. It also increases the supply of blood and oxygen to the heart. The sustained-release tablets are designed to release the medication slowly in the body. Therefore, patients are advised to consume the medication in its entirety. Crushing, chewing, or breaking the tablet would cause too much of the drug to be released at one time.
Choice B rationale
While it’s generally a good idea to store medications in a cool, dry place, specific storage instructions for diltiazem sustained-release tablets are not typically emphasized. The focus is more on the method of consumption.
Choice C rationale
Grapefruit and grapefruit juice may interact with diltiazem and lead to potentially dangerous effects. Discuss the use of grapefruit products with your doctor. Therefore, it’s not advisable to accompany the medication with grapefruit juice.
Choice D rationale
Diltiazem can be taken with or without food. If it upsets the patient’s stomach, it can be taken with food. However, it’s not a mandatory instruction that the medication must be administered during meals.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.