A nurse is teaching a client who has been prescribed hydroxyzine (Vistaril) for anxiety and pruritus due to an allergic reaction. Which of the following instructions should the nurse include in the teaching?

“Avoid driving or operating machinery while taking this medication.”

“Take this medication on an empty stomach to increase absorption.”

“Drink plenty of fluids and suck on hard candy to prevent dry mouth.”

“Report any signs of urinary retention or difficulty urinating.”

Answer and Explanation

The Correct Answer is A

Hydroxyzine (Vistaril) is an antihistamine that can cause drowsiness and sedation as side effects. Therefore, the client should avoid activities that require alertness and coordination while taking this medication.

Choice B is wrong because hydroxyzine can be taken with or without food. Taking it on an empty stomach does not increase absorption.

Choice C is wrong because hydroxyzine can cause dry mouth as a side effect, but the client does not need to drink plenty of fluids or suck on hard candy to prevent it. These measures may help relieve the discomfort of dry mouth, but they are not necessary instructions for taking hydroxyzine.

Choice D is wrong because hydroxyzine does not cause urinary retention or difficulty urinating as side effects. These are signs of anticholinergic toxicity, which can occur with other medications such as tricyclic antidepressants or antipsychotics.

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Correct Answer is C

Explanation

This is because fatigue is a common side effect of SNRIs (serotonin and norepinephrine reuptake inhibitors) that usually improves over time.SNRIs are a type of antidepressant that work by correcting chemical imbalances of neurotransmitters in the brain.

Choice A is wrong because Discontinue the medication immediately is wrong because abruptly stopping an SNRI can cause withdrawal symptoms such as nausea, headache, and dizziness.

The patient should consult with their provider before stopping or changing their medication.

Choice B is wrong because Increase the dose of the medication is wrong because increasing the dose of an SNRI can increase the risk of adverse effects such as high blood pressure, anxiety, and sexual dysfunction.

The patient should follow the prescribed dose and not adjust it without medical advice.

Choice D is wrong because Administer a stimulant medication is wrong because stimulant medications can interact with SNRIs and cause serious problems such as serotonin syndrome, which is a potentially life-threatening condition characterized by agitation, confusion, fever, and muscle rigidity. The patient should avoid taking any other medications without consulting their provider.

A. Fever B. Polyuria C. Muscle rigidity D. Diaphoresis E. Tremors.

Correct Answer is ["A","C","D","E"]

Explanation

These are all possible signs ofneuroleptic malignant syndrome (NMS), a rare but serious adverse effect of risperidone and other antipsychotic medications.

NMS is a life-threatening condition that requires immediate medical attention.It is characterized by fever, muscle rigidity, altered mental status, autonomic instability and elevated creatine kinase levels.

Choice B is wrong because polyuria is not a common side effect of risperidone.Polyuria can be caused by other conditions such as diabetes mellitus, diabetes insipidus or diuretic use.

Normal ranges for vital signs and laboratory values are as follows:

• Temperature: 36.5°C to 37.5°C (97.7°F to 99.5°F)

• Heart rate: 60 to 100 beats per minute

• Blood pressure: 120/80 mm Hg or lower

• Respiratory rate: 12 to 20 breaths per minute

• Oxygen saturation: 95% or higher

• Creatine kinase: 22 to 198 U/L for males and 10 to 171 U/L for females

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A nurse is teaching a client who has been prescribed hydroxyzine (Vistaril) for anxiety and pruritus due to an allergic reaction. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has been prescribed an SNRI for depression and reports feeling more fatigued since starting the medication. The nurse should:

Correct Answer is C

Explanation

A nurse is caring for a client who has schizophrenia and is taking risperidone (Risperdal). Which of the following findings should alert the nurse to a potential adverse effect of this medication? (Select all that apply.)

Correct Answer is ["A","C","D","E"]

Explanation

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A nurse is teaching a client who has been prescribed hydroxyzine (Vistaril) for anxiety and pruritus due to an allergic reaction. Which of the following instructions should the nurse include in the teaching?