A nurse is teaching a client who has generalized anxiety disorder and a new prescription of buspirone. The nurse should instruct the client to notify the provider of which of the following findings as an adverse effect of buspirone?

Hematuria

Insomnia

Arthralgia

Hypoglycemia

Answer and Explanation

The Correct Answer is B

A) Hematuria:
While hematuria is a concerning symptom, it is not a commonly recognized adverse effect of buspirone. Hematuria might indicate other underlying conditions that need evaluation but is not typically linked to the use of buspirone.

B) Insomnia:
Insomnia is a potential adverse effect of buspirone. It can significantly impact the client’s quality of life and overall well-being. Reporting insomnia to the healthcare provider is important as it may necessitate adjustments in medication or additional interventions to help manage sleep disturbances.

C) Arthralgia:
Arthralgia, or joint pain, is not commonly associated with buspirone use. If the client experiences joint pain, it is more likely to be related to other causes rather than the medication. However, all symptoms should still be discussed with a healthcare provider.

D) Hypoglycemia:
Hypoglycemia is not a known adverse effect of buspirone. This medication does not typically influence blood glucose levels. If the client experiences symptoms of low blood sugar, other factors or conditions should be considered as potential causes.

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Correct Answer is C

Explanation

A) Multiple clots in the client's urinary bag:
Multiple clots in the urinary bag can be expected after a transurethral resection of the prostate (TURP) as part of the normal postoperative bleeding. While clots can cause concern if they become excessive or obstructive, they are not as immediately critical as a persistent obstruction.

B) Client reports bladder spasms when repositioning in bed:
Bladder spasms are a common postoperative symptom following TURP and can be managed with antispasmodic medications and proper catheter care. Although uncomfortable, bladder spasms do not pose an immediate threat to the client’s health.

C) Obstruction in client's urinary catheter continues after manual irrigation:
A persistent obstruction in the urinary catheter after manual irrigation is a significant concern. This can indicate a severe blockage that might prevent urine from draining, leading to bladder distention, potential damage to the surgical site, and increased risk of infection. Immediate intervention is required to resolve the obstruction and ensure proper urinary drainage.

D) Client reports a pain rating of 3 on a 0 to 10 scale:
A pain rating of 3 on a 0 to 10 scale indicates mild pain, which is common in the postoperative period and can be managed with analgesics. While pain management is important, this level of pain does not constitute an urgent issue requiring immediate reporting to the provider.

A. Instruct the client to perform coughing exercises after meals. B. Limit the client's fluid intake to 1,500 mL/day. C. Encourage the client to sit in a chair for 1 hr several times per day. D. Initiate oxygen therapy for the client via nasal cannula at 10 L/min.

Correct Answer is A

Explanation

A) Instruct the client to perform coughing exercises after meals.
Coughing exercises after meals can help clear the airways of mucus, which is beneficial for clients with COPD. Effective airway clearance is crucial to improve breathing and reduce the risk of infections. This intervention can enhance respiratory function and comfort.

B) Limit the client's fluid intake to 1,500 mL/day.
Limiting fluid intake is generally not recommended for clients with COPD unless there is a specific medical reason, such as heart failure. Adequate hydration helps keep mucus thin and easier to expectorate, which is important for respiratory health.

C) Encourage the client to sit in a chair for 1 hr several times per day.
Encouraging the client to sit in a chair helps promote mobility and prevent complications associated with prolonged bed rest. However, while sitting up can improve lung expansion, it is not the most specific or direct intervention to address dyspneic episodes.

D) Initiate oxygen therapy for the client via nasal cannula at 10 L/min.
Administering oxygen at a high flow rate like 10 L/min is not typically appropriate for clients with COPD due to the risk of depressing their respiratory drive. Oxygen therapy should be carefully titrated and monitored based on the client's needs and blood gas levels.

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A nurse is teaching a client who has generalized anxiety disorder and a new prescription of buspirone. The nurse should instruct the client to notify the provider of which of the following findings as an adverse effect of buspirone?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

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