Four hours after administering promethazine to a male patient, the practical nurse (PN) takes his temperature.
When the patient asks the PN about the reason for taking his temperature, how should the PN respond?
Encourage the patient to share his concerns about the care plan.
Explain the need to assess for medication side effects.
Assure that vital signs are routinely taken every four hours.
Describe how the medication works to lower body temperature.
None
None
The Correct Answer is B
Choice A rationale
Encouraging the patient to share his concerns about the care plan is important, but it does not directly address the patient’s question about why his temperature is being taken.
Choice B rationale
Promethazine is a medication that can cause a variety of side effects, including changes in body temperature. Therefore, monitoring the patient’s temperature can help assess for potential side effects of the medication. This is the most direct and relevant response to the patient’s question.
Choice C rationale
While it’s true that vital signs are often taken routinely, this does not specifically address why the patient’s temperature is being taken in this particular instance, four hours after
administering promethazine.
Choice D rationale
While promethazine can affect body temperature, it is not primarily used to lower body
temperature. Therefore, explaining that the medication works to lower body temperature may not be entirely accurate or relevant in this context.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Given the client’s high blood pressure and complaint of a headache, it is important to continuously monitor the client’s cardiac status to detect any changes that may indicate worsening condition.
Choice B rationale
Placing an indwelling urinary catheter is not the immediate next step in this client’s care. While it may be necessary in some cases, it is not directly related to the client’s current symptoms.
Choice C rationale
Giving a fluid bolus is not the immediate next step in this client’s care. While it may be necessary in some cases, it is not directly related to the client’s current symptoms.
Choice D rationale
Drawing a basic metabolic panel (BMP) could be helpful in assessing the client’s overall health and kidney function, but it is not the immediate next step in this client’s care.
Correct Answer is A
Explanation
The correct answer is A. Protect skin from sun exposure.
Choice A rationale
Tetracycline is a type of antibiotic that can make your skin more sensitive to the sun. Sun protection is important to prevent sunburn and other skin damage.
Choice B rationale
There is no specific interaction between tetracycline and grapefruit juice. However, it’s always a good idea to check with a healthcare provider about potential food-drug interactions.
Choice C rationale
The use of tampons during menses is not directly related to the use of tetracycline. It’s a personal choice based on comfort and convenience.
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