A nurse is reinforcing teaching with a client who takes diazepam.
Which of the following information should the nurse include?.
"Avoid foods that contain tyramine.”
"Diazepam can cause drowsiness.”.
"Grapefruit juice inactivates this medication.”.
"A single dose of diazepam is unlikely to cause side effects.”.
The Correct Answer is B
Choice A rationale:
Foods containing tyramine need to be avoided when taking monoamine oxidase inhibitors, not diazepam.
Choice B rationale:
Diazepam, a benzodiazepine, can indeed cause drowsiness as a side effect.
Choice C rationale:
Grapefruit juice can affect the metabolism of certain medications, but diazepam is not one of them.
Choice D rationale:
Even a single dose of diazepam can cause side effects, including drowsiness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
The priority nursing action after administering the wrong medication is to assess the client for any adverse effects. This includes checking the client’s vital signs. Therefore, this statement is correct.
Choice B rationale:
Notifying the charge nurse is an important step, but it is not the first action the nurse should take. Therefore, this statement is incorrect.
Choice C rationale:
Documenting an objective description of what has happened in the client’s chart is necessary, but it is not the first action the nurse should take. Therefore, this statement is incorrect.
Choice D rationale:
Filling out an occurrence report according to institutional policy is necessary, but it is not the first action the nurse should take. Therefore, this statement is incorrect.
Correct Answer is A
Explanation
Enteric-coated aspirin is designed to dissolve in the intestines rather than the stomach to reduce gastrointestinal irritation. Crushing the medication would destroy the coating, causing the aspirin to be released in the stomach, which could lead to side effects like stomach ache or indigestion.
- A. "If I crush it, you might experience a stomach ache or indigestion.”: This is accurate, as crushing the enteric coating would expose the stomach to aspirin, increasing the risk of irritation or ulceration.
- B. "I will crush it and mix it in some ice cream for you.”: This is incorrect, as crushing enteric-coated aspirin is not recommended due to the loss of the protective coating.
- C. "That would release all the medication at once, rather than over time.”: This is incorrect, as enteric-coated aspirin is not a time-release formulation; the coating is for stomach protection, not controlled release.
- D. "Stomach acid will inactivate some of the medication if I crush the medication.”: This is incorrect, as stomach acid does not significantly inactivate aspirin, but rather the concern is increased gastric irritation.
The best response is A, as it correctly explains the risk of crushing the enteric-coated aspirin.
Final Answer: A. "If I crush it, you might experience a stomach ache or indigestion.”
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