Six days after starting a prescription for oral amoxicillin solution, a client calls the clinic to report the onset of a low-grade fever. Which action should the nurse implement?

Advise use of an over-the-counter antipyretic.

Ask if the medication has been kept refrigerated.

Determine if any other symptoms have developed.

Instruct the client to increase oral fluid intake.

Answer and Explanation

The Correct Answer is C

Choice A reason: Advising the use of an over-the-counter antipyretic is not the first step. It's important to assess for other symptoms that could indicate an allergic reaction or other complications.

Choice B reason: Asking if the medication has been kept refrigerated is relevant but secondary to assessing for other symptoms.

Choice C reason: Determining if any other symptoms have developed helps identify whether the fever is related to a possible allergic reaction, superinfection, or other adverse effects of the medication.

Choice D reason: Instructing the client to increase oral fluid intake is general advice that does not address the need to assess for other potentially serious symptoms.

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Correct Answer is D

Explanation

Choice A reason: Determining if the medication is being taken correctly is important, but addressing the side effects directly is more immediate.

Choice B reason: Stopping the medication without consulting a healthcare provider is not recommended.

Choice C reason: Scheduling an appointment for evaluation is important but secondary to providing immediate management instructions.

Choice D reason: Managing side effects such as sensitivity to sunlight and dry mouth is essential for client comfort and compliance.

A. Explain to the caregiver that insomnia is a common and temporary side effect when the medication is first started. B. Advise the caregiver that the purpose of the medication is to promote sleep, so a change in medication may be needed. C. Instruct the caregiver to withhold the medication until the dosage can be decreased to ensure the client's safety. D. Notify the healthcare provider that the dosage of the medication may need to be increased to manage the client's insomnia.

Correct Answer is A

Explanation

Choice A reason: Insomnia can be a common and temporary side effect when starting rivastigmine. Educating the caregiver about this potential side effect helps them understand that it may resolve over time and reassures them about the safety of the medication.

Choice B reason: Advising that the purpose of the medication is to promote sleep is incorrect. Rivastigmine is used to improve cognitive function in Alzheimer's disease, not specifically to promote sleep.

Choice C reason: Instructing the caregiver to withhold the medication without consulting the healthcare provider is not advisable. Adjusting or discontinuing medication should always be done under medical supervision.

Choice D reason: Notifying the healthcare provider about increasing the dosage for insomnia is inappropriate. The focus should be on managing the side effect without altering the intended therapeutic effect of the medication.

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Six days after starting a prescription for oral amoxicillin solution, a client calls the clinic to report the onset of a low-grade fever. Which action should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with irritable bowel syndrome starts a new prescription for dicyclomine, an anticholinergic medication. The client reports the onset of sensitivity to bright sunlight and a dry mouth. How should the nurse respond?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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