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 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.

A. The drops increase the fluid in the eyes and cloud the visual field. B. The eye drops slow pupil response to accommodate for darkness. C. The medication can cause the lens to become more opaque. D. The medication causes pupils to dilate, which reduces night vision.

Correct Answer is B

Explanation

Choice A reason: While pilocarpine ophthalmic drops can cause increased fluid in the eyes to help manage glaucoma, they do not typically cloud the visual field. The main purpose of pilocarpine is to reduce intraocular pressure by increasing the outflow of aqueous humor.

Choice B reason: Pilocarpine is a cholinergic agent that stimulates the sphincter muscles of the iris, leading to miosis (constriction of the pupil). This reduces the pupil's ability to dilate in low-light conditions, making it more difficult for clients to see in the dark. This explanation accurately addresses the client's concern about night vision.

Choice C reason: Pilocarpine does not cause the lens to become more opaque. Opaque lenses are more commonly associated with cataracts, which are not related to the use of pilocarpine.

Choice D reason: Pilocarpine causes the pupils to constrict (miosis) rather than dilate. This constriction affects the pupil's ability to adapt to darkness but does not cause dilation that reduces night vision.

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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

During a home visit, the nurse assesses a client with Alzheimer's disease who recently started a new prescription for rivastigmine. The caregiver reports that the client seems to be thinking more clearly but is not sleeping well at night. Which action should the nurse take?

Correct Answer is A

Explanation

A client is receiving pilocarpine hydrochloride ophthalmic drops for glaucoma. The client calls the clinic nurse and reports difficulty seeing at night. Which explanation should the nurse provide?

Correct Answer is B

Explanation

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