The nurse discontinues the client's patient-controlled analgesia (PC

The drops increase the fluid in the eyes and cloud the visual field.

The eye drops slow pupil response to accommodate for darkness.

Answer and Explanation

The Correct Answer is A

Choice A reason: Increased fluid in the eyes and clouding of the visual field is a concern for clients using certain types of eye drops. This information is relevant and important for the client to understand potential side effects and how to manage them.

Choice B reason: Slowing of pupil response to accommodate for darkness may be a side effect of some eye drops, but it is not as immediately concerning as clouding of the visual field. Clients should be aware of changes in vision, but this information may not require as urgent instruction as other potential side effects.

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Correct Answer is B

Explanation

Choice A reason: Administering a PRN dose of an anti-anxiety drug is not appropriate in this situation. Tremors could be a side effect of pregabalin or indicate a more serious issue that needs evaluation.

Choice B reason: Notifying the healthcare provider is the correct action. Tremors can be a side effect of pregabalin, and the healthcare provider should assess the client's condition and determine if adjustments to the medication or further evaluation are needed.

Choice C reason: Collecting a capillary glucose level is unnecessary unless there are specific concerns about hypoglycemia. Tremors in this context are more likely related to the medication.

Choice D reason: Obtaining orthostatic blood pressure readings is not directly related to the reported symptom of tremors. The primary focus should be on addressing the potential side effects of the medication.

A. Reduce daily fluid intake. B. Stand and sit up slowly. C. Use a twice-a-week dosing schedule. D. Take the medication early in the day.

Correct Answer is D

Explanation

Choice A reason: Reducing daily fluid intake is not a relevant instruction for clients taking levothyroxine sodium. This medication does not affect fluid balance in a way that would require limiting fluid intake. The primary concern with levothyroxine sodium is to monitor for signs of overdosage, such as symptoms of hyperthyroidism.

Choice B reason: While it is always good advice for patients to stand and sit up slowly to prevent dizziness, especially in older adults or those on certain medications, this instruction is not specifically related to taking levothyroxine sodium or indicating overdosage.

Choice C reason: Using a twice-a-week dosing schedule is not appropriate for levothyroxine sodium. This medication should be taken daily as prescribed to maintain consistent thyroid hormone levels. The dosing schedule does not change based on symptoms of overdosage.

Choice D reason: Taking the medication early in the day is advised to prevent insomnia, a common symptom if levothyroxine sodium is taken too late in the day. Insomnia is one of the indicators that the client may be taking too much of the medication, signaling hyperthyroidism.

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The nurse discontinues the client's patient-controlled analgesia (PC

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Naxlex Comprehensive Predictor Exams

A client who is receiving pregabalin for fibromyalgia reports experiencing tremors in the hands. Which action should the nurse implement?

Correct Answer is B

Explanation

Levothyroxine sodium is prescribed for a client with hypothyroidism. The nurse should instruct the client to report which symptom because it indicates that the client is taking too much levothyroxine sodium?

Correct Answer is D

Explanation

The healthcare provider prescribes the antibiotic tetracycline HCI for an adult client that arrived at an outpatient clinic. Which instruction should the nurse include in the teaching plan for this client?

A young adult female client who is planning to become pregnant asks the nurse if she can continue taking isotretinoin for cystic acne. Which information is most important for the nurse to provide this client?

A client with iron deficiency anemia is taking ferrous sulfate elixir. Which instruction should the nurse provide this client?

A client with a history of angina reports the onset of chest pain. The nurse determines that the heart rate is 104 beats/minute and the blood pressure is 138/86 mm Hg. A transdermal nitroglycerin patch was applied 30 minutes ago to the right upper chest. Which action should the nurse take?

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?

The nurse is planning to administer sucralfate to a client with peptic ulcer disease. Which action should the nurse include in this client's plan of care?

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?

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?