The nurse is preparing to administer a sublingual medication. Which instruction to the client is correct?

Try not to swallow while the pill dissolves.

Take a big drink of water and swallow the pill.

Swallow frequently to get the best benefit.

Chew the pill so it will dissolve faster.

Answer and Explanation

The Correct Answer is A

A. Try not to swallow while the pill dissolves is correct because sublingual medications are designed to be absorbed directly into the bloodstream through the mucous membranes under the tongue, and swallowing may hinder this absorption.

B. Take a big drink of water and swallow the pill is incorrect because sublingual medications should not be swallowed with water as they need to dissolve under the tongue.

C. Swallow frequently to get the best benefit is incorrect, as this can interfere with the absorption of the medication.

D. Chew the pill so it will dissolve faster is incorrect since chewing may destroy the sublingual formulation, preventing it from working as intended.

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Correct Answer is C

Explanation

A. Constricted pupils are not an expected response to isoproterenol, which generally causes dilation of the pupils due to sympathetic stimulation.

B. Warm, dry skin is not a direct indicator of the effectiveness of isoproterenol; it could result from various factors unrelated to the medication's action.

C. Increased heart rate indicates that isoproterenol, which is a beta-agonist, is effectively stimulating the beta-adrenergic receptors, leading to increased cardiac output and heart rate.

D. Decreased urine output is not a sign of effectiveness and could indicate adverse effects such as reduced renal perfusion.

A. lorazepam B. phenytoin C. ethosuximide D. gabapentin

Correct Answer is A

Explanation

A. Lorazepam is a benzodiazepine commonly used to manage alcohol withdrawal symptoms, including seizures. It acts quickly to reduce anxiety and seizure activity.

B. Phenytoin is primarily used for seizure control in conditions such as epilepsy but is not the first-line treatment for alcohol withdrawal seizures.

C. Ethosuximide is specifically used for absence seizures and is not effective for alcohol withdrawal.

D. Gabapentin is sometimes used for neuropathic pain but is not indicated for acute alcohol withdrawal or seizure management.

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The nurse is preparing to administer a sublingual medication. Which instruction to the client is correct?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse provides a client with a dose of the beta-selective adrenergic agonist isoproterenol. Which assessment finding indicates the medication is effective?

Correct Answer is C

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