The patient is a 66-year-old male with a history of type 2 diabetes and hypertension. He is on metoprolol, hydrochlorothiazide, and metformin.

Recently, he has been having trouble controlling his blood pressure and has also experienced a severe headache. He was directly admitted to the hospital from his primary care physician’s office.

Which of the following assessment findings indicates a therapeutic result of the minoxidil administered?

Mouth dryness

Dizziness while sitting up

Blood glucose 218 mg/dl

Pain rated at 1/10

Answer and Explanation

The Correct Answer is A

Choice A rationale

Minoxidil is an antihypertensive vasodilating agent used for resistant hypertension. It reduces peripheral resistance and produces a fall in blood pressure. One of the side effects of minoxidil can be mouth dryness. Therefore, mouth dryness can indicate that the minoxidil is having its intended therapeutic effect.

Choice B rationale

Dizziness while sitting up is not a therapeutic result of minoxidil. It could be a side effect or a symptom of orthostatic hypotension, which is a form of low blood pressure.

Choice C rationale

Blood glucose level of 218 mg/dl is not related to the therapeutic effect of minoxidil. Minoxidil is not used to control blood glucose levels. It’s used primarily to treat high blood pressure.

Choice D rationale

Pain rated at 1/10 is not a direct therapeutic result of minoxidil. Minoxidil is not an analgesic medication and does not directly affect pain levels.

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Correct Answer is D

Explanation

The correct answer is D. Antidepressant medication can take 2 to 4 weeks to become effective. Choice A rationale While it’s important to review the medication regimen if a patient is not responding to treatment, it’s also crucial to understand that antidepressants like amitriptyline don’t typically show their full effects immediately. It’s common for these medications to take several weeks before their full therapeutic effect becomes apparent. Choice B rationale A dosage increase may be considered if the patient shows no improvement after a sufficient period, typically several weeks. However, since the patient has only been on the medication for five days, it’s too early to consider a dosage increase. Choice C rationale Therapy can indeed be beneficial in treating depression and can enhance the effect of medication. However, the statement that the medication isn’t working after five days is likely due to the fact that antidepressants usually take longer to start showing effects. Choice D rationale This is the correct answer. Antidepressants like amitriptyline often take 2 to 4 weeks to start showing their full effects. It’s important for patients to know this so they don’t get discouraged and stop taking the medication too soon.

A. Use a tissue to clear the nose. B. Inhale deeply through the nose. C. Hold the breath temporarily. D. Exhale deeply through the nose.

Correct Answer is A

Explanation

Choice A rationale
Clearing the nose with a tissue prior to the instillation of nasal drops can help to remove
mucus and other obstructions, allowing the medication to reach the nasal passages more
effectively15.
Choice B rationale
Deep inhalation through the nose is not typically recommended prior to the instillation of
nasal drops. It could potentially draw the medication deeper into the nasal passages or into the
throat, rather than allowing it to remain in the intended area15.
Choice C rationale
Holding the breath temporarily is not typically necessary or recommended prior to the
instillation of nasal drops15.
Choice D rationale

Exhaling deeply through the nose prior to the instillation of nasal drops could potentially clear
the nasal passages, but it is not as effective or recommended as using a tissue to clear the
nose15.

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Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

What action should the practical nurse (PN) instruct the client to perform prior to the instillation of nasal drops?

Correct Answer is A

Explanation

A client who is scheduled for colorectal surgery is receiving metronidazole intravenously preoperatively. Which problem should the practical nurse report to the charge nurse?

Mark whether the assessment finding represents a therapeutic result of the Bisacodyl administered, a non therapeutic side-effect, or an unrelated finding.

A patient with depression who is taking a tricyclic antidepressant (TCA) reports frequent early morning awakening and difficulty going back to sleep. Which information from the patient is important for the Practical Nurse (PN) to obtain to improve the patient’s sleep pattern?

The practical nurse (PN) is caring for a client with deep vein thrombosis (DVT) who is receiving a prescription for rivaroxaban. Which assessment finding should the PN associate as an adverse effect of this medication and report immediately?

The Practical Nurse (PN) is preparing to administer carbidopa-levodopa to a patient with Parkinson’s disease. Which patient finding requires further assessment before administering the medication?

A patient with angina pectoris has been discharged with a new prescription for nitroglycerin tablets. What is the most important instruction for the practical nurse (PN) to emphasize to the patient regarding the administration of nitroglycerin?

When a patient is being administered a 20% mannitol intravenous (IV) solution at a rate of 100 g/24 hours (or 70 mg/min), which outcome data should the practical nurse (PN) prioritize in collection?

A patient with an overactive bladder has recently started taking oxybutynin. What observation should the practical nurse (PN) report to the charge nurse during the patient’s assessment prior to administering the medication?