The practical nurse (PN) administers an anticonvulsant that causes photosensitivity. Which action should the PN take after administering the medication?
Remind the client to protect skin from sunlight.
Monitor the client's temperature hourly x 4.
Provide a snack rich in Vitamins C and D.
Dim the lights in the client's room for one hour.
The Correct Answer is A
A. Remind the client to protect skin from sunlight: Photosensitivity increases the risk of sunburn; clients should avoid excessive sun exposure, wear protective clothing, and use sunscreen.
B. Monitor the client's temperature hourly x 4: Not directly related to photosensitivity; temperature monitoring is not required unless fever is expected.
C. Provide a snack rich in Vitamins C and D: Not a standard measure for photosensitivity prevention.
D. Dim the lights in the client's room for one hour: Indoor lighting does not typically trigger photosensitivity reactions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Apply the cream to the sterile dressings using a sterile tongue blade:
Silver sulfadiazine is applied directly to the burn, not to the dressing.
B. Remove the previous layer of medication using sterile normal saline:
Old cream must be removed to ensure medication effectiveness and prevent debris accumulation.
C. Open all the supplies before donning sterile gloves:
Helps maintain sterile field but is not the most important step before application.
D. Evaluate the client's response to the medications:
Pain relief should be assessed, but cleansing is the critical preparation step before new application.
Correct Answer is D
Explanation
A. Review the client's vital signs for indications of infection:
Interpreting vital signs requires nursing judgment; not a UAP task.
B. Reassure the client that phantom limb pain is genuine pain:
Providing emotional reassurance is within the PN’s role, not UAP’s.
C. Observe and mark the amount of drainage on the dressing:
Assessment and documentation are PN responsibilities.
D. Empty and measure the drainage in the suction drainage device:
UAPs can perform this task under direction since it is a measurable, routine activity.
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