The spouse of a client diagnosed with Parkinson's disease calls the clinic and tells the nurse the client is having involuntary jerky movements of the legs and arms and is confused. Which action should the clinic nurse implement first?

Request that the client's spouse bring the client to the clinic as soon as possible.

Advise the client's spouse to call an ambulance to take the client to the emergency room.

Ask the client's spouse to list all medications the client is currently taking.

Determine how long the client has been diagnosed with Parkinson's disease.

Answer and Explanation

The Correct Answer is B

Choice A reason: Bringing the client to the clinic is not sufficient for urgent care needs such as confusion and involuntary movements.

Choice B reason: Calling an ambulance ensures the client receives immediate medical attention for potentially severe symptoms.

Choice C reason: Listing all medications is important but not the first priority in an urgent situation.

Choice D reason: Determining how long the client has been diagnosed with Parkinson's disease is relevant background information but not the immediate action needed for the current symptoms.

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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. Instruct the client to take the two medications at least two hours apart. B. Advise the client that the birth control pills will be less effective while taking doxycycline hyclate. C. Encourage the client to stop taking birth control pills until she has finished taking all the doxycycline hyclate. D. Notify the healthcare provider of the contraindication to tetracyclines.

Correct Answer is B

Explanation

Choice A reason: Instructing the client to take the medications two hours apart does not prevent the interaction that reduces the effectiveness of birth control pills when taken with doxycycline.

Choice B reason: It is important to advise the client that doxycycline can reduce the effectiveness of birth control pills. The client should be encouraged to use additional forms of contraception to prevent unintended pregnancy.

Choice C reason: Stopping birth control pills is not necessary; instead, the client should be informed about the interaction and the need for additional contraception.

Choice D reason: While notifying the healthcare provider of potential contraindications is good practice, it does not provide immediate guidance to the client on how to manage the interaction between doxycycline and birth control pills.

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The spouse of a client diagnosed with Parkinson's disease calls the clinic and tells the nurse the client is having involuntary jerky movements of the legs and arms and is confused. Which action should the clinic nurse implement first?

Nursing Test Bank

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

A female client who is starting a new prescription for doxycycline hyclate tells the nurse that she takes birth control pills. Which action should the nurse take?

Correct Answer is B

Explanation

The spouse of a client diagnosed with Parkinson's disease calls the clinic and tells the nurse the client is having involuntary jerky movements of the legs and arms and is confused. Which action should the clinic nurse implement first?

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