To prepare a client for the potential side effects of a newly prescribed medication, which action should the nurse implement?
Teach the client how to administer the medication to promote the best drug absorption.
Assess the client for health alterations that may be impacted by the effects of the medication.
Encourage the client to drink plenty of fluids to promote effective drug distribution.
Administer a half dose and observe the client for side effects before administering a full dose.
The Correct Answer is B
A. Teach the client how to administer the medication to promote the best drug absorption: While proper administration is important for drug effectiveness, it does not directly prepare the client for recognizing or managing potential side effects of the medication.
B. Assess the client for health alterations that may be impacted by the effects of the medication: Evaluating the client’s existing health conditions helps identify potential risks or contraindications, allowing the nurse to provide tailored teaching on side effects most relevant to the client’s situation.
C. Encourage the client to drink plenty of fluids to promote effective drug distribution: Adequate hydration supports medication metabolism and excretion, but it does not specifically address preparation for recognizing or managing side effects.
D. Administer a half dose and observe the client for side effects before administering a full dose: Adjusting a medication dose without provider direction is unsafe and could compromise therapeutic effectiveness. Observation for side effects should occur with the prescribed dose unless a test dose is ordered.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["4.7"]
Explanation
Calculation:
Desired dose = 140 mg.
Available concentration = 30 mg/mL.
- Calculate the volume to administer in milliliters (mL).
Volume to administer (mL) = Desired dose (mg) / Available concentration (mg/mL)
= 140 mg / 30 mg/mL
= 4.666... mL.
- Round to the nearest tenth.
= 4.7 mL.
Correct Answer is A
Explanation
A. Explore what the client means by the drug not working: The first step is to clarify the client’s concerns to determine if they are referring to symptom persistence, delayed onset of action, or wearing-off effects. Understanding the client’s perspective helps guide further assessment and ensures that any interventions address the specific issue.
B. Ask if his morning voiding is dark colored: Dark urine can occur with levodopa use due to harmless pigmentation changes, but this does not relate directly to the medication’s perceived effectiveness. This question would not be the priority when a client expresses concerns about the drug working.
C. Determine if the client is taking the medication before meals: Levodopa absorption can be reduced by high-protein foods, so timing with meals matters. However, this assessment is best done after clarifying exactly what the client means by the medication “not working.”
D. Evaluate the client for signs of dyskinesia: Dyskinesia is a side effect of long-term levodopa use, usually occurring after extended therapy. In a newly diagnosed client, the immediate priority is to clarify their statement before focusing on side effect assessment.
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