Which statement best documents the situation when a client becomes extremely agitated after receiving a sedative?

An idiosyncratic drug effect.

A toxic drug effect.

An allergic drug response.

An unexpected drug interaction.

Answer and Explanation

The Correct Answer is A

An idiosyncratic drug effect is an unpredictable and uncommon reaction to a drug that is not related to the dose, the pharmacology, or the patient’s allergy or intolerance. It may be caused by genetic factors, metabolic abnormalities, or interactions with other drugs or substances. An example of an idiosyncratic drug effect is paradoxical agitation or excitement after receiving a sedative.

B. A toxic drug effect is a harmful reaction to a drug that is related to the dose or the pharmacology of the drug. It may cause symptoms such as nausea, vomiting, drowsiness, confusion, or respiratory depression. A toxic drug effect is unlikely to cause agitation after receiving a sedative unless there is an overdose or a drug interaction that increases the level of the sedative in the blood.

C. An allergic drug response is an immunological reaction to a drug that is not related to the dose or the pharmacology of the drug. It may cause symptoms such as rash, itching, swelling, fever, or anaphylaxis. An allergic drug response is unlikely to cause agitation after receiving a sedative unless there is a severe anaphylactic reaction that affects the brain or the circulation.

D. An unexpected drug interaction is a modification of the effect of one drug by another drug or substance that is not predictable based on their pharmacology. It may cause an increase or a decrease in the efficacy or toxicity of one or both drugs. An unexpected drug interaction may cause agitation after receiving a sedative if there is a synergistic effect that enhances the central nervous system stimulation of another drug or substance (such as caffeine, cocaine, or amphetamines) or if there is an antagonistic effect that reduces the central nervous system depression of the sedative (such as flumazenil, naloxone, or physostigmine). However, these interactions are usually known and avoidable by checking the patient’s history and medication list.

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Free Nursing Study Resources

Correct Answer is B

Explanation

The nurse should prioritize the physical safety and stability of the patient who has been raped and stabbed.

Assessing vital signs is the first step in determining the patient’s condition and identifying any life-threatening injuries that need immediate intervention.

Choice A is wrong because calling the Sexual Nurse Examiner is not the first action to take.

The Sexual Nurse Examiner is a specially trained nurse who can perform a forensic examination and collect evidence from the patient, but this should be done after ensuring the patient’s physical safety and obtaining consent.

Choice C is wrong because calling her parents to ask for permission to treat her is not necessary or appropriate.

The patient is an adult who can consent to her own treatment unless she is incapacitated or mentally incompetent.

Calling her parents without her permission may violate her privacy and autonomy.

Choice D is wrong because contacting Security in case the perpetrator arrives is not the most urgent action to take.

The nurse should focus on the patient’s needs and not assume that the perpetrator will follow her to the hospital.

Security measures can be taken later if needed.

A. Assist the client in identification of a social support network. B. Administer sedative-hypnotics as directed. C. Identify stress-reducing techniques when environmental stressors cannot be controlled. D. Discuss with the client factors they feel contribute to stress.

Correct Answer is ["A","C"]

Explanation

These interventions help the client to cope with stress by enhancing their social support and teaching them skills to manage stressors.

Choice B is wrong because sedative hypnotics may cause dependence and do not address the underlying causes of stress.

Choice D is wrong because discussing factors that contribute to stress may increase the client’s anxiety and does not provide any solutions.

The normal range for coping is to use adaptive strategies that reduce stress and promote well-being.

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Which statement best documents the situation when a client becomes extremely agitated after receiving a sedative?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A young woman arrives to the Emergency Department and reports that she was raped and stabbed. What should the nurse do first?

Correct Answer is B

Explanation

When a client has a nursing diagnosis of Ineffective Coping, which nursing interventions would best meet the desired outcome of demonstrating appropriate coping strategies? (Select all that apply).

Correct Answer is ["A","C"]

Explanation

A nurse takes actions to avoid liability when caring for a client with a psychiatric disorder. Which action is not appropriate in the prevention of liability?

A nurse inadvertently administers an incorrect medication to a client. Which action should the nurse take first?

The nurse is educating a client with insomnia how to promote better sleep. Which interventions should she include for this client? (Select all that apply).

A client has returned to the medical surgical unit with a Jackson-Pratt surgical drain. What safety measures should the nurse use to prevent client injury? (Select all that apply).

Which outcome is expected for a client who has a diagnosis of constipation? The client:.

Which response by the client indicates that medication instruction by the RN has been effective?

Which finding in a client diagnosed with obstructive sleep apnea (OSA) would require a nurse to take immediate action?

Which age-related physiological change puts a client at higher risk for adverse medication complications?