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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Correct Answer is C

Explanation

A two-hour postprandial glucose test is done to check your blood sugar level two hours after you eat a meal.

This test helps to diagnose diabetes or monitor its treatment. A normal blood sugar level for this test is less than 140 mg/dL.

Choice A is wrong because fasting means not eating for at least eight hours before the test. This is done for a fasting blood glucose test, not a postprandial one.

Choice B is wrong because before breakfast means before you eat anything in the morning. This is also done for a fasting blood glucose test, not a postprandial one.

Choice D is wrong because before glucose is consumed means before you drink a sugary liquid for a glucose tolerance test. This test measures how your body handles glucose after drinking it, not after eating a meal.

A. “I will take my water pill in the morning so I don’t have to go to the bathroom so much at night.”. B. “I will limit how much I drink to reduce my chance of having an accident.”. C. “I plan to use the commode next to my bed instead of trying to make it to the bathroom.”. D. “I want to use the commode in my room instead of wearing adult briefs.”.

Correct Answer is B

Explanation

Limiting fluid intake can lead to dehydration and concentrated urine, which can irritate the bladder and increase the risk of infection. Older adults should drink about 2 liters of fluid per day unless they have a medical condition that requires fluid restriction.

Choice A is correct because taking diuretics in the morning can reduce nocturia and improve sleep quality.

Choice C is correct because using a commode next to the bed can prevent falls and injuries that may occur when trying to reach the bathroom in a hurry.

Choice D is correct because using a commode in the room can preserve dignity and comfort, and reduce skin breakdown and odor that may result from wearing adult briefs.

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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 client is to have a two-hour post-prandial blood glucose drawn. Which statement should the nurse make to inform the client when the two-hour test will be performed?

Correct Answer is C

Explanation

Which statement, if made by an older client diagnosed with urinary incontinence, indicates a need for further teaching?

Correct Answer is B

Explanation

When evaluating a client for a tendency toward addictive behaviors, the nurse would expect which findings?

A nurse assessment of a client diagnosed with an acute loss of consciousness reveals a Glasgow Coma Scale (GCS) of 6. Which nursing diagnosis is the priority?

Which serum laboratory test result should the nurse expect for a client diagnosed with Imbalanced Nutrition: Less than Body Requirements?

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

Which assessment finding is suggestive of an adaptive coping strategy in an individual?

Which action should a nurse perform when administering an intramuscular injection via the Z- track method?

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 action is appropriate for a nurse to remove a soiled wound dressing?