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A nurse is collecting data from a client who has been taking diazepam several times per day but recently ran out of the medication. Which of the following findings should the nurse recognize as a manifestation of withdrawal from diazepam?
- A. Hypotension
- B. Anorexia
- C. Tremors
- D. Drowsiness
Correct Answer: C
Rationale: The correct answer is C: Tremors. Diazepam is a benzodiazepine used for anxiety and withdrawal symptoms include tremors due to the sudden decrease in GABA activity. Hypotension (A) is not a typical withdrawal symptom of diazepam. Anorexia (B) is more commonly associated with stimulant withdrawal. Drowsiness (D) is a side effect of diazepam, not a withdrawal symptom.
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A nurse is reinforcing teaching with a client who has a prescription for alendronate. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will drink orange juice when I take this medication.
- B. I will remain seated for 30 minutes after I take my medication.
- C. I will take this medication right before I go to bed.
- D. I can take this medication just once a month.
Correct Answer: C
Rationale: The correct answer is C: "I will take this medication right before I go to bed." Alendronate should be taken on an empty stomach, in the morning, at least 30 minutes before the first food, drink, or medication of the day. Taking it before bed ensures the client has an empty stomach. Choice A is incorrect because orange juice can interfere with alendronate absorption. Choice B is incorrect as sitting upright for 30 minutes after taking the medication is the recommended action. Choice D is incorrect as alendronate is typically taken weekly, not monthly.
A nurse is collecting data from a client who is experiencing oxycodone toxicity. Which of the following findings should the nurse expect?
- A. Tachypnea
- B. Sedation
- C. Dilated pupils
- D. Tachycardia
Correct Answer: B
Rationale: The correct answer is B: Sedation. Oxycodone is an opioid that depresses the central nervous system, leading to sedation as a common manifestation of toxicity. Tachypnea (A) is more commonly associated with opioid withdrawal rather than toxicity. Dilated pupils (C) are more indicative of stimulant toxicity, not opioids. Tachycardia (D) is unlikely with oxycodone toxicity due to its depressant effects on the cardiovascular system. Other choices are not relevant to oxycodone toxicity.
A nurse in a provider's office is collecting data from a client who continues to have a migraine headache after taking sumatriptan orally 2 hr ago. Which of the following findings is the priority for the nurse to report?
- A. Tingling sensation
- B. Hypertension
- C. Flushing
- D. Dizziness
Correct Answer: B
Rationale: The correct answer is B: Hypertension. The priority for the nurse to report is hypertension because sumatriptan can potentially cause an increase in blood pressure as a side effect. Hypertension is a serious condition that can lead to complications if not managed promptly.
A: Tingling sensation is a common side effect of sumatriptan and may not be immediately concerning.
C: Flushing is also a common side effect of sumatriptan and is usually not a priority.
D: Dizziness is a less severe side effect compared to hypertension and can often be managed with rest.
A nurse is reinforcing teaching with a client who has a new prescription for naproxen. Which of the following is a potential adverse effect that the nurse should instruct the client to report to the provider?
- A. Increased energy levels
- B. Black, tarry stools
- C. Improved appetite
- D. Mild headache
Correct Answer: B
Rationale: The correct answer is B: Black, tarry stools. This is a potential adverse effect of naproxen, indicating gastrointestinal bleeding. It is crucial to report this to the provider immediately to prevent serious complications. Increased energy levels (A), improved appetite (C), and mild headache (D) are common side effects of naproxen and do not require immediate medical attention. The priority is to address potential serious adverse effects like gastrointestinal bleeding.
A nurse is reinforcing teaching with a client who has a new prescription for prednisone to treat rheumatoid arthritis. Which of the following statements should indicate to the nurse that the client understands the teaching?
- A. I should increase the sodium in my diet.
- B. I will report a sore throat to my provider.
- C. I will take this medication on an empty stomach.
- D. I should watch for weight loss.
Correct Answer: B
Rationale: The correct answer is B: "I will report a sore throat to my provider." This is because prednisone can suppress the immune system, increasing the risk of infections like sore throat. Reporting any signs of infection promptly is crucial. Choice A is incorrect because prednisone can cause sodium retention, so increasing sodium intake is not recommended. Choice C is incorrect as prednisone is usually taken with food to minimize stomach irritation. Choice D is incorrect because weight gain is more common with prednisone due to fluid retention.