Nokea
The LPN is on a home visit with a client taking Amiodarone. Which of these statements would indicate that the client understands the potential drug side effects.
- A. It is normal if I have numbing or tingling in my feet.
- B. I need to make sure I wear sunblock when going outdoors.
- C. I need to take supplemental vitamin B12.
- D. I should avoid eating leafy vegetables.
Correct Answer: B
Rationale: Amiodarone can cause increased photosensitivity, so the client should ensure that he or she wears protection.
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The nurse is discussing the prescribed atypical antipsychotic medication therapy with the client with schizophrenia. What information should the nurse include in this discussion? Select all that apply.
- A. Atypical antipsychotic medications will affect the client's hallucinations and inappropriate emotional responses.
- B. Atypical antipsychotic medications are prescribed after other medications have proven ineffective in treating symptoms.
- C. The greatest concern with taking atypical antipsychotic medications is that they produce extrapyramidal side effects.
- D. Regular laboratory appointments will need to be scheduled to monitor the client's blood glucose levels.
- E. The client may experience an increase in appetite and weight gain when taking an atypical antipsychotic medication.
Correct Answer: A,D,E
Rationale: Atypical antipsychotics target hallucinations and emotional responses, require blood glucose monitoring, and may cause increased appetite and weight gain.
The nurse completes teaching with the client who will be taking daily doses of disulfiram following treatment for alcoholism. Which client statement indicates correct understanding of the safe use of disulfiram?
- A. If I take disulfiram and then drink alcohol, I will become intoxicated much more quickly.
- B. I should take disulfiram in the morning so that I will be more alert throughout the day.
- C. If I do drink any alcohol, I should skip the daily dose of disulfiram to avoid becoming ill.
- D. I should avoid extracts and cough preparations containing alcohol while taking disulfiram.
Correct Answer: D
Rationale: The client should avoid alcohol-containing substances (e.g., cough preparations, extracts) to prevent severe adverse reactions with disulfiram (Antabuse).
The nurse is assessing the newborn's respirations. Which of these findings would indicate a need for follow-up and further intervention?
- A. irregular respirations
- B. abdominal respirations
- C. shallow respirations
- D. 70 breaths per minute
Correct Answer: D
Rationale: The respirations in a newborn are usually irregular, abdominal, and shallow. However, the ideal respiratory rate in a newborn is 30-60 breaths per minute. A respiratory rate of 70 breaths per minute indicates tachypnea and may require intervention. The other answer choices do not necessarily indicate the need for follow-up.
The LPN has been asked to help a client taking Risperdal with activities of daily living in the morning. Which of these tasks is most likely to be potentially impacted by this medication?
- A. eating breakfast
- B. drinking fluids
- C. getting out of bed to use the bathroom
- D. brushing teeth
Correct Answer: C
Rationale: Risperdal can cause orthostatic hypotension, so, to prevent a fall, care should be taken when changing positions.
An allergic reaction is classified as what type of pharmacological effect?
- A. a therapeutic effect
- B. a side effect
- C. an adverse effect
- D. an incompatibility
Correct Answer: C
Rationale: An allergic reaction is considered an adverse effect, as it is unintended and requires treatment. A side effect is also undesired but is somewhat expected, and a side effect does not require intervention.