A nurse is instructing a client being discharged with a prescription for diphenoxylate with atropine. Which of the following instructions should be given to the client?
Keep some throat lozenges handy as dry mouth is a common side effect of this medication.
✓
It will take 2 weeks before the full effects of the medication are achieved.
This medication will not make you drowsy.
Take the prescribed amount of medication every day, even if your symptoms improve.
Correct Answer
Keep some throat lozenges handy as dry mouth is a common side effect of this medication.
Dry mouth and other anticholinergic effects are common adverse effects of diphenoxylate with atropine.
Question 2
A nurse is preparing to administer a bisacodyl suppository to a client. Which of the following interventions is appropriate to ensure safe and effective administration?
Instruct the client to stand and get dressed immediately after administration.
Have the client lie on their left side with their right knee raised to their chest.
✓
Have the client lie on their right side with their left knee raised to their chest.
Remove the suppository from the refrigerator at least 15 minutes before administration to allow it to soften.
Correct Answer
Have the client lie on their left side with their right knee raised to their chest.
The proper client positioning for suppository administration is lying on their left side with their right knee raised to their chest.
Question 3
The nurse is assessing a client with a new prescription for chlorpromazine. The nurse recognizes the client is having an adverse effect when the client complains of:
Diarrhea
Dry mouth
✓
Flu-like symptoms
Increased urination
Correct Answer
Dry mouth
Chlorpromazine causes anticholinergic effects such as dry mouth, blurred vision, urinary retention and constipation.
Question 4
A client is admitted to the hospital with Stage III chronic kidney disease and constipation. Which of the following laxatives is contraindicated for this client?
Magnesium citrate
✓
Bisacodyl
Polyethylene glycol
Psyllium
Correct Answer
Magnesium citrate
Magnesium citrate is contraindicated with renal impairment due to a risk of hypermagnesemia.
Question 5
An ED nurse is triaging a client who was recently started on ondansetron for chemotherapy-induced nausea and vomiting (CINV). The nurse recognizes the following symptom as a side effect of ondansetron:
Peripheral edema
Increased urination
Photosensitivity
Headache
✓
Correct Answer
Headache
Headache is a common side effect of ondansetron.
Question 6
The nurse is discharging a client home with a new prescription for docusate sodium. What information should the nurse include in discharge teaching?
This medication must be taken at bedtime.
Take the medication on an empty stomach.
This medication must be taken long term for it to be fully effective.
Take the medication with a full glass of water.
✓
Correct Answer
Take the medication with a full glass of water.
This medication should be taken with a full glass of water to promote effectiveness.
Question 7
When assessing a client who has just started taking loperamide after experiencing diarrhea for a week, which of the following findings would be most concerning?
Changes in stool consistency
Nausea
Decreased blood pressure
✓
Decreased appetite
Correct Answer
Decreased blood pressure
Clients with diarrhea should be assessed for signs and symptoms of dehydration, including decreased blood pressure and increased heart rate.
Question 8
The nurse is administering linaclotide for a client. For which of the following conditions is this laxative contraindicated?
Bowel obstruction
✓
Chronic idiopathic constipation
Irritable bowel syndrome
Bowel irritation
Correct Answer
Bowel obstruction
Linaclotide is contraindicated with a GI obstruction; it is used for constipation disorders.
Question 9
The nurse is treating a client with nausea, vomiting, and dizziness secondary to inner-ear problems. Which of the following medications should the nurse anticipate will be prescribed?
Aprepitant
Ondansetron
Meclizine
✓
Prochlorperazine
Correct Answer
Meclizine
Meclizine is an antiemetic and antivertigo agent that reduces the vestibular stimulation.
Question 10
The nurse is teaching a client how to use a scopolamine patch. Which of the following statements by the client indicates the need for further instruction?
"One patch should last 3 days."
"I need to put this on as soon as I start to feel nauseated."
✓
"I should not touch the adhesive section when applying the patch."
"I need to wash my hands after applying the patch."
Correct Answer
"I need to put this on as soon as I start to feel nauseated."
Scopolamine patches are used for motion sickness and should be applied 4 hours prior to traveling.