A client who is receiving pregabalin for fibromyalgia reports experiencing tremors in the hands. Which action should the nurse implement?

Collect a capillary glucose level.

Notify the healthcare provider.

Obtain orthostatic blood pressure readings.

Administer a PRN dose of an antianxiety drug.

Answer and Explanation

The Correct Answer is B

A) Collecting a capillary glucose level is not indicated in response to hand tremors reported by a client taking pregabalin for fibromyalgia. Hand tremors are not typically associated with hypoglycemia, which is what capillary glucose levels assess. Therefore, this action does not directly address the reported symptom.

B) Notifying the healthcare provider is the most appropriate action in response to the client’s report of experiencing tremors while taking pregabalin. Hand tremors can be a potential adverse effect of pregabalin, and the healthcare provider should be informed to assess the severity of the symptom, consider alternative medications or dosage adjustments, and determine the need for further evaluation or intervention.

C) Obtaining orthostatic blood pressure readings is not indicated in response to hand tremors reported by a client taking pregabalin for fibromyalgia. Orthostatic blood pressure readings assess for changes in blood pressure upon position changes (e.g., from lying down to standing up) and are not directly relevant to the reported symptom of tremors.

D) Administering a PRN dose of an antianxiety drug is not the first-line intervention for hand tremors reported by a client taking pregabalin. While antianxiety medications may help alleviate symptoms of anxiety, they do not address the underlying cause of the tremors. Additionally, the client’s tremors may not necessarily be related to anxiety. Therefore, the nurse should prioritize notifying the healthcare provider for further assessment and management of the reported symptom.

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Correct Answer is C

Explanation

A) Deep-fried shrimp: While deep-fried foods are generally high in fat and calories, there is no specific contraindication for clients taking phenelzine to avoid deep-fried shrimp. However, clients with hypertension may benefit from reducing their intake of high-fat foods.

B) Pan-seared catfish: Pan-seared catfish is a relatively lean protein source and does not contain ingredients known to interact with phenelzine. However, clients with hypertension may benefit from limiting their intake of high-sodium foods, such as pan-seared catfish if it is prepared with added salt.

C) Pepperoni pizza: Pepperoni pizza is a high-sodium food due to its processed meat toppings and cheese, and it may contain ingredients that interact with phenelzine. Phenelzine is a monoamine oxidase inhibitor (MAOI), and consuming foods high in tyramine, such as aged or fermented foods like pepperoni, can lead to hypertensive crisis. Therefore, the nurse should instruct the client to avoid pepperoni pizza to prevent potential interactions and exacerbation of hypertension.

D) Beef tips with gravy: While beef tips with gravy may be high in sodium depending on how it is prepared, there is no specific contraindication for clients taking phenelzine to avoid this food. However, clients with hypertension may benefit from choosing lean cuts of beef and limiting their intake of high-sodium gravies.

A. Recent oral intake. B. Trouble sleeping. C. Unexplained weight loss. D. Difficulty with urination.

Correct Answer is A

Explanation

A) Recent oral intake: This information is important because pyridostigmine is typically administered orally and can interact with food, affecting its absorption. It is essential to ensure that the client has recently eaten or will eat soon to minimize gastrointestinal side effects and optimize medication absorption.

B) Trouble sleeping: While sleep disturbances can be a concern, particularly if they worsen with medication use, it may not be the most critical information to obtain before administering pyridostigmine. However, if the client experiences worsening sleep disturbances after starting the medication, it should be reported to the healthcare provider.

C) Unexplained weight loss: While weight loss can be a symptom of myasthenia gravis, it may not be directly related to the administration of pyridostigmine. However, if the client experiences significant weight loss or other unexplained symptoms, further assessment and evaluation may be necessary.

D) Difficulty with urination: Pyridostigmine can affect bladder function and may exacerbate urinary retention, especially in clients with myasthenia gravis. However, obtaining information about the client's recent oral intake is more crucial to ensure optimal medication absorption and minimize gastrointestinal side effects. Difficulty with urination should still be monitored, but it may not be the most immediate concern before administering the medication.

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