A nurse is preparing to administer a vaginal cream to a client. The nurse should instruct the client to lie in which of the following positions while in bed?

Prone

Orthopneic

Sims' position

Dorsal recumbent

Answer and Explanation

The Correct Answer is D

A. Prone position (lying face down) is not appropriate for administering vaginal cream.

B.   Orthopneic position (sitting up and leaning slightly forward) is not conducive to administering vaginal cream.

C.   Sims' position (lying on the left side with the right knee drawn up and the left arm drawn behind, often used for rectal examinations) is not typically used for administering vaginal cream.
D.   The dorsal recumbent position, lying on the back with knees flexed and soles of feet flat on the bed, is typically recommended for administering vaginal cream. This position allows for easier insertion and retention of the medication.

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Correct Answer is C

Explanation

A. Alprazolam, a benzodiazepine, typically doesn't cause hypertension. Its primary mechanism of action involves modulation of GABA receptors in the central nervous system, leading to anxiolytic effects rather than effects on blood pressure regulation.
B. There's no documented association between alprazolam use and hearing loss.

Benzodiazepines like alprazolam primarily affect the central nervous system and do not target auditory structures.
C. Sedation is a common side effect of alprazolam due to its CNS depressant properties.

Patients often experience drowsiness, fatigue, and impaired cognitive function, especially when initiating therapy or when doses are increased.

D. Alprazolam typically doesn't cause bradycardia. While it can have mild effects on heart rate, such as tachycardia, significant bradycardia is not a documented adverse effect.

A. "Diazepam can cause drowsiness." B. "A single dose of diazepam is unlikely to cause side effects." C. "Grapefruit juice inactivates this medication." D. "Avoid foods that contain tyramine."

Correct Answer is A

Explanation

A. Diazepam, a benzodiazepine, is known to cause drowsiness and sedation as a common side effect. Patients should be advised to avoid activities requiring mental alertness, such as driving or operating machinery, until they understand how the medication affects them.
B. Even a single dose of diazepam can cause side effects such as drowsiness, dizziness, and impaired coordination. Patients should be aware of potential side effects regardless of the number of doses taken.
C. While grapefruit juice can interact with certain medications by affecting their metabolism, it doesn't directly inactivate diazepam. However, it may increase the risk of side effects by altering the metabolism of the medication, leading to higher blood levels.
D. Tyramine is not typically a concern with diazepam. Tyramine-containing foods are more relevant in the context of monoamine oxidase inhibitors (MAOIs), a different class of medications used to treat depression.

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A nurse is preparing to administer a vaginal cream to a client. The nurse should instruct the client to lie in which of the following positions while in bed?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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