A nurse is providing teaching for a client who has a new prescription for alprazolam to treat insomnia. Which of the following instructions should the nurse include?

"Avoid activities that require alertness, such as driving."

"Take this mediation with a high-fat meal."

"Take this medication every night before sleep."

"Monitor for peripheral edema."

Answer and Explanation

The Correct Answer is A

A. Alprazolam can cause drowsiness and impair cognitive function, so avoiding activities that require alertness is crucial.
B. There is no specific recommendation to take alprazolam with a high-fat meal.
C. Alprazolam should be used as prescribed by the physician, and not necessarily every night.
D. Peripheral edema is not a common side effect of alprazolam.

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Correct Answer is D

Explanation

A. Diarrhea is not a common side effect of codeine; constipation is more likely.
B. Alcohol should be avoided while taking codeine due to increased risk of CNS depression.
C. Taking codeine on an empty stomach can increase the risk of nausea and gastrointestinal upset; it's better taken with food if necessary.
D. Codeine can cause dizziness or orthostatic hypotension, so changing positions slowly can help prevent falls and injury.

A. "I gave my client a bolus dose of morphine when I initiated the PCA pump." B. "I noted that my client pushed the PCA button six times in the last hour, and the PCA lockout is set for 10 minutes." C. "I told the client's family that they must not push the PCA button for the client." D. "I discarded the remaining 2 milligrams of morphine from the PCA pump. Please document that you witnessed it."

Correct Answer is D

Explanation

A. Administering a bolus dose of morphine at PCA initiation is a common practice.
B. Monitoring the frequency of button presses and understanding the lockout period is appropriate.
C. Educating the family not to push the PCA button is correct and ensures patient safety.
D. Discarding the remaining medication should be witnessed and documented correctly, but the process should follow the institution’s protocol, and witnessing should have been done before discarding, not after.

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A nurse is providing teaching for a client who has a new prescription for alprazolam to treat insomnia. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has a new prescription for codeine. Which of the following instructions should the nurse include in the teaching?

Correct Answer is D

Explanation

A charge nurse is supervising a newly licensed nurse provide care for a client who has a PCA pump. Which of the following statements made by the nurse requires further action by the charge nurse?

Correct Answer is D

Explanation

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