Four hours after administering promethazine to a male patient, the practical nurse (PN) takes his temperature.
When the patient asks the PN about the reason for taking his temperature, how should the PN respond?

Encourage the patient to share his concerns about the care plan.

Explain the need to assess for medication side effects.

Assure that vital signs are routinely taken every four hours.

Describe how the medication works to lower body temperature.

None

Answer and Explanation

The Correct Answer is B

Choice A rationale
Encouraging the patient to share his concerns about the care plan is important, but it does not directly address the patient’s question about why his temperature is being taken.
Choice B rationale
Promethazine is a medication that can cause a variety of side effects, including changes in body temperature. Therefore, monitoring the patient’s temperature can help assess for potential side effects of the medication. This is the most direct and relevant response to the patient’s question.
Choice C rationale
While it’s true that vital signs are often taken routinely, this does not specifically address why the patient’s temperature is being taken in this particular instance, four hours after
administering promethazine.
Choice D rationale
While promethazine can affect body temperature, it is not primarily used to lower body
temperature. Therefore, explaining that the medication works to lower body temperature may not be entirely accurate or relevant in this context.

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Correct Answer is A

Explanation

Choice A rationale
Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve pain and reduce
inflammation. It is not typically part of the H. pylori treatment regimen.
Choice B rationale
Famotidine is a type of medication called a proton pump inhibitor (PPI). PPIs are often used in
the treatment of H. pylori because they reduce the production of stomach acid, which makes
the environment more conducive for antibiotics to work.
Choice C rationale
Loperamide is a medication used to treat diarrhea. It is not typically part of the H. pylori
treatment regimen.
Choice D rationale
Ipratropium is a medication used to treat bronchospasm associated with COPD and is not
related to H. pylori treatment.

A. Administer the scheduled medication and provide oral care. B. Review the serum drug level before administering the medication. C. Withhold the scheduled medication and notify the charge nurse. D. Observe the client’s gums for signs of tissue overgrowth.

Correct Answer is A

Explanation

Benztropine is used as an adjunct therapy for the treatment of all forms of Parkinson’s disease3. It works by reducing the activity of acetylcholine, a neurotransmitter that nerve terminals release to make muscles contract3. One of the side effects of benztropine is dry mouth3. If a patient reports having a very dry mouth, the practical nurse should administer the scheduled medication and provide oral care to help alleviate the symptom3.

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Four hours after administering promethazine to a male patient, the practical nurse (PN) takes his temperature. When the patient asks the PN about the reason for taking his temperature, how should the PN respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Prior to administering the H. pylori treatment regimen, which medication should the practical nurse (PN) check in the electronic medical record?

Correct Answer is A

Explanation

The practical nurse (PN) is preparing to administer a scheduled dose of benztropine to a client with Parkinson’s disease. The client reports having a very dry mouth. Which action should the PN take?

Correct Answer is A

Explanation

A patient with depression who is taking a tricyclic antidepressant (TCA) reports frequent early morning awakening and difficulty going back to sleep. Which information from the patient is important for the Practical Nurse (PN) to obtain to improve the patient’s sleep pattern?

A patient with an overactive bladder has recently started taking oxybutynin. What observation should the practical nurse (PN) report to the charge nurse during the patient’s assessment prior to administering the medication?

The practical nurse (PN) is caring for a client with deep vein thrombosis (DVT) who is receiving a prescription for rivaroxaban. Which assessment finding should the PN associate as an adverse effect of this medication and report immediately?

A client receives a prescription for drospirenone. Which symptom should the practical nurse (PN) report to the healthcare provider?

The practical nurse (PN) is caring for a client who has a finger stick blood glucose result of 130 mg/dL (7.21 mmol/L). Prior to administering the scheduled dose of acarbose, the PN is informed that the morning meal trays will be delayed 30 minutes. Which action should the PN take?

The practical nurse applies a preparation with keratolytic properties to both legs of a client with psoriasis. Which finding indicates the desired effect has been achieved?

Which instruction should the PN emphasize about the dosing schedule?

A client with diabetic peripheral neuropathy receives a new prescription for pregabalin. To assess the effectiveness of the medication, which action should the practical nurse (PN) include when assessing the client’s feet?

Four hours after administering promethazine to a male patient, the practical nurse (PN) takes his temperature.
When the patient asks the PN about the reason for taking his temperature, how should the PN respond?