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A nurse is reinforcing teaching with a client who takes diazepam.
Which of the following information should the nurse include?.

"Avoid foods that contain tyramine.”

"Diazepam can cause drowsiness.”.

"Grapefruit juice inactivates this medication.”.

"A single dose of diazepam is unlikely to cause side effects.”.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Foods containing tyramine need to be avoided when taking monoamine oxidase inhibitors, not diazepam.

Choice B rationale:

Diazepam, a benzodiazepine, can indeed cause drowsiness as a side effect.

Choice C rationale:

Grapefruit juice can affect the metabolism of certain medications, but diazepam is not one of them.

Choice D rationale:

Even a single dose of diazepam can cause side effects, including drowsiness.

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Correct Answer is B

Explanation

Choice A rationale:

Applying pressure to the tragus of the ear can help move the liquid in deeper. Therefore, this statement is incorrect.

Choice B rationale:

For adults, the pinna should be pulled upward and backward to straighten the ear canal. Therefore, this statement is correct.

Choice C rationale:

Sterile gloves are not necessary when administering ear drops. Therefore, this statement is incorrect.

Choice D rationale:

Ear drops should be at room temperature. If they’re too cold or hot, they can make you feel dizzy and disoriented. Therefore, this statement is incorrect.

A. Check the client's vital signs B. Notify the charge nurse. C. Document an objective description of what has happened in the client's chart. D. Fill out an occurrence report according to institutional policy.

Correct Answer is A

Explanation

Choice A rationale:

The priority nursing action after administering the wrong medication is to assess the client for any adverse effects. This includes checking the client’s vital signs. Therefore, this statement is correct.

Choice B rationale:

Notifying the charge nurse is an important step, but it is not the first action the nurse should take. Therefore, this statement is incorrect.

Choice C rationale:

Documenting an objective description of what has happened in the client’s chart is necessary, but it is not the first action the nurse should take. Therefore, this statement is incorrect.

Choice D rationale:

Filling out an occurrence report according to institutional policy is necessary, but it is not the first action the nurse should take. Therefore, this statement is incorrect.

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A nurse is reinforcing teaching with a client who takes diazepam. Which of the following information should the nurse include?.

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A nurse is reinforcing teaching with a client who takes diazepam.
Which of the following information should the nurse include?.