The nurse is continuing to assist in the care of the client.
Complete the following sentence by using the lists of options.
The nurse should reinforce teaching with the client to
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Rationale for correct choices:
• Monitor body temperature: Paliperidone, an antipsychotic, can increase the risk of neuroleptic malignant syndrome (NMS), a rare but potentially life-threatening condition characterized by hyperthermia, muscle rigidity, and altered mental status. Teaching the client to monitor body temperature helps with early recognition of NMS and timely intervention.
• Report sore throat: Paliperidone can cause hematologic adverse effects, including leukopenia, neutropenia, and agranulocytosis. A sore throat may be an early sign of infection due to low white blood cell counts. Reinforcing the need to report symptoms like sore throat ensures prompt evaluation and prevents serious complications.
Rationale for incorrect choices:
• Anticipated increased bruising: Although some antipsychotics may rarely affect platelet function, paliperidone is not commonly associated with increased bruising. This is not a primary teaching point for the client. Monitoring for bruising is less critical than monitoring for signs of infection or NMS.
• Stop taking contraceptive medication: There is no evidence that paliperidone interacts with contraceptives in a way that requires discontinuation. Advising the client to stop contraceptive medication is unnecessary and could place the client at risk for unintended pregnancy.
• Expect weight loss: Paliperidone is more commonly associated with weight gain rather than weight loss. Counseling the client about expecting weight loss would be inaccurate and could mislead them regarding lifestyle and dietary management.
• Follow a low-sodium diet: Paliperidone does not require sodium restriction. Low-sodium diet recommendations are not indicated unless the client has a comorbid condition like hypertension or heart failure. This is unrelated to the medication’s primary safety concerns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is "{\"xRanges\":[26.598316618911177,38.05963467048711],\"yRanges\":[63.14199395770393,75.22658610271904]}"
Explanation
A. Right upper quadrant of the abdomen: An open cholecystectomy involves surgical removal of the gallbladder, which is located in the right upper quadrant beneath the liver. The incision is typically made just below the right rib cage, making area A the correct site for the dressing change.
B. Midline of the upper abdomen: This area corresponds to the epigastric region and would not align with the typical location for a gallbladder incision. Incisions here are more common for other abdominal surgeries, such as exploratory laparotomy.
C. Lower midline abdomen: This area is associated with procedures involving the lower gastrointestinal tract, such as appendectomy or hysterectomy, and is not consistent with a cholecystectomy incision.
D. Right lower quadrant: This region is typically related to surgeries involving the appendix, cecum, or right ovary, not the gallbladder. Selecting this area would not correspond to the correct postoperative site for a cholecystectomy.
Correct Answer is D
Explanation
A. Room number of the client: Room numbers can change frequently and do not uniquely identify a client. Relying on room number alone increases the risk of medication errors and is not considered a safe identifier.
B. Name of the client's provider: The provider’s name does not verify the client’s identity and cannot be used to ensure medications are given to the correct individual. It may be relevant for contacting regarding prescriptions but not for client identification.
C. Client’s full medical diagnosis: The diagnosis provides clinical context but is not unique to the client and cannot confirm identity. Multiple clients may share the same diagnosis, so it is insufficient for safe medication administration.
D. Client's telephone number: Using personal identifiers such as telephone number, along with at least one other identifier (e.g., full name, date of birth, or medical record number), helps accurately verify the client’s identity. This reduces the risk of medication errors and ensures safe administration.
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