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Review the patient data history and physical flow sheet.

Mark whether the assessment finding represents a therapeutic result of the minoxidil administered, a nontherapeutic side effect, or an unrelated finding.

Mouth dryness

Dizziness while sitting up

Blood glucose 218 mg/dL

Pain rated at 1/10

Answer and Explanation

The Correct Answer is B

Choice A rationale

Mouth dryness is not a typical therapeutic result of minoxidil. It’s not listed as a common side effect either.

Choice B rationale

Dizziness is a known side effect of minoxidil. It can occur when the medication causes a drop in blood pressure, leading to lightheadedness or dizziness.

Choice C rationale

An elevated blood glucose level is not related to the administration of minoxidil. It could be an unrelated finding, possibly indicating another condition like diabetes.

Choice D rationale

Pain rated at 1/10 is not directly related to the therapeutic effect or side effects of minoxidil. It could be an unrelated finding.

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Correct Answer is D

Explanation

The correct answer is D. Antidepressant medication can take 2 to 4 weeks to become effective. Choice A rationale While it’s important to review the medication regimen if a patient is not responding to treatment, it’s also crucial to understand that antidepressants like amitriptyline don’t typically show their full effects immediately. It’s common for these medications to take several weeks before their full therapeutic effect becomes apparent. Choice B rationale A dosage increase may be considered if the patient shows no improvement after a sufficient period, typically several weeks. However, since the patient has only been on the medication for five days, it’s too early to consider a dosage increase. Choice C rationale Therapy can indeed be beneficial in treating depression and can enhance the effect of medication. However, the statement that the medication isn’t working after five days is likely due to the fact that antidepressants usually take longer to start showing effects. Choice D rationale This is the correct answer. Antidepressants like amitriptyline often take 2 to 4 weeks to start showing their full effects. It’s important for patients to know this so they don’t get discouraged and stop taking the medication too soon.

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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Review the patient data history and physical flow sheet. Mark whether the assessment finding represents a therapeutic result of the minoxidil administered, a nontherapeutic side effect, or an unrelated finding.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

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 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?

A patient has been prescribed intravenous (IV) famotidine. Which observation would indicate to the practical nurse (PN) that the medication is having the desired effect?

The practical nurse (PN) is helping with the care plan for a client who is taking the nonsteroidal anti-inflammatory drug ketorolac for painful back muscle spasms. What intervention should the PN include in the client’s care plan?

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?

A patient with angina pectoris has been discharged with a new prescription for nitroglycerin tablets. What is the most important instruction for the practical nurse (PN) to emphasize to the patient regarding the administration of nitroglycerin?

Which instruction should the PN emphasize about the dosing schedule?

Mark whether the assessment finding represents a therapeutic result of the Bisacodyl administered, a non therapeutic side-effect, or an unrelated finding.

Review the patient data history and physical flow sheet.

Mark whether the assessment finding represents a therapeutic result of the minoxidil administered, a nontherapeutic side effect, or an unrelated finding.