Question

A nurse is reinforcing teaching for a female client who has multiple sclerosis and a new prescription for dantrolene. Which of the following client statements indicates an understanding of the teaching?.

Answer 1

Correct Answers:

"I need to notify my provider if I don't get some relief from my muscle spasms within 3 months.”.

Rationale :

🪷 Dantrolene is a skeletal muscle relaxant used to manage muscle spasticity in conditions like multiple sclerosis.

🪷 The therapeutic response may take several weeks, but if no improvement is seen within 45 days to 3 months, the medication may need to be reassessed or discontinued.

🪷 Patients should be educated to monitor for effectiveness over time and promptly report insufficient relief to their healthcare provider.

🪷 This supports safe medication use and helps prevent unnecessary exposure to adverse effects.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Answer 2

Correct Answers:

3

Rationale :

🔻Desired dose ÷ Available dose = Number of tablets

Given:

🔻Desired dose = 120 mg

🔻Available dose = 40 mg per tablet

120÷40=3

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Answer 3

Correct Answers:

1 cup (8oz) of applesauce.

Rationale :

🍎 Levodopa/carbidopa can cause nausea, especially when taken on an empty stomach, but taking it with low-protein, non-dairy foods helps reduce this side effect without interfering with absorption.

🍎 Applesauce is a low-protein, non-dairy option that is gentle on the stomach and does not compete with the drug for transport across the blood-brain barrier.

🍎 High-protein foods (like cheese and yogurt) and those rich in iron or calcium can interfere with levodopa absorption, reducing its effectiveness.

🍎 Non-protein, bland foods like applesauce provide a safe and effective way to minimize nausea and maintain therapeutic action.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Answer 4

Correct Answers:

"Tell me more about this decision.”.

Rationale :

🫱 This response uses therapeutic communication by inviting the client to express their feelings and reasoning without judgment or pressure.

🫱 It encourages open dialogue, shows respect for the client’s autonomy, and allows the nurse to gather important information that may influence care.

🫱 Avoiding "why" questions prevents the client from feeling defensive, and not making assumptions or threats builds trust and rapport.

🫱 Understanding the client's perspective is essential to collaboratively address concerns and promote medication adherence.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Answer 5

Correct Answers:

15

Rationale :

🌐Desired dose ÷ Available dose × Volume = Amount to administer

Given:

🌐Desired dose = 75 mg

🌐Available concentration = 25 mg per 5 mL

75÷25×5=3×5=15

✅ Final Answer: 15 mL

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Answer 6

Correct Answers:

31

Rationale :

Flow rate (gtt/min) = Volume (mL) × Drop factor (gtt/mL) ÷ Time (min)

Given:

Volume = 1,000 mL

Drop factor = 15 gtt/mL

Time = 8 hours = 8 × 60 = 480 minutes

1,000×15÷480=15,000÷480=31.25

Rounded to the nearest whole number:

✅ Final Answer: 31 gtt/min

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Answer 7

Correct Answers:

"I'll be glad when my seizures stop so I can quit taking this medicine.”.

Rationale :

⚠️ This statement indicates a misunderstanding of how phenytoin works and the long-term nature of seizure management.

⚠️ Phenytoin is an anticonvulsant that must be taken consistently and often lifelong to maintain seizure control.

⚠️ Discontinuing the medication without provider guidance can lead to seizure recurrence or status epilepticus, a life-threatening condition.

⚠️ Patient education should emphasize that seizure absence does not equal cure, and adherence is essential even when asymptomatic.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Answer 8

Correct Answers:

Increased triglyceride level.

Rationale :

🧬 Risperidone, an atypical antipsychotic, is associated with metabolic side effects, including dyslipidemia, such as elevated triglycerides and cholesterol.

🧬 These changes are part of metabolic syndrome, which also includes weight gain, insulin resistance, and increased blood glucose, increasing cardiovascular risk.

🧬 Patients on risperidone require routine monitoring of lipid profiles, weight, and glucose levels to detect and manage these changes early.

🧬 The nurse should also reinforce lifestyle interventions like diet and exercise and report significant lab abnormalities to the provider.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Answer 9

Correct Answers:

Wait up to 3 weeks to see the full effects of the medication.

Rationale :

🪨 Lithium carbonate often requires 1 to 3 weeks to reach therapeutic levels and produce the full mood-stabilizing effect in patients with bipolar disorder.

🪨 During this period, it is critical that the client continues taking the medication as prescribed, even if symptoms do not improve immediately.

🪨 Patients should be taught the importance of routine monitoring of serum lithium levels, hydration, and maintaining a consistent sodium intake, as fluctuations can lead to toxicity.

🪨 The nurse must correct any misconceptions that lithium acts quickly or should be stopped early if no immediate effect is seen.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Answer 10

Correct Answers:

Withhold dose if having a fine hand tremor.

Rationale :

🧊 A fine hand tremor is a common early sign of lithium toxicity, especially if accompanied by other symptoms like nausea, vomiting, or confusion.

🧊 The nurse should teach the client to withhold the dose and notify the provider if a tremor develops, so the serum lithium level can be evaluated promptly.

🧊 Clients taking lithium should maintain consistent sodium and fluid intake; low sodium or dehydration can increase lithium retention and toxicity risk.

🧊 Tyramine-containing foods are a concern for MAOI medications, not lithium.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

QLexNursing

1 :
A nurse is reinforcing teaching for a female client who has multiple sclerosis and a new prescription for dantrolene. Which of the following client statements indicates an understanding of the teaching?.

2 :
A nurse is preparing to administer lurasidone 120 mg PO for a client who has schizophrenia. Available is lurasidone 40 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

3 :
A nurse is reinforcing teaching with a client who has Parkinson's disease. The client tells the nurse that he gets nausea when he takes his prescribed levodopa/carbidopa. Which of the following foods should the nurse recommend the client take with the medication?.

4 :
A nurse is caring for a client who states, "I am not going to take my medication anymore.”. Which of the following responses should the nurse make?.

5 :
A nurse is preparing to administer phenytoin 75 mg PO. Available is phenytoin suspension 25 mg/5 mL. How many mL should the nurse administer?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

7 :
A nurse is reinforcing teaching with a client who has a new prescription for phenytoin. The nurse should recognize that which of the following statements by the client indicates a need for further teaching?.

8 :
A nurse is administering risperidone to a client who has schizophrenia. For which of the following adverse effects should the nurse monitor?.

9 :
A nurse is reinforcing teaching with a client who has a prescription for lithium carbonate to treat bipolar disorder. Which of the following instructions should the nurse include?.

10 :
A nurse is reinforcing discharge teaching for a client who will continue to take lithium carbonate at home to manage bipolar disorder. Which of the following instructions should the nurse include when reinforcing the teaching?.

QLexNursing

1 : A nurse is reinforcing teaching for a female client who has multiple sclerosis and a new prescription for dantrolene. Which of the following client statements indicates an understanding of the teaching?.

2 : A nurse is preparing to administer lurasidone 120 mg PO for a client who has schizophrenia. Available is lurasidone 40 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

3 : A nurse is reinforcing teaching with a client who has Parkinson's disease. The client tells the nurse that he gets nausea when he takes his prescribed levodopa/carbidopa. Which of the following foods should the nurse recommend the client take with the medication?.

4 : A nurse is caring for a client who states, "I am not going to take my medication anymore.”. Which of the following responses should the nurse make?.

5 : A nurse is preparing to administer phenytoin 75 mg PO. Available is phenytoin suspension 25 mg/5 mL. How many mL should the nurse administer?(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

7 : A nurse is reinforcing teaching with a client who has a new prescription for phenytoin. The nurse should recognize that which of the following statements by the client indicates a need for further teaching?.

8 : A nurse is administering risperidone to a client who has schizophrenia. For which of the following adverse effects should the nurse monitor?.

9 : A nurse is reinforcing teaching with a client who has a prescription for lithium carbonate to treat bipolar disorder. Which of the following instructions should the nurse include?.

10 : A nurse is reinforcing discharge teaching for a client who will continue to take lithium carbonate at home to manage bipolar disorder. Which of the following instructions should the nurse include when reinforcing the teaching?.

1 :
A nurse is reinforcing teaching for a female client who has multiple sclerosis and a new prescription for dantrolene. Which of the following client statements indicates an understanding of the teaching?.

2 :
A nurse is preparing to administer lurasidone 120 mg PO for a client who has schizophrenia. Available is lurasidone 40 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

3 :
A nurse is reinforcing teaching with a client who has Parkinson's disease. The client tells the nurse that he gets nausea when he takes his prescribed levodopa/carbidopa. Which of the following foods should the nurse recommend the client take with the medication?.

4 :
A nurse is caring for a client who states, "I am not going to take my medication anymore.”. Which of the following responses should the nurse make?.

5 :
A nurse is preparing to administer phenytoin 75 mg PO. Available is phenytoin suspension 25 mg/5 mL. How many mL should the nurse administer?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

7 :
A nurse is reinforcing teaching with a client who has a new prescription for phenytoin. The nurse should recognize that which of the following statements by the client indicates a need for further teaching?.

8 :
A nurse is administering risperidone to a client who has schizophrenia. For which of the following adverse effects should the nurse monitor?.

9 :
A nurse is reinforcing teaching with a client who has a prescription for lithium carbonate to treat bipolar disorder. Which of the following instructions should the nurse include?.

10 :
A nurse is reinforcing discharge teaching for a client who will continue to take lithium carbonate at home to manage bipolar disorder. Which of the following instructions should the nurse include when reinforcing the teaching?.