A nurse is caring for a client who has a new diagnosis of adrenal insufficiency. Which of the following prescriptions should the nurse anticipate from the provider?
Phenytoin.
Calcitonin.
Buspirone.
Fludrocortisone.
The Correct Answer is D
Choice A rationale
Phenytoin is an anticonvulsant used to control seizures and is not indicated for the treatment of adrenal insufficiency.
Choice B rationale
Calcitonin is used to treat conditions like osteoporosis and hypercalcemia, not adrenal insufficiency.
Choice C rationale
Buspirone is an anxiolytic used to treat anxiety disorders and is not used for adrenal insufficiency.
Choice D rationale
Fludrocortisone is a synthetic corticosteroid that is used to replace aldosterone in patients with adrenal insufficiency. It helps maintain sodium balance and blood pressure.
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Correct Answer is D
Explanation
Choice A rationale
Limiting caffeine is not the first action the nurse should take. While caffeine can exacerbate symptoms of BPH, it is not the priority action when starting doxazosin IR3.
Choice B rationale
Reporting headaches is important, but it is not the first action the nurse should take. Headaches can be a side effect of doxazosin, but monitoring the patient’s initial response to the medication is more critical.
Choice C rationale
Measuring the client’s intake and output is important for monitoring urinary symptoms, but it is not the first action the nurse should take when starting doxazosin IR3.
Choice D rationale
Administering the medication at bedtime is the correct first action. Doxazosin can cause dizziness and hypotension, especially after the first dose, so taking it at bedtime can help minimize these effects.
Correct Answer is A
Explanation
Choice A rationale
Benzonatate is a non-narcotic cough suppressant that works by numbing the throat and lungs, making the cough reflex less active. It can cause drowsiness and dizziness, so patients are advised not to drive or operate heavy machinery while taking this medication.
Choice B rationale
Benzonatate does not help in coughing up mucus. It suppresses the cough reflex, which can be beneficial for dry, irritating coughs but is not suitable for productive coughs where mucus needs to be expelled.
Choice C rationale
There is no need to decrease dietary fiber intake while taking benzonatate. Dietary fiber does not interact with the medication or its effectiveness.
Choice D rationale
Benzonatate capsules should not be chewed or crushed, as this can cause numbness of the mouth and throat, leading to potential choking hazards.