A nurse is providing instructions to a client who is taking doxapram (Dopram). Which of the following statements made by the client needs further instructions?

Correct Answer: B

Rationale: The correct time to take doxapram (Dopram) is not at bedtime. Doxapram is a respiratory stimulant medication that is usually taken during waking hours to help improve breathing. Taking it at bedtime may interfere with regular sleep patterns and could potentially cause side effects like restlessness or insomnia. It is important for the client to take the medication as directed by their healthcare provider, typically before meals or as prescribed, and not at bedtime.

Correct Answer: A

Rationale: Propranolol belongs to the pharmacologic classification of Beta Blockers. Beta blockers work by blocking the action of adrenaline and other stress hormones, specifically by blocking beta receptors. Propranolol, in particular, is a non-selective beta blocker that is commonly used to treat conditions such as hypertension, angina, and arrhythmias. It is also used off-label for anxiety and migraine prevention.

Correct Answer: B

Rationale: The most common side effect of insulin therapy is hypoglycemia, which occurs when the blood sugar levels drop too low. Insulin helps lower blood sugar levels by promoting the uptake of glucose into cells, but an excessive dose of insulin or changes in diet and physical activity can lead to hypoglycemia. Symptoms of hypoglycemia may include shakiness, sweating, dizziness, confusion, and hunger. It is important for individuals using insulin to be aware of the signs and symptoms of hypoglycemia and be prepared to treat it promptly with fast-acting glucose sources. Regular monitoring of blood sugar levels can help prevent and manage episodes of hypoglycemia.

Correct Answer: B

Rationale: Articaine is an amide type of local anesthetic. Local anesthetics can be classified into two main categories: esters and amides. Articaine belongs to the amide group of local anesthetics, along with lidocaine, bupivacaine, and others. Amide local anesthetics tend to have longer duration of action and are less likely to cause allergic reactions compared to ester local anesthetics. In the given choices, Procaine, Amethocaine, and Benzocaine are ester-type local anesthetics, while Cocaine is a unique example of a local anesthetic with mixed properties.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.