Which assessment finding, by the nurse, is a priority concern when a client receives pseudoephedrine (Sudafed)?

Correct Answer: C

Rationale: Pseudoephedrine, an oral decongestant, stimulates alpha-adrenergic receptors, potentially causing cardiovascular effects like dysrhythmias due to its sympathomimetic action. An irregular heart rate of 82 is a priority concern, signaling possible arrhythmia, which could escalate to serious cardiac events, requiring immediate reporting. A mild fever or elevated respiratory rate could relate to the underlying condition (e.g., infection) rather than the drug. Dry mouth is a common, benign side effect. The nurse focuses on the irregular pulse as it aligns with pseudoephedrine's known risk of dysrhythmias, especially in susceptible patients, making choice C the most urgent finding to address.

Correct Answer: B

Rationale: Fluoxetine, an SSRI, treats depression but interacts with alcohol, worsening sedation or mood , indicating a teaching gap'clients must avoid it. Feeling better in weeks aligns with SSRI onset. Reporting suicidal thoughts is critical due to early risk. Morning dosing prevents insomnia. Drinking wine risks treatment failure or safety issues, critical in depression where stability is fragile. Further teaching must clarify this interaction, ensuring fluoxetine's efficacy and client well-being, making B the statement needing correction.

Correct Answer: D

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

Correct Answer: D

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