Your individual (person served) complains of a headache. You should:

Correct Answer: B

Rationale: In this situation, option B is the correct response because it emphasizes the importance of proper communication and collaboration with the healthcare team. Asking the individual to describe the headache allows for a better understanding of the situation, and paging the nurse ensures that the appropriate action is taken based on the individual's symptoms and the healthcare provider's directions. Option A is incorrect because administering aspirin for a headache when it is only ordered for fever goes against the principles of safe medication administration. Medications should only be given for their intended purposes as per the healthcare provider's orders to prevent adverse effects. Option C is also incorrect as administering Motrin from another individual's supply without an order is a violation of medication administration protocols. Each individual's medication supply is specific to their own needs and conditions, and using someone else's medication can lead to serious consequences. Option D is incorrect as it dismisses the individual's complaint and fails to address their needs. Disregarding a person's discomfort or symptoms can result in overlooking a serious health issue or failing to provide appropriate care. Educationally, this question emphasizes the importance of following proper protocols in medication administration, including consulting healthcare professionals for guidance and ensuring medications are administered based on the prescribed indications. It highlights the need for clear communication, critical thinking, and adherence to healthcare policies to deliver safe and effective care to individuals.

Correct Answer: A

Rationale: In the context of medication administration, understanding the purpose and indications of psychotropic medications like Clozapine (Clozaril) and Risperidone (Risperdal) is crucial for safe and effective nursing practice. The correct answer is A) mental illness because these medications are primarily used in the treatment of psychiatric disorders such as schizophrenia, bipolar disorder, and other mental health conditions. Choosing option A is correct because both Clozapine and Risperidone are classified as antipsychotic medications. Clozapine is often used for treatment-resistant schizophrenia, while Risperidone is used for various psychotic disorders and behavioral disturbances. These medications work by affecting neurotransmitter levels in the brain to help regulate and improve symptoms associated with mental illnesses. Options B, C, and D are incorrect. Option B) seizures is incorrect because these medications are not indicated for seizures; they are specifically designed to target symptoms of mental illnesses. Option C) heart disease is incorrect as these medications do not primarily treat cardiovascular conditions. Option D) diarrhea is incorrect as this is not a known indication for either Clozapine or Risperidone. From an educational perspective, understanding the correct use of psychotropic medications is essential for nurses and healthcare professionals to provide safe and effective care to patients with mental health conditions. Knowing the specific indications, mechanisms of action, potential side effects, and nursing considerations associated with these medications is crucial for medication safety and patient outcomes. Nurses should always verify the appropriateness of the medication, the correct dosage, and monitor patients closely for any adverse effects when administering psychotropic medications.

Correct Answer: A

Rationale: In this scenario, the correct answer is A) page the nurse and let him/her know what you observed. This option is the most appropriate because it demonstrates a proactive approach to patient care and safety. By informing the nurse of the individual's increased sleepiness, the nurse can assess if this is a potential side effect of the new medication. Option B) do nothing, it should stop in a few days, is incorrect because it neglects the importance of monitoring and addressing changes in the individual's condition promptly. Waiting for a few days could result in a worsening of the individual's symptoms or the potential for a medication-related adverse event. Option C) only give half the medication and see if he sleeps less, is incorrect as it goes against safe medication administration practices. Altering the prescribed dosage without consulting the healthcare provider can lead to ineffective treatment or harm to the individual. Option D) tell the case manager the individual is sleeping more, is also incorrect as the case manager may not have immediate medical training to address the situation effectively. It is crucial to involve the nurse who can directly assess the individual's condition and make informed decisions regarding their care. In an educational context, understanding the importance of timely and accurate medication administration and observation of side effects is essential for healthcare providers, including nursing students preparing for the NCLEX exam. This scenario highlights the significance of communication within the healthcare team and the prioritization of patient safety. It reinforces the need for healthcare professionals to be vigilant in monitoring patients for changes in their condition and to promptly report any concerns to the appropriate personnel for further evaluation and intervention.

Correct Answer: A

Rationale: Rationale: The correct answer is A) orthostatic hypotension. When administering medications for hypertension, a common side effect is orthostatic hypotension, which is a sudden drop in blood pressure when transitioning from lying down to standing up. This occurs because antihypertensive medications lower blood pressure, potentially causing dizziness or lightheadedness upon standing. Option B) photophobia is incorrect because it refers to sensitivity to light, which is not a typical side effect of hypertension medications. Option C) fever is incorrect as it is not a common side effect of antihypertensive drugs but may indicate an underlying infection or other medical condition. Option D) psychosis is also incorrect because it is not a recognized side effect of medications used to treat hypertension. Educational Context: Understanding the side effects of medications used to treat hypertension is crucial for nurses and healthcare professionals to ensure safe and effective patient care. By knowing the common side effects like orthostatic hypotension, healthcare providers can monitor patients closely for these adverse reactions and take appropriate actions to prevent complications. Educating patients about potential side effects also empowers them to report any unusual symptoms promptly. This knowledge enhances medication safety and contributes to better patient outcomes.

Correct Answer: A

Rationale: In this NCLEX question, the correct answer is A) upset stomach. Aluminum carbonate, calcium carbonate, and magnesium hydroxide are all antacids commonly used to treat symptoms of heartburn, acid indigestion, and upset stomach. These medications work by neutralizing excess stomach acid to provide relief from symptoms. Option B) skin rash is incorrect because antacids are not used to treat skin conditions. Option C) heart disease is incorrect because while some medications may be used to manage heart disease, antacids are specifically indicated for gastrointestinal issues related to excess acid. Option D) sleeplessness is also incorrect as antacids do not address sleep-related concerns. Educationally, this question assesses the test-taker's understanding of the uses of common antacid medications. Understanding the indications for medications is crucial for nursing practice to ensure safe and effective patient care. By recognizing the correct answer and understanding why the other options are incorrect, nurses can make informed decisions when administering medications and educating patients on their use.