A client with irritable bowel syndrome starts a new prescription for dicyclomine. The client reports the onset of sensitivity to bright sunlight and a dry mouth. How should the nurse respond?
Explanation & Rationale
Rationale: A. Advise stopping the medication until the unpleasant effects wear off: Instructing the client to stop the medication without provider direction may disrupt symptom management of irritable bowel syndrome. These side effects are common and typically manageable. B. Schedule an appointment for evaluation by the healthcare provider (HCP): While the client may eventually need follow-up, these reported effects are expected anticholinergic side effects of dicyclomine. Immediate referral is not necessary unless severe symptoms occur. C. Determine if the medication is being taken correctly: Verifying adherence is always important, but these symptoms are typical even with correct use. Assessing technique does not directly address the client’s concern or help manage the discomfort. D. Provide instructions in managing these side effects: Dicyclomine causes anticholinergic effects, including dry mouth, blurred vision, and photosensitivity. Teaching the client strategies such as using sugar-free lozenges for dry mouth and wearing sunglasses outdoors promotes adherence while ensuring safety and comfort.