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    Hesi rn 315 pharmacology proctored exam

    A client with irritable bowel syndrome starts a new prescription for dicyclomine, an anticholinergic medication. The client reports the onset of sensitivity to bright sunlight and a dry mouth. How should the nurse respond?

    Explanation & Rationale

    A. Determine if the medication is being taken correctly: While verifying correct usage is always important, the symptoms described dry mouth and sensitivity to bright light are expected side effects of dicyclomine and are not typically caused by improper administration. B. Schedule an appointment for evaluation by the healthcare provider: Mild anticholinergic side effects like dry mouth and photosensitivity do not usually require urgent medical evaluation unless they become severe or are accompanied by other concerning symptoms. C. Advise stopping the medication until the unpleasant effects wear off: Abruptly stopping medications, especially those for chronic conditions like IBS, is generally not recommended without consulting the healthcare provider. It can lead to a return of symptoms or other adverse effects. The nurse should focus on managing the side effects so the client can continue the prescribed treatment. D. Provide instructions in managing these side effects: Dry mouth can be managed by sipping water, using sugar-free gum, or using saliva substitutes. Photosensitivity can be addressed with sunglasses and protective clothing. Educating the client on managing these effects supports continued therapy and improves comfort.

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