A client reports restlessness, nervousness, irritability, and insomnia. The client denies caffeine intake, but has been taking an OTC pain reliever for a headache. What is the best explanation by the nurse?
1. These symptoms indicate that the client is allergic to the OTC pain reliever.
2. These symptoms are normal side effects of a headache.
3. Caffeine is added to some OTC pain relievers.
4. These symptoms are normal side effects of OTC pain relievers.
3
Rationale 1: These are not symptoms of an allergy.
Rationale 2: These are symptoms of increased caffeine intake.
Rationale 3: Caffeine is added to some OTC pain relievers, such as Excedrin.
Rationale 4: These are symptoms of increased caffeine intake.
Global Rationale: Caffeine is added to some OTC pain relievers, such as Excedrin. These symptoms are not indicative of an allergic reaction, they are not normal side effects of headache, and they are not normal side effects of OTC pain relievers.
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