A client has an important presentation to make in 4 hours, and he needs relief from the congestion of seasonal rhinitis. The client calls the nurse, explains the situation, and tells the nurse that he cannot afford to be drowsy.
What medication is most likely to meet this client’s needs?

Loratadine.

Diphenhydramine.

Hydroxyzine.

Dexchlorpheniramine.

Answer and Explanation

The Correct Answer is A

Loratadine is a second-generation antihistamine that does not cause drowsiness or sedation as a common side effect. It can relieve the symptoms of seasonal rhinitis such as sneezing, runny nose, and itching.

Choice B. Diphenhydramine is wrong because it is a first-generation antihistamine that can cause drowsiness or sedation as a common side effect.

It can also cause dry mouth, blurred vision, and urinary retention.

Choice C. Hydroxyzine is wrong because it is also a first-generation antihistamine that can cause drowsiness or sedation as a common side effect.

It can also cause dry mouth, blurred vision, and urinary retention.

It is mainly used for anxiety and itching.

Choice D. Dexchlorphen

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Correct Answer is B

Explanation

Metoclopramide is a medication that increases muscle contractions in the upper digestive tract and speeds up the rate at which the stomach empties into the intestines. It is used to treat gastroparesis (slow stomach emptying) in people with diabetes, which can cause heartburn and stomach discomfort after meals.

Choice A is wrong because impaction is a condition where a large mass of dry, hard stool becomes stuck in the rectum and cannot be passed.

Metoclopramide does not treat impaction, but laxatives or enemas may be used instead.

Choice C is wrong because encopresis is a condition where a child over the age of 4 has involuntary bowel movements, usually due to chronic constipation.

Metoclopramide does not treat encopresis, but behavioral therapy, laxatives, or dietary changes may be used instead.

Choice D is wrong because metoclopramide is not used for clients requiring diagnostic procedures involving the stomach or intestines.

However, it may be used to prevent nausea and vomiting caused by chemotherapy or surgery.

A. “Take 400 mg each day, at the same time each day.”. B. “Take 150 mg once a month on the same day of the month.”. C. “Take 70 mg once a week on the same day of the week.”. D. “Take 3 mg twice daily with food.”.

Correct Answer is A

Explanation

This is the recommended dosage for the prevention and treatment of osteoporosis in postmenopausal women.

Choice B is wrong because 70 mg once a week is the dosage for alendronate (Fosamax), not ibandronate.

Choice C is wrong because 400 mg/d is the dosage for etidronate (Didronel), not ibandronate.

Choice D is wrong because ibandronate should be taken on an empty stomach, at least 60 minutes before food or drink.

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A client has an important presentation to make in 4 hours, and he needs relief from the congestion of seasonal rhinitis. The client calls the nurse, explains the situation, and tells the nurse that he cannot afford to be drowsy. What medication is most likely to meet this client’s needs?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse administers metoclopramide to the client with what condition?

Correct Answer is B

Explanation

The nurse is teaching the client with a new prescription for ibandronate how to take the medication. Which instruction provided by the nurse is correct?

Correct Answer is A

Explanation

The client is 34 years old and has recently started taking theophylline. The nurse knows that medication teaching has been successful when the client agrees to what activity?

The nurse is caring for a client newly diagnosed with hypothyroidism. The client also takes theophylline to control asthma symptoms. What change may need to be made to the client’s theophylline dose?

A college student with migraine headaches that cause nausea and vomiting has been prescribed trimethobenzamide. The nurse should caution the student to avoid using which substance?

After administering propylthiouracil (PTU), what effect would the nurse anticipate the drug will have in the client’s body?

The nurse is caring for a client with renal dysfunction who requires an oral antidiabetic agent. What drug will the nurse expect to see ordered?

A client has begun reporting nausea and vomiting. What would the nurse assess to determine the need for therapy?

The nurse is caring for a client with hypothyroidism who has a history of myocardial infarction and heart failure. What thyroid replacement drug would the nurse expect to be ordered?

With what client should the nurse question the administration of human insulin?

A client has an important presentation to make in 4 hours, and he needs relief from the congestion of seasonal rhinitis. The client calls the nurse, explains the situation, and tells the nurse that he cannot afford to be drowsy.
What medication is most likely to meet this client’s needs?