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

The client should avoid taking aspirin while taking corticosteroids because of the potential drug-drug interaction between them. This interaction may cause a reduction in the blood levels of aspirin and decrease its effectiveness. It may also increase the risk of gastrointestinal side effects such as inflammation, bleeding, ulceration, and perforation.

Choice A is wrong because dimenhydrinate is an antihistamine that is used to prevent and treat nausea, vomiting, and dizziness.

It does not have a significant interaction with corticosteroids.

Choice C is wrong because ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that is used to relieve pain, inflammation, and fever.

It has a similar interaction with corticosteroids as aspirin, but it is less potent and less likely to cause bleeding.

Choice D is wrong because famotidine is a histamine-2 receptor antagonist that is used to treat and prevent ulcers, gastroesophageal reflux disease (GERD), and other conditions that cause excess stomach acid.

It does not have a significant interaction with corticosteroids.

A. Avoid eating or drinking for 6 hours before the trip. B. Take the medication 30 minutes before departing. C. Take two doses if relief is not achieved. D. Increase fluid intake to prevent urinary retention.

Correct Answer is B

Explanation

This is because antiemetics should be given to prevent motion sickness rather than after nausea or vomiting develop. Taking the medication 30 minutes before departing allows enough time for the drug to be absorbed and reach its peak effect.

Choice A is wrong because avoiding eating or drinking for 6 hours before the trip may cause dehydration and low blood sugar, which can worsen nausea and vomiting.

It is better to eat a light meal or snack before the trip and avoid spicy, greasy, or acidic foods.

Choice C is wrong because taking two doses if relief is not achieved may cause overdose and adverse effects.

Antiemetics should be taken as prescribed and not exceeded without consulting a doctor.

Choice D is wrong because increasing fluid intake to prevent urinary retention is not relevant for motion sickness.

Urinary retention is a possible side effect of some antiemetics, such as anticholinergics, but it is not a common problem for most people.

Fluid intake should be moderate and not excessive to avoid stomach distension.

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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

A nurse is providing client education to a client who has had corticosteroids prescribed. What drug should the nurse teach the client to avoid while taking the corticosteroids?

Correct Answer is B

Explanation

A client who is prone to motion sickness is going on a fishing trip on a boat and has been prescribed an antiemetic. What action should the nurse recommend?

Correct Answer is B

Explanation

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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?