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 D

Explanation

Famotidine Tablet 20mg - Hillside Veterinary Surgery

Famotidine is a histamine type 2 receptor antagonist (H blocker) which is commonly used for treatment of acid-peptic disease and heartburn. Famotidine has been linked to rare instances of clinically apparent acute liver injury, but it is less likely to cause hepatotoxicity than cimetidine, another H blocker. Famotidine also has fewer drug interactions than cimetidine.

Choice A is wrong because nizatidine is another H blocker that can cause mild and transient serum aminotransferase elevations.

Nizatidine has not been linked to cases of clinically apparent liver injury, but it has not been widely used.

Choice B is wrong because ranitidine is another H blocker that can cause mild and transient serum aminotransferase elevations.

Ranitidine has also been associated with rare instances of clinically apparent liver injury, some of which were fatal or required liver transplantation.

Choice C is wrong because cimetidine is another H blocker that can cause mild and transient serum aminotransferase elevations.

Cimetidine has also been implicated in several cases of clinically apparent acute liver injury, some of which were severe and led to acute liver failure and death.

Cimetidine also has many drug interactions due to its inhibition of cytochrome P enzymes.

Normal ranges for serum aminotransferases are 7 to 56 U/L for alanine aminotransferase (ALT) and 10 to 40 U/L for as

A. Diaphoresis. B. Flushing of the face. C. Fruity breath. D. Unpredictable behaviors.

Correct Answer is A

Explanation

Diaphoresis means excessive sweating, which is one of the symptoms of hypoglycemia. Hypoglycemia occurs when the blood sugar level is lower than the normal range, which can cause dizziness, confusion, weakness, hunger, and other signs.

Choice B is wrong because flushing of the face is not a symptom of hypoglycemia.

Flushing can be caused by other conditions, such as fever, allergic reactions, or rosacea.

Choice C is wrong because fruity breath is a symptom of hyperglycemia, not hypoglycemia.

Hyperglycemia means high blood sugar level, which can cause the body to produce ketones that give the breath a fruity odor.

Choice D is wrong because unpredictable behaviors are not a specific symptom of hypoglycemia.

However, hypoglycemia can cause confusion, irritability, or anxiety, which may affect the behavior of some people.

The normal range of blood sugar level for most people is between 70 and 130 mg/dL (3.9 and 7.2 mmol/L) before meals and less than 180 mg/dL (10 mmol/L) after meals.

However, this may vary depending on the individual and the type of diabetes.

It is important to monitor the blood sugar level regularly and treat hypoglycemia promptly by eating or drinking a simple sugar source.

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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

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Correct Answer is D

Explanation

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Correct Answer is A

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?