A client with allergic rhinitis is taking the over-the-counter antihistamine diphenhydramine HCL. Which instruction is most important for the nurse to provide this client?

Do not take the medication more than once every 8 hours.

Take the medication with food to prevent gastric upset.

Avoid driving, since this medication causes drowsiness.

Use sugarless candy or gum to help prevent a dry mouth.

Answer and Explanation

The Correct Answer is C

A. Do not take the medication more than once every 8 hours:
Diphenhydramine is typically dosed every 4 to 6 hours, not just once every 8 hours. However, this instruction is less critical compared to addressing the safety concerns related to drowsiness.

B. Take the medication with food to prevent gastric upset:
Diphenhydramine is generally not known to cause significant gastric upset, so this instruction is less critical. The primary concern with diphenhydramine is its sedative effects rather than gastrointestinal issues.

C. Avoid driving, since this medication causes drowsiness:
Diphenhydramine is known to cause significant drowsiness and sedation. Advising the client to avoid driving is crucial to prevent accidents and ensure their safety, making this the most important instruction.

D. Use sugarless candy or gum to help prevent a dry mouth:
While diphenhydramine can cause dry mouth, using sugarless candy or gum is a helpful but secondary instruction. The primary concern with diphenhydramine is its sedative effect, which affects the client's ability to drive safely.

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Correct Answer is ["B","C","D","E"]

Explanation

A) Provide a PRN NSAID for gum pain: Administering NSAIDs is not recommended as they can exacerbate bleeding risks in clients on anticoagulants. NSAIDs can interfere with platelet function and increase bleeding tendencies.

B) Complete a medication variance report: Documenting adverse effects and any discrepancies in medication administration is crucial for patient safety and quality control. A variance report helps track and address issues related to medication effects.

C) Review most recent coagulation lab values: Evaluating recent lab results is essential to determine if the anticoagulant dosage is appropriate and if there is an increased risk of bleeding. This information guides decisions about further interventions or adjustments to the medication regimen.

D) Report findings to healthcare provider: Immediate communication with the healthcare provider is necessary to address the client’s symptoms of bleeding and bruising. The provider can then evaluate the need for treatment modification or additional measures to manage bleeding risks.

E) Obtain a soft bristle toothbrush for client: A soft bristle toothbrush helps minimize gum irritation and bleeding, which is important for clients on anticoagulants to reduce the risk of oral bleeding and maintain oral health.

A. Begin therapy 1 week before the next normal menstrual cycle. B. Call the healthcare provider immediately if there is a chance of conception. C. Use condoms and a backup method of birth control to prevent pregnancy. D. Ensure a negative pregnancy test result 2 weeks before therapy.

Correct Answer is A

Explanation

A. Begin therapy 1 week before the next normal menstrual cycle:
Misoprostol is used to prevent NSAID-induced gastric ulcers and to induce labor or manage miscarriage. It is not specifically tied to the timing of the menstrual cycle. The client should start therapy according to the provider's instructions, which will not necessarily be related to the menstrual cycle.

B. Call the healthcare provider immediately if there is a chance of conception:
Misoprostol is contraindicated during pregnancy due to its potential to cause uterine contractions and possible abortion. This statement correctly highlights the need to inform the healthcare provider if there is a chance of conception, as the medication poses risks to pregnancy.

C. Use condoms and a backup method of birth control to prevent pregnancy:
This is an appropriate and necessary precaution when taking misoprostol due to its potential teratogenic effects and risks to pregnancy. Using effective contraception is important to prevent unintended pregnancy while on this medication.

D. Ensure a negative pregnancy test result 2 weeks before therapy:
This is a standard precaution to ensure that the client is not pregnant before starting misoprostol, which is crucial due to its potential effects on pregnancy. A negative pregnancy test is essential for safe use of the medication.

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A client with allergic rhinitis is taking the over-the-counter antihistamine diphenhydramine HCL. Which instruction is most important for the nurse to provide this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After receiving the third dose of a new oral anticoagulant prescription, an older adult client develops bleeding and tender gums and has many new bruises. Which actions should the nurse implement? Select all that apply.

Correct Answer is ["B","C","D","E"]

Explanation

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Correct Answer is A

Explanation

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