A nurse is administering codeine cough syrup to a patient for a dry cough. This medication is a Schedule V medication. Which of the following measures should the nurse take?
Monitor the patient for addiction
Advise the patient that the medication helps to thin out their secretions
Advise the patient to minimize intake of beets
Advise the patient that constipation is an adverse effect of the medication
The Correct Answer is D
Choice A reason: Monitor the patient for addiction is not a necessary measure for the nurse to take when administering codeine cough syrup, which is a medication that suppresses the cough reflex by acting on the brain¹. Codeine is a Schedule V medication, which means that it has a low potential for abuse and dependence compared to other opioids. The nurse should follow the prescriber's order and the label instructions and use the lowest effective dose for the shortest duration. The nurse should also assess the patient's pain level, respiratory status, and cough frequency and severity.
Choice B reason: Advise the patient that the medication helps to thin out their secretions is an incorrect statement for the nurse to make when administering codeine cough syrup, which is a medication that suppresses the cough reflex by acting on the brain¹. Codeine does not affect the viscosity or production of the mucus in the airways, but rather reduces the urge to cough. The nurse should advise the patient to drink plenty of fluids, use a humidifier, or use saline nasal spray to help loosen and clear the secretions.
Choice C reason: Advise the patient to minimize intake of beets is not a relevant measure for the nurse to take when administering codeine cough syrup, which is a medication that suppresses the cough reflex by acting on the brain¹. Beets are a vegetable that are rich in antioxidants, fiber, and nitrates, which can lower blood pressure and improve blood flow. Beets do not interact with codeine or affect its metabolism or clearance. The nurse should encourage the patient to eat a balanced and nutritious diet, unless they have any dietary restrictions or allergies.
Choice D reason: Advise the patient that constipation is an adverse effect of the medication is the correct and appropriate measure for the nurse to take when administering codeine cough syrup, which is a medication that suppresses the cough reflex by acting on the brain¹. Codeine can also act on the opioid receptors in the gastrointestinal tract, which can reduce the peristalsis and cause constipation. The nurse should advise the patient to prevent or treat constipation by increasing their fluid and fiber intake, exercising regularly, and using laxatives or stool softeners as needed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E","F"]
Explanation
The correct answer is: a. Right route, c. Right dose, d. Right person, e. Right documentation, f. Right medication.
Choice A: Right route
The right route ensures that the medication is administered via the correct method, such as oral, intravenous, or intramuscular. This is crucial because different routes can affect the medication’s absorption and effectiveness. Administering medication via the wrong route can lead to ineffective treatment or even harm the patient.
Choice B: Right to refuse
While patients do have the right to refuse medication, this is not one of the five main rights of medication administration. The five main rights focus on the correct administration process to ensure patient safety and effective treatment.
Choice C: Right dose
The right dose ensures that the patient receives the correct amount of medication. Administering too much or too little can lead to adverse effects or ineffective treatment. This right involves verifying the prescribed dose and measuring it accurately.
Choice D: Right person
The right person ensures that the medication is given to the correct patient. This is typically verified using two identifyers, such as the patient’s name and date of birth, to prevent medication errors.
Choice E: Right documentation
The right documentation involves accurately recording the administration of the medication. This includes noting the time, dose, route, and any observations. Proper documentation is essential for maintaining accurate medical records and ensuring continuity of care.
Choice F: Right medication
The right medication ensures that the correct drug is given to the patient. This involves checking the medication label against the doctor’s order to prevent errors. Administering the wrong medication can have serious consequences.
Correct Answer is D
Explanation
Choice A reason: This is incorrect. Taking antacids does not protect the stomach from the irritation caused by spicy foods. Antacids only reduce the acidity of the stomach contents, but they do not heal the ulcer or prevent further damage.
Choice B reason: This is incorrect. Taking antacids does not affect the digestion of carbohydrates or any other nutrients. Antacids only act on stomach acid, not on the enzymes that break down food.
Choice C reason: This is incorrect. Taking antacids does not stop the stomach from producing acid. Antacids only react with the acid that is already present in the stomach, but they do not inhibit the secretion of acid by the stomach cells.
Choice D reason: This is correct. Taking antacids will help neutralize the acid that is already in the stomach, which can relieve the pain and discomfort caused by the ulcer. Antacids can also form a protective coating over the ulcer, which can help it heal faster.
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