A nurse is caring for a client who is prescribed diphenhydramine to relieve pruritus. The client asks the nurse how he can minimize the daytime sedation he is experiencing. Which of the following responses should the nurse give?
"Distribute the doses evenly throughout the day!"
"Gradually decrease the dose once tolerance to the effect is reached."
"Take the medication with meals."
"Take most of the daily dose at bedtime."
The Correct Answer is D
Diphenhydramine is an antihistamine medication that can cause sedation as a side effect. Taking most of the daily dose at bedtime can help minimize daytime sedation. By taking the medication closer to bedtime, the sedative effects are more likely to occur during sleep, reducing the impact of sedation during waking hours.
The other options mentioned are not effective strategies to minimize daytime sedation caused by diphenhydramine:
A. "Distribute the doses evenly throughout the day": This approach may lead to a consistent level of sedation throughout the day and may not effectively minimize daytime sedation.
 
B. "Gradually decrease the dose once tolerance to the effect is reached": Gradually decreasing the dose of diphenhydramine is not a recommended strategy for minimizing daytime sedation. It is important to follow the prescribed dose and consult with a healthcare provider before making any changes to the medication regimen.
C. "Take the medication with meals": Taking diphenhydramine with meals may help reduce the risk of stomach upset but does not directly address the issue of daytime sedation.
 
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Robitussin A-C contains codeine, which is an opioid antitussive that can have sedating effects. One of the major disadvantages of using this medication is the potential for drowsiness as a side effect. This can impair the client's ability to perform tasks that require alertness and can interfere with daily activities.
The other options listed are not the major disadvantage of antitussive therapy with Robitussin A-C:
The medication is irritating to the bronchial tree: Robitussin A-C is primarily used as an antitussive (cough suppressant) rather than for its effects on the bronchial tree. While it may have some mild irritant properties due to certain ingredients, it is not considered a major disadvantage of this medication.
The client may use the medication for 14 days: The duration of use for Robitussin A-C is typically determined by the healthcare provider based on the client's condition. While prolonged use of antitussives is generally not recommended without medical supervision, the duration of use is not considered the major disadvantage of this medication.
The medication is very expensive: The cost of medication can vary, and while cost may be a consideration for some individuals, it is not considered the major disadvantage of Robitussin
A-C specifically. The major disadvantage relates more to the potential for drowsiness caused by the medication.
Correct Answer is D
Explanation
Acetylcysteine has a strong and distinct odor, often described as a sulfur-like smell. It is important for the adolescent to be aware of this characteristic odor so that they do not become alarmed or concerned when they encounter it.
The other options mentioned are incorrect:
A. It is necessary to monitor your serum electrolyte levels: Monitoring serum electrolyte levels is not typically required with oral acetylcysteine therapy. However, it is important to follow the healthcare provider's instructions regarding monitoring and follow-up appointments.
B. "You should avoid eating eggs": There is no specific dietary restriction or need to avoid eating eggs while taking oral acetylcysteine. However, it is always advisable to follow a balanced and healthy diet.
C. "Your mouth will become dry!": Dry mouth is not a common side effect of oral acetylcysteine. Side effects may vary from person to person, but dry mouth is not typically associated with this medication.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
                        
                            
