A nurse is collecting data from a client who received diphenhydramine 1 hr ago after developing an allergic reaction to trimethoprim-sulfamethoxazole.
Which of the following statements by the client should indicate to the nurse that the medication is effective?
"My voice is no longer hoarse.”
"I am feeling more alert.”
"I don't have a headache anymore.”
"My appetite is increased.”
The Correct Answer is A
Choice A rationale:
Hoarseness of voice can be a symptom of an allergic reaction, indicating swelling and inflammation in the throat. If the client’s voice is no longer hoarse after taking diphenhydramine, it suggests that the medication has been effective in reducing this symptom.
Choice B rationale:
Diphenhydramine is an antihistamine and can often cause drowsiness as a side effect. Therefore, feeling more alert would not typically indicate that the medication has been effective.
Choice C rationale:
While headaches can sometimes be associated with allergic reactions, they are not a primary symptom that diphenhydramine targets. Therefore, absence of a headache does not necessarily indicate effectiveness of the medication.
Choice D rationale:
Increased appetite is not typically associated with the effectiveness of diphenhydramine in treating allergic reactions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
A negative mammogram is not a requirement of the iPLEDGE program. Mammograms are used to screen for breast cancer and are not related to isotretinoin therapy.
Choice B rationale:
Regular Papanicolaou tests, which screen for cervical cancer, are not a requirement of the iPLEDGE program. These tests are not related to isotretinoin therapy.
Choice C rationale:
There is no requirement for clients to begin a daily supplement of vitamin A prior to initiating therapy. In fact, taking additional vitamin A while on isotretinoin can increase the risk of vitamin A toxicity.
Choice D rationale:
Sexually active female clients must use two forms of birth control during treatment. This is because isotretinoin can cause severe birth defects.
Correct Answer is ["1.2"]
Explanation
To calculate the dose of somatropin to be administered per dose, we first need to convert the child's weight from pounds to kilograms. We can do this using the following conversion factor:
1 kg = 2.2 lbs
Therefore, the child's weight in kilograms is:
weight_kg = 66 lbs / 2.2 lbs/kg = 30 kg
Next, we can calculate the total dose of somatropin to be administered per week using the following formula:
total_dose = weight_kg * 0.24 mg/kg/week
This gives us a total dose of:
total_dose = 30 kg * 0.24 mg/kg/week = 7.2 mg/week
Finally, we can calculate the dose of somatropin to be administered per dose by dividing the total dose by the number of daily doses:
dose_per_dose = total_dose / 6 doses/day = 1.2 mg/dose
Therefore, the nurse should administer 1.2 mg of somatropin per dose.
Answer: 1.2 mg of somatropin per dose.
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