A nurse is reviewing discharge teaching with a client who has a new prescription for diphenhydramine for allergic rhinitis. The nurse should instruct the client to monitor for which of the following adverse reactions? (Select all that apply)

Constipation

Skin rash

Non productive cough

Drowsiness

Dry mouth

Answer and Explanation

Correct Answer : A,D,E

A. Constipation is also a possible side effect due to the anticholinergic properties of the medication.
B. Skin rash is not a common adverse reaction to diphenhydramine.
C. Non-productive cough is not typically associated with diphenhydramine use.
D. Drowsiness is a common side effect of diphenhydramine and should be monitored, especially regarding its impact on daily activities.
E. Dry mouth is a common side effect of diphenhydramine due to its anticholinergic properties, and clients should be advised to maintain adequate hydration.

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Correct Answer is B

Explanation

A. Bringing the dropper from below the client's eye is incorrect as it increases the risk of contamination from the eyelashes.
B. Holding the ophthalmic solution 1 to 2 cm (1/2 to 3/4 in) above the lower conjunctival sac allows for accurate instillation into the eye without touching the dropper tip to the eye or eyelashes.
C. Instilling drops into the inner canthus is incorrect; drops should be placed into the conjunctival sac to ensure proper absorption.
D. Asking the client to look down may help expose the lower conjunctival sac but is not the correct action for administering the drops.

A. Stimulates and thins secretions B. Suppresses the urge to cough C. Reduces inflammation D. Dries mucous membranes

Correct Answer is A

Explanation

A. Guaifenesin works as an expectorant by stimulating and thinning respiratory tract secretions, making it easier for the client to cough up and clear mucus from the airways.
B. Suppressing the urge to cough is the action of antitussive medications, not expectorants like guaifenesin.
C. Guaifenesin does not have significant anti-inflammatory properties; its primary action is on mucus clearance.
D. Drying mucous membranes is not the mechanism of action for guaifenesin; it focuses on facilitating mucus removal.

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A nurse is reviewing discharge teaching with a client who has a new prescription for diphenhydramine for allergic rhinitis. The nurse should instruct the client to monitor for which of the following adverse reactions? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer ophthalmic solution to a client. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a client who is going to take guaifenesin, an expectorant, to help manage a cough. The nurse should explain that this type of medication treats coughs by which of the following mechanisms?

Correct Answer is A

Explanation

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