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 C

Explanation

A. Metformin does not affect vitamin K levels, so there is no need to increase vitamin K intake with this drug.
B. Shaving precautions are not related to metformin therapy.
C. Metformin can interact with iodine contrast used in imaging procedures, potentially increasing the risk of lactic acidosis, so it's important for the client to inform healthcare providers about their metformin use before such procedures.
D. Checking the pulse for a full minute before taking medication is not necessary for metformin administration.

A. "You may crush or chew the medication." B. "This medication can turn your urine orange." C. "Take the medication with a meal." D. "This medication can cause an increase in perspiration."

Correct Answer is C

Explanation

A. Metformin XR should not be crushed or chewed; it should be swallowed whole.
B. Metformin does not typically affect the color of urine, so this statement is incorrect.
C. Taking metformin with a meal helps to reduce gastrointestinal side effects such as nausea and diarrhea.
D. Metformin does not commonly cause an increase in perspiration, so this statement is incorrect.

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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 caring for a client taking metformin. He is going over teaching. Which of the following statements by the client shows that they have an understanding of the drug?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client who is taking metformin XR for type II diabetes mellitus. Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

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