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. Black, tarry stools are not an expected effect of subcutaneous heparin; this symptom should be reported to a healthcare provider.
B. Using a soft bristle toothbrush is recommended to minimize the risk of bleeding gums, which can occur due to heparin's anticoagulant effects.
C. Subcutaneous heparin should be injected into the fatty tissue of the abdomen or thigh, not deep into the muscle.
D. Easy bruising is a potential side effect of heparin but does not indicate effectiveness; it should be monitored and reported if excessive.

A. To ensure that that fluid and electrolyte balance is maintained B. To give the patient some much needed fluid intake C. To prevent interaction of medication with each other D. None of the above

Correct Answer is C

Explanation

Answer: C
A. Ensuring fluid and electrolyte balance is maintained is an important aspect of patient care but is not the primary reason for flushing the feeding tube between medications.
B. While giving the patient fluid intake is beneficial, the primary purpose of flushing the tube between medications is to prevent interactions between different medications.
C. Flushing the feeding tube with water between medication administrations helps prevent interactions between medications that may be incompatible, ensuring each medication is delivered effectively and safely.
D. This option is incorrect because flushing the tube between medications serves a specific purpose related to medication administration and safety.

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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 reinforcing teaching with a client who is to start subcutaneous heparin. Which of the following information should the nurse include in the teaching?

Correct Answer is B

Explanation

Why is it necessary to flush a feeding tube with water between each medication administration?

Correct Answer is C

Explanation

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