A nurse is teaching a client about taking diphenhydramine. The nurse should explain to the client that which of the following is an adverse eﬀect of this medication?

Headache

Constipation

Bradycardia

Hypertension

Answer and Explanation

The Correct Answer is B

The correct answer is choice b. Constipation.

Choice A rationale:

While headaches can occur with some medications, they are not a common adverse effect of diphenhydramine. Diphenhydramine's typical side effects are more related to its anticholinergic properties.

Choice B rationale:

Diphenhydramine is an antihistamine with anticholinergic effects, which can lead to dry mouth, urinary retention, and constipation as common adverse effects.

Choice C rationale:

Diphenhydramine typically does not cause bradycardia. In some cases, it may cause tachycardia (increased heart rate) rather than a slower heart rate.

Choice D rationale:

Hypertension is not typically associated with diphenhydramine. In fact, it can sometimes cause hypotension (low blood pressure) rather than high blood pressure.

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Correct Answer is A

Explanation

Neuromuscular-blocking agents paralyze the muscles, including the respiratory muscles. Therefore, it is crucial to ensure that the patient maintains a patent airway and is able to breathe eﬀectively. The nurse should monitor the patient's respiratory rate, depth, and eﬀort, as well as assess for signs of airway obstruction, such as stridor or wheezing.

Skin assessment for rash (option b), blood pressure assessment for orthostatic hypotension (option c), and assessment for ﬂuid volume overload (option d) may also be important assessments for the nurse to obtain, but they are not the most critical assessments when a patient is being treated with a neuromuscular-blocking agent.

A. Crushing the medication would release all the medication at once, rather than over time. B. Crushing the medication is a good idea and I can mix it in some soft cream for you. C. Crushing the medication might cause you to have stomach-ache or indigestion. D. Crushing is unsafe as it destroys the ingredients in the medication.

Correct Answer is C

Explanation

Enteric-coated aspirin is designed to release slowly over time to protect the stomach lining from irritation. Crushing the medication would defeat this purpose and could cause stomach irritation or other side eﬀects.

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A nurse is teaching a client about taking diphenhydramine. The nurse should explain to the client that which of the following is an adverse eﬀect of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which assessment Is most important for the nurse to obtain when a patient is being treated with a neuromuscular-blocking agent?

Correct Answer is A

Explanation

A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?

Correct Answer is C

Explanation

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