A nurse is teaching a client who has a new prescription for codeine. Which of the following instructions should the nurse include in the teaching?
You should limit alcohol intake to 12 ounces daily.
You should expect to experience diarrhea while taking this medication.
You should take the medication on an empty stomach to prevent nausea.
You should change positions slowly.
The Correct Answer is D
Choice A reason: You should avoid alcohol intake while taking codeine, not limit it to 12 ounces daily. Alcohol can increase the risk of side effects such as drowsiness, dizziness, and respiratory depression.
Choice B reason: You should not expect to experience diarrhea while taking codeine. Codeine can cause constipation, not diarrhea. You should increase your fluid and fiber intake and use laxatives as prescribed to prevent constipation.
Choice C reason: You should not take the medication on an empty stomach to prevent nausea. Codeine can cause nausea and vomiting, especially on an empty stomach. You should take the medication with food or milk to reduce nausea.
Choice D reason: You should change positions slowly while taking codeine. Codeine can cause orthostatic hypotension, which is a sudden drop in blood pressure when you stand up. This can cause dizziness, fainting, and falls. You should change positions slowly and use caution when walking or climbing stairs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Constipation is not an adverse effect of tamoxifen. Tamoxifen does not affect the gastrointestinal motility or function. Constipation may be caused by other factors such as dehydration, low-fiber diet, or lack of exercise.
Choice B reason: Clotting is an adverse effect of tamoxifen. Tamoxifen can increase the risk of thromboembolic events such as deep vein thrombosis, pulmonary embolism, or stroke. Clotting can cause serious complications such as pain, swelling, shortness of breath, chest pain, or neurological deficits.
Choice C reason: Tinnitus is not an adverse effect of tamoxifen. Tamoxifen does not affect the auditory system or cause hearing loss. Tinnitus may be caused by other factors such as noise exposure, ear infection, or medication toxicity.
Choice D reason: Urinary retention is not an adverse effect of tamoxifen. Tamoxifen does not affect the urinary system or cause bladder dysfunction. Urinary retention may be caused by other factors such as prostate enlargement, nerve damage, or medication side effects.
Correct Answer is B
Explanation
Choice A reason: Benzonatate is not the correct answer. Benzonatate is a cough suppressant that works by numbing the throat and lungs. It does not help in the removal of mucus.
Choice B reason: Guaifenesin is the correct answer. Guaifenesin is an expectorant that works by thinning and loosening the mucus in the airways. It helps in the removal of mucus by making it easier to cough up.
Choice C reason: Diphenhydramine is not the correct answer. Diphenhydramine is an antihistamine that works by blocking the effects of histamine, a chemical that causes allergy symptoms. It does not help in the removal of mucus.
Choice D reason: Dextromethorphan is not the correct answer. Dextromethorphan is a cough suppressant that works by affecting the signals in the brain that trigger the cough reflex. It does not help in the removal of mucus.
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