A nurse is teaching a client who has a new prescription for dimenhydrinate. Which of the following instructions should the nurse include in the teaching?
Administer 24 hr before effects are desired.
Expect an increase in salivation.
Monitor for dizziness.
Observe for diarrhea
The Correct Answer is C
Dimenhydrinate is an antihistamine commonly used to treat motion sickness and vertigo. One of the common side effects of dimenhydrinate is dizziness. It can cause sedation and impair cognitive and motor functions. Therefore, the client should be advised to be cautious when engaging in activities that require alertness, such as driving or operating machinery. Monitoring for dizziness and taking appropriate precautions can help prevent accidents and ensure the client's safety.
The other options provided in the original response are incorrect:
- Administer 24 hr before effects are desired: This is not a correct instruction for dimenhydrinate. The medication is typically taken 30 minutes to 1 hour before the desired effects, such as before travel to prevent motion sickness.
- Expect an increase in salivation: Dimenhydrinate does not typically cause an increase in salivation. This is not a known side effect of the medication.
- Observe for diarrhea: Diarrhea is not a common side effect of dimenhydrinate. While gastrointestinal disturbances can occur with some antihistamines, it is not typically associated with dimenhydrinate use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "This pill is probably from a different lot number than yours at home." While lot numbers may vary between different batches of medications, it does not address the client's concern about the difference in appearance. It does not provide a direct explanation or reassurance regarding the medication they are about to take.
B. "This hospital might use a different manufacturer, but the medication is the same." This response acknowledges the possibility of a different manufacturer but does not directly address the client's concern about the difference in appearance. It may not provide sufficient reassurance regarding the medication they are about to receive.
c."This is the medication prescribed by your provider." This does not address the client's concern about the medication's appearance and may dismiss the possibility of an error.
D. "Describe what the pill looks like." This response allows the nurse to gather more information, verify the medication, and ensure that the correct medication is being administered.
Correct Answer is A
Explanation
Traditional antihistamines like diphenhydramine are known to have sedating properties, which can cause drowsiness and impair cognitive function. On the other hand, loratadine is classified as a non-sedating or second-generation antihistamine. It is designed to have less of a sedative effect, allowing individuals to take it during the day without experiencing significant drowsiness or impairment.
It is important to note that individual responses to medications can vary, and some individuals may still experience mild drowsiness with loratadine. However, compared to diphenhydramine, loratadine is generally associated with a lower risk of sedation.
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