A nurse is teaching a client who takes acetaminophen daily to manage mild knee pain. The nurse should instruct the client to monitor for which of the following adverse reactions to this medication?
Tinnitus
Hyperglycemia
Jaundice
Muscle pain
The Correct Answer is C
Acetaminophen is a commonly used over-the-counter pain reliever and fever reducer. One of the potential adverse reactions to acetaminophen is liver toxicity, which can present with symptoms such as jaundice (yellowing of the skin and eyes), dark urine, and pale stools. It is important for the client to be aware of these signs and symptoms and report them to their healthcare provider if they occur. Monitoring for jaundice can help identify any potential liver-related complications associated with acetaminophen use.
The other options provided in the question are not typically associated with acetaminophen use:
- Tinnitus: Tinnitus refers to a perception of ringing or buzzing in the ears. It is not a commonly reported adverse reaction to acetaminophen.
- Hyperglycemia: Hyperglycemia refers to high blood sugar levels. Acetaminophen does not typically cause hyperglycemia as a side effect.
- Muscle pain: Acetaminophen is used to relieve mild to moderate pain, including muscle pain. It is not an adverse reaction to the medication.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
This response demonstrates that the patient understands the dosing frequency (twice a day) and the importance of taking it with a full glass of water, which aligns with the instructions provided by the nurse.
The other choices are incorrect because:
A. "Taking this medication can cause me to develop a non-productive cough.": This response is about a potential side effect of the medication, rather than showing an understanding of the dosing instructions.
B. "I will take my medication Daily with a full glass of water.": This response indicates a misunderstanding of the dosing frequency, as the prescription specifically states "BID" (twice a day) rather than "daily."
D. "The medication will have to be given by my Home Health Nurse twice a day.": This response suggests a reliance on the home health nurse to administer the medication, which contradicts the instructions for the patient to take it themselves. It shows a misunderstanding of the patient's responsibility in self-administering the medication.
Correct Answer is D
Explanation
Dry mouth is a common side effect of diphenhydramine, which is an antihistamine medication commonly used to relieve symptoms of allergies, including itching and rash. Chewing on sugarless gum or sucking on hard, sour candies can help stimulate saliva production and alleviate the discomfort of dry mouth.
A. "Administer the medication with food": While taking diphenhydramine with food may help reduce the risk of stomach upset, it does not directly address the dry mouth side effect.
B. "Discontinue the medication and notify your provider": Discontinuing the medication without consulting the healthcare provider is not recommended unless specifically instructed to do so. Dry mouth is a common side effect of diphenhydramine and can be managed with supportive measures.
C. "Place a humidifier at your bedside every evening": While using a humidifier can help add moisture to the air and potentially alleviate dryness in the environment, it is not a specific instruction for managing dry mouth caused by diphenhydramine.
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