A patient is taking guaifenesin as part of treatment for a sinus infection. Which instruction will the nurse include during patient teaching?
Report symptoms that last longer than 2 days.
Report clear-colored sputum to the prescriber.
Avoid driving a car or operating heavy machinery because of the sedating effects.
Increase fluid intake to help loosen and liquefy secretions.
The Correct Answer is D
Choice A reason: This is incorrect because reporting symptoms that last longer than 2 days is not specific to guaifenesin. This is a general instruction for any patient with a sinus infection, regardless of the medication they are taking.
Choice B reason: This is incorrect because reporting clear-colored sputum to the prescriber is not necessary. Clear-colored sputum indicates that the infection is improving and the mucus is thinning. This is a desired effect of guaifenesin, not a problem that needs to be reported.
Choice C reason: This is incorrect because guaifenesin does not have sedating effects. Guaifenesin is an expectorant that helps to break up and expel mucus from the respiratory tract. It does not cause drowsiness or impair the ability to drive or operate machinery.
Choice D reason: This is correct because increasing fluid intake is an important instruction for a patient taking guaifenesin. Fluids help to hydrate the body and thin the mucus, making it easier to cough up and clear the sinuses. Fluids also help to prevent dehydration and dryness of the mucous membranes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","E"]
Explanation
Choice A reason: This is incorrect because drowsiness is not a common or serious adverse effect of alendronate. However, the client should avoid driving or operating machinery if they experience drowsiness.
Choice B reason: This is incorrect because tachycardia is not a common or serious adverse effect of alendronate. However, the client should monitor their pulse and blood pressure regularly and report any abnormal changes to the provider.
Choice C reason: This is correct because jaw pain can indicate a rare but serious condition called osteonecrosis of the jaw, which is associated with alendronate use. The client should report any jaw pain, swelling, or infection to the provider immediately and avoid dental procedures while taking alendronate.
Choice D reason: This is incorrect because dizziness is not a common or serious adverse effect of alendronate. However, the client should rise slowly from a lying or sitting position to prevent orthostatic hypotension and falls.
Choice E reason: This is correct because esophageal erosion can occur if alendronate is not taken correctly. The client should take alendronate with a full glass of water, at least 30 minutes before any food or drink, and remain upright for at least 30 minutes after taking it. The client should report any difficulty swallowing, chest pain, or heartburn to the provider.
Correct Answer is A
Explanation
Choice A reason: Hypokalemia is a low level of potassium in the blood. Furosemide is a loop diuretic that increases the excretion of water and electrolytes, including potassium. Hypokalemia can cause muscle weakness, cramps, arrhythmias, and digoxin toxicity.
Choice B reason: Hypoglycemia is a low level of glucose in the blood. Furosemide does not affect blood glucose levels or insulin secretion. Hypoglycemia may be caused by other factors such as diabetes medications, fasting, or alcohol intake.
Choice C reason: Weight gain is not an adverse effect of furosemide. Furosemide causes weight loss by reducing fluid retention and edema. Weight gain may be a sign of worsening heart failure or fluid overload.
Choice D reason: Increased blood pressure is not an adverse effect of furosemide. Furosemide lowers blood pressure by decreasing blood volume and cardiac preload. Increased blood pressure may be caused by other factors such as salt intake, stress, or kidney disease.
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