A patient with nasal congestion has been prescribed phenylephrine 10 mg by mouth every 4 hours.
What patient condition should the nurse report to the healthcare provider before administering the medication?
Hypertension.
Bronchitis.
Diarrhea.
Edema.
The Correct Answer is A
Choice A rationale
Hypertension is a condition that should be reported to the healthcare provider before administering phenylephrine. Phenylephrine is a decongestant used to relieve nasal discomfort caused by colds, allergies, and hay fever. It works by shrinking swollen nasal mucous membranes, which relieves nasal congestion. However, it can cause a rise in blood pressure, which could be dangerous for patients with hypertension.
Choice B rationale
Bronchitis is not a contraindication for phenylephrine. However, if the patient has a chronic respiratory condition like bronchitis, it’s always a good idea to discuss any new medications with the healthcare provider.
Choice C rationale
Diarrhea is not a contraindication for phenylephrine. Phenylephrine is not known to cause or worsen diarrhea.
Choice D rationale
Edema is not a contraindication for phenylephrine. However, if the patient has a history of heart disease or high blood pressure, which can sometimes cause edema, they should inform their healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Sucralfate is not typically administered once daily, preferably at bedtime. It is usually given multiple times a day.
Choice B rationale
Sucralfate should be given on an empty stomach, at least one hour before meals and at bedtime. This is because the absorption of sucralfate can be affected by the presence of food in the stomach.
Choice C rationale
While it’s important to monitor for infections when administering any medication, there’s no specific association between sucralfate and secondary Candida infections.
Choice D rationale
Sucralfate does not typically cause electrolyte imbalances. Its main function is to form a protective barrier over the ulcer, preventing further damage from acid and pepsin.
Correct Answer is C
Explanation
Choice A rationale
While salt substitutes can be a good option for some patients with heart failure, they are often high in potassium. Because spironolactone is a potassium-sparing diuretic, using a salt substitute could lead to dangerously high levels of potassium.
Choice B rationale
Protecting your skin before going outside is generally good advice, but it’s not specifically related to the use of spironolactone.
Choice C rationale
Spironolactone is a potassium-sparing diuretic, which means it can cause the body to retain potassium. Therefore, patients taking spironolactone should limit their intake of high- potassium foods to prevent hyperkalemia.
Choice D rationale
While it’s always important to monitor for side effects when taking a new medication, excessive bruising is not a common side effect of spironolactone.
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