Antitussives are useful in blocking the cough reflex and preserving the energy associated with prolonged, nonproductive coughing. Antitussives are best used with

postoperative patients.

asthma patients.

patients with a dry, irritating cough.

COPD patients who tire easily.

Answer and Explanation

The Correct Answer is C

A) Postoperative patients:
Antitussives may be used postoperatively to alleviate coughing, but they are not necessarily best used in this population. Postoperative patients may have different needs based on their surgical procedure and overall health status.

B) Asthma patients:
Antitussives are generally not recommended for asthma patients because they can suppress the cough reflex, which may be important for clearing mucus and irritants from the airways. Asthma patients often have productive coughs associated with bronchial inflammation and excess mucus production.

C) Patients with a dry, irritating cough:
Antitussives are most effective for patients with a dry, irritating cough, as they help suppress the cough reflex and provide relief from coughing without producing sputum.

D) COPD patients who tire easily:
While antitussives may provide symptomatic relief for some COPD patients with a dry, nonproductive cough, they are not necessarily best used in this population. COPD patients may have varied responses to antitussive therapy, and treatment decisions should be individualized based on their overall condition and symptoms."

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Correct Answer is C

Explanation

A) Glaucoma:
While propranolol can exacerbate symptoms of glaucoma, it is not an absolute contraindication. However, caution is warranted in clients with glaucoma due to its potential to increase intraocular pressure.

B) Depression:
Propranolol is not contraindicated in clients with a history of depression. In fact, it is sometimes used to manage anxiety symptoms associated with certain types of depression.

C) Asthma:
Propranolol is contraindicated in clients with a history of asthma or bronchospasm because it can exacerbate bronchoconstriction and potentially precipitate an acute asthma attack.

D) Migraines:
Propranolol is often used prophylactically in clients with migraines to reduce the frequency and severity of attacks. It is not contraindicated in clients with a history of migraines."

A. Severe pain. B. Frequent episodes of painful urination C. An inability to void D. Bladder spasms

Correct Answer is C

Explanation

Bethanechol is not indicated for the relief of severe pain following a transurethral resection of the prostate (TURP). Pain management for postoperative discomfort typically involves analgesics such as opioids or nonsteroidal anti-inflammatory drugs (NSAIDs), depending on the severity of pain. Therefore, this option is incorrect.

B) Frequent episodes of painful urination:
While frequent episodes of painful urination may occur after a TURP due to irritation of the urinary tract, bethanechol is not typically administered to address this symptom. Painful urination is often managed with analgesics and may improve as the urinary tract heals. Therefore, this option is incorrect.

C) An inability to void:
This is the correct response. Bethanechol is a cholinergic agonist that stimulates bladder contraction and can be used to treat urinary retention or an inability to void following surgical procedures such as TURP. By increasing bladder tone and promoting urination, bethanechol helps relieve urinary retention and prevents complications associated with prolonged bladder distension.

D) Bladder spasms:
While bladder spasms may occur postoperatively following a TURP, bethanechol is not typically administered to address this symptom. Bladder spasms are often managed with anticholinergic medications or muscle relaxants to reduce involuntary contractions of the bladder. Therefore, this option is incorrect.”

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Antitussives are useful in blocking the cough reflex and preserving the energy associated with prolonged, nonproductive coughing. Antitussives are best used with

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse caring for a client”who has hypertension and asks the nurse about a prescription for propranolol. The nurse should inform the client that this medication is contraindicated in clients who have a history of which of the following conditions?

Correct Answer is C

Explanation

A nurse is caring for a client who is postoperative following a transurethral resection of the prostate (TURP). The nurse should plan to administer the client’s PRN bethanechol when the client reports which of the following manifestations?

Correct Answer is C

Explanation

A nurse is preparing a teaching plan for a client who has chronic constipation secondary to irregular bowel habits. Which of the following should the nurse plan to include in the teaching?

A nurse is reviewing the medical record of a client who reports taking pseudoephedrine for sinus congestion as needed. The nurse should identify that pseudoephedrine is contraindicated for which of the following client conditions?

A patient with COPD would be expected to have

When providing medication te”ching to a client who has been prescribed spironolactone for hypertension, what foods should the nurse instruct the client to avoid?

A resident of a long-term care facility receives 12.5 mg metoprolol (Lopressor) at 8 AM and 8 PM daily. Before administering this drug, the nurse should perform and document what assessment findings?

A nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hr. The client weighs 198 lb. How many mg should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A 78-year-old client is admitted to the emergency department with a heart rate of 34 beats/min. Family members tell the nurse that the client may have mistakenly taken several doses of donepezil. The nurse should anticipate what intervention to treat the client's bradycardia?

The nurse explains the action of laxatives as doing what?