nurse is teaching a client who has a new prescription for codeine. Which of the following instructions should the nurse include in the teaching?
"You should expect to experience diarrhea while taking this medication."
"You should change positions slowly."
"You should limit alcohol intake to 12 ounces daily."
"You should take the medication on an empty stomach to prevent nausea.”
The Correct Answer is B
Codeine is an opioid medication that can cause drowsiness and dizziness. Changing positions quickly, especially from lying down to standing up, can increase the risk of falls or accidents.
Instructing the client to change positions slowly helps prevent orthostatic hypotension (a drop in blood pressure upon standing) and reduces the risk of falls.
The other options listed are not appropriate instructions for a client taking codeine:
A. "You should expect to experience diarrhea while taking this medication." While constipation is a common side effect of opioids, diarrhea is not typically associated with codeine use. Therefore, there is no need to expect or warn about diarrhea as an anticipated effect of taking codeine.
C. "You should limit alcohol intake to 12 ounces daily." Mixing alcohol with codeine can have harmful effects, such as increased sedation and respiratory depression. However, it is generally recommended to avoid alcohol completely while taking codeine, rather than setting a specific limit of 12 ounces daily.
D. "You should take the medication on an empty stomach to prevent nausea." Taking codeine with or without food can vary depending on individual factors and the specific instructions provided by the healthcare provider. However, taking codeine on an empty stomach does not necessarily prevent nausea. In fact, taking it with food may help reduce stomach upset for some individuals. It is best to follow the specific instructions provided by the healthcare provider regarding the timing of codeine administration with or without food.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
During an asthma attack, the primary concern is the patient's ability to breathe and maintain adequate oxygenation. Monitoring the patient's respiratory rate and oxygen saturation (SpO2) with a pulse oximeter provides crucial information about the effectiveness of the albuterol treatment and the patient's respiratory status. It helps determine if the airway is opening up, if oxygen levels are improving, and if the patient is responding positively to the medication.
While determining the time of the patient's last meal can be relevant for certain interventions, it is not the immediate priority during an asthma attack. It is more important to focus on assessing and managing the patient's breathing and oxygenation first.
Monitoring the patient's temperature and blood pressure can be important for a comprehensive assessment, but they are not the immediate priority during an acute asthma attack. Addressing the patient's respiratory distress takes precedence.
Providing education on asthma management and treatment is an important aspect of care, but it should be done after the patient's acute symptoms are addressed and stabilized. In the immediate assessment phase, the focus is on assessing and managing the patient's respiratory status. Education can be provided once the patient's immediate needs are addressed.
Correct Answer is D
Explanation
Beclomethasone is an inhaled corticosteroid commonly used for the treatment of asthma. One of the potential side effects of inhaled corticosteroids is oral candidiasis, also known as thrush. Rinsing the mouth with water after each administration helps to reduce the risk of developing thrush by removing any residual medication from the mouth and throat.
The other options listed are not specific instructions for inhaled beclomethasone:
A. Check the pulse after medication administration: While it is important to monitor vital signs, such as pulse, in certain situations, checking the pulse after inhaled beclomethasone administration is not a specific instruction for this medication.
B. Limit caffeine intake: There is no specific need to limit caffeine intake when taking inhaled beclomethasone. However, it is generally advisable to discuss dietary considerations, including caffeine, with a healthcare provider, as individual factors and medication interactions can vary.
C. Take the medication with meals: Inhaled beclomethasone is usually taken as prescribed by the healthcare provider, and the timing of administration with meals is not typically specified.
However, it is important for the client to follow the specific instructions provided by their healthcare provider regarding the timing and frequency of inhaled medication administration.
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