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 ["10"]
Explanation
To determine the mL of diphenhydramine elixir to administer per dose, we need to calculate the dose based on the prescribed amount and the concentration of the elixir.
Given:
Prescribed dose: 25 mg Concentration of elixir: 12.5 mg/5 mL
We can set up a proportion to find the equivalent mL for the prescribed dose: 25 mg / x mL = 12.5 mg / 5 mL
Cross-multiplying and solving for x, we get:
25 mg * 5 mL = 12.5 mg * x mL 125 mg = 12.5 mg * x mL
125 mg / 12.5 mg = x mL 10 mL = x mL
Therefore, the nurse should administer 10 mL of diphenhydramine elixir per dose.
Correct Answer is C
Explanation
Pseudoephedrine is a sympathomimetic medication that acts as a decongestant by constricting blood vessels in the nasal passages, which helps to relieve sinus congestion. However, it can also cause vasoconstriction in other parts of the body, leading to an increase in blood pressure. Therefore, it is contraindicated for individuals with hypertension (high blood pressure).
The other conditions mentioned, migraines, eczema, and diverticulitis, are not contraindications for the use of pseudoephedrine. However, it is important for individuals with these conditions to consult their healthcare provider before taking pseudoephedrine, as it may interact with other medications or exacerbate certain symptoms.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today