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
The sympathetic nervous system postganglionic neurons primarily release norepinephrine as their neurotransmitter. These neurons are part of the autonomic nervous system and are responsible for coordinating the body's "fight or flight" response to stress or danger.
Norepinephrine acts as a neurotransmitter at the postganglionic synapses and binds to adrenergic receptors in the target tissues, mediating the physiological responses associated with sympathetic activation.
While acetylcholine is the primary neurotransmitter released by the preganglionic neurons of the sympathetic nervous system, it is not the neurotransmitter released by postganglionic neurons. Epinephrine (also known as adrenaline) is released into the bloodstream by the adrenal medulla and acts as a hormone, not a neurotransmitter. Arginine is an amino acid and is not directly involved in the neurotransmission of the sympathetic nervous system.
Correct Answer is A
Explanation
Expectorants are medications that help thin and loosen mucus in the respiratory tract, making it easier to cough up and clear from the airways. Increasing fluid intake, particularly water helps to keep the mucus thin and less sticky, facilitating its removal. Adequate hydration can help promote effective expectoration and relieve congestion.
The other options are incorrect because:
B. Taking the medication once a day only, usually at bedtime: The dosing frequency and timing of expectorants can vary depending on the specific medication prescribed. It is important to follow the healthcare provider's instructions regarding the dosing schedule.
C. Increase fiber and fluid intake to prevent constipation: This instruction is unrelated to expectorant use. Increasing fiber and fluid intake is commonly recommended to promote regular bowel movements and prevent constipation, but it is not directly related to expectorant therapy.
D. Restrict fluids to decrease mucus production: Restricting fluids can lead to dehydration and thickening of mucus secretions. It is important to stay adequately hydrated to maintain thin and easily expectorated mucus. Restricting fluids is not recommended for managing mucus production.
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