(Select all that apply) A patient with postoperative pain is prescribed hydroxyzine as an adjuvant analgesic. The nurse should teach the patient about which of the following benefits of this medication.
It can decrease anxiety related to pain.
It can prevent nausea and vomiting related to pain.
It can reduce inflammation and swelling related to pain.
It can promote sleep and rest related to pain.
It can enhance the effect of other analgesics related to pain.
Correct Answer : A,B,D,E
The correct answer is choice A, B, D, and E. Hydroxyzine is an antihistamine that has antiemetic and sedative effects that are thought to be mediated by its actions in the brain. It can also decrease anxiety related to pain by inhibiting the hypothalamic H-1 histamine receptors. Hydroxyzine may also have a potentiating effect on other analgesics, although the evidence for this is not conclusive.
Choice C is wrong because hydroxyzine does not have any anti-inflammatory properties. It is a competitive antagonist of histamine H1-receptors, not a cyclooxygenase inhibitor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A.Blurred vision is a common side effect of gabapentin and should be reported to the doctor.
Blurred vision can affect the patient’s ability to perform daily activities and may indicate a serious problem with the eyes or the brain.
Choice B is wrong because constipation is not a common side effect of gabapentin.
Constipation can be caused by other factors such as diet, dehydration, or lack of physical activity.
Choice C is wrong because dry mouth is a common side effect of gabapentin and does not usually require medical attention.
Dry mouth can be relieved by drinking water, chewing sugar-free gum, or using saliva substitutes.
Choice D is wrong because tinnitus is not a common side effect of gabapentin.
Tinnitus is a ringing or buzzing sound in the ears that can be caused by many conditions such as ear infections, hearing loss, or exposure to loud noises.
Correct Answer is C
Explanation
The correct answer is choice C) Chest pain.
This is because chest pain can be a sign of a serious cardiovascular event, such as a heart attack or stroke, which can be fatal.
Celecoxib is a nonsteroidal anti-inflammatory drug (NSAID) that belongs to the class of cyclooxygenase-2 (COX-2) inhibitors.These drugs can increase the risk of cardiovascular thrombotic events, especially in patients with a history of heart disease or risk factors.
Therefore, the nurse should instruct the client to report chest pain immediately and seek emergency medical attention.
Choice A) Constipation is wrong because it is not a common or serious side effect of celecoxib.
Constipation can be caused by many factors, such as diet, dehydration, lack of exercise, or other medications.It can be managed by increasing fluid and fiber intake, using laxatives or stool softeners as needed, and consulting a doctor if it persists or worsens.
Choice B) Nausea is wrong because it is a common but mild side effect of celecoxib that usually goes away with time or can be reduced by taking the medication with food or milk.
Nausea is not a sign of a serious adverse reaction and does not require immediate medical attention.
Choice D) Headache is wrong because it is also a common but mild side effect of celecoxib that can be treated with over-the-counter pain relievers, such as acetaminophen or ibuprofen.
However, the client should avoid taking aspirin or other NSAIDs with celecoxib, as this can increase the risk of gastrointestinal bleeding and ulcers
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