What statement by a client who is to take an antitussive with codeine indicates that the nurse’s teaching has been effective?

“I will take this medication anytime I start to cough.”.

“This medication may make me anxious and nervous.”.

“This medication can cause drowsiness, so I will avoid driving after taking it.”.

“I might get diarrhea, so I’ll call my provider if that happens.”.

Answer and Explanation

The Correct Answer is C

This statement indicates that the patient understands the common side effect of codeine and how to prevent accidents while taking it.

Choice A is wrong because the patient should not take the medication anytime he starts to cough, but only as prescribed by the doctor.

Taking too much codeine can lead to overdose, addiction, or respiratory depression.

Choice B is wrong because this medication may not make the patient anxious and nervous, but rather sedated and relaxed.

Anxiety and nervousness are more likely to occur with decongestants, which are stimulants.

Choice D is wrong because diarrhea is not a common side effect of codeine.

In fact, codeine may cause constipation, so the patient should increase fluid and fiber intake while taking it.

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Correct Answer is A

Explanation

Phenothiazines are contraindicated in patients with suspected or established subcortical brain damage. Phenothiazines are a class of drugs that have antipsychotic, antiemetic, and sedative effects. They act by blocking dopamine receptors in the brain and can cause extrapyramidal symptoms, hypotension, and anticholinergic effects.

Choice B is wrong because phenothiazines are not contraindicated in patients with ischemic heart disease.

However, they can cause orthostatic hypotension and cardiac arrhythmias, so they should be used with caution and monitored closely in these patients.

Choice C is wrong because phenothiazines are not contraindicated in pediatric patients.

However, they can cause sedation, hypotension, and extrapyramidal symptoms, so they should be used with caution and at lower doses in these patients.

Choice D is wrong because phenothiazines are not contraindicated in patients with type 2 diabetes.

However, they can cause hyperglycemia and weight gain, so they should be used with caution and monitored closely in these patients.

A. Number of times client’s family reports the client is nauseated. B. How well the client is eating. C. Color and amount of vomit, and frequency of vomiting episodes. D. Client’s nutritional status and fluid balance.

Correct Answer is C

Explanation

The nurse would assess these factors to determine the need for therapy. Some possible explanations for the other choices are:

Choice A. Number of times client’s family reports the client is nauseated.

This is not a reliable indicator of the severity or cause of nausea and vomiting.

The nurse should assess the client directly and not rely on the family’s reports.

Choice B. How well the client is eating.

This is not a specific or objective measure of nausea and vomiting.

The client may have other reasons for not eating well, such as loss of appetite, taste changes, or pain.

The nurse should also monitor the client’s weight, hydration status, and electrolyte levels.

Choice D. Client’s nutritional status and fluid balance.

These are important aspects of the client’s overall health, but they are not directly related to nausea and vomiting.

The nurse should assess these factors as part of the comprehensive care plan, but they are not sufficient to determine the need for therapy.

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What statement by a client who is to take an antitussive with codeine indicates that the nurse’s teaching has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

For which client would the use of a phenothiazine most likely be contraindicated?

Correct Answer is A

Explanation

A client has begun reporting nausea and vomiting. What would the nurse assess to determine the need for therapy?

Correct Answer is C

Explanation

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