The nurse teaches the client that they were prescribed a first-generation antihistamine to avoid alcohol and other CNS depressants. What is the rationale for this particular teaching topic?

1. The antihistamine will not work if combined with alcohol or a CNS depressant.
2. The sedating effects will be increased.
3. The combination will cause insomnia.
4. Anaphylaxis is more likely when antihistamines are taken with alcohol.


2

Rationale 1: This combination can cause increased sedation.
Rationale 2: Care must be taken to avoid alcohol and other CNS depressants when taking antihistamines, as their sedating effects can be additive.
Rationale 3: This combination can cause increased sedation.
Rationale 4: This combination can cause increased sedation.

Global Rationale: Care must be taken to avoid alcohol and other CNS depressants when taking antihistamines, as their sedating effects can be additive. This combination can cause increased sedation.

Nursing

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When placing a client on a bedpan, the nurse should instruct the client to move to a side-lying position and:

a. take several deep breaths before sitting on the bedpan b. raise the hips as far as possible c. pin the call light cord on the gown d. roll onto the back while the bedpan is held

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A newly admitted patient complains of waking frequently during the night. The nurse observes the patient wearing a nicotine patch (Nicoderm CQ) on the right upper arm. Which action is best for the nurse to take?

a. Question the patient about use of the patch at night. b. Suggest that the patient go to bed earlier in the evening. c. Ask the health care provider about prescribing a sedative drug for nighttime use. d. Remind the patient that the benefits of the patch outweigh the short-term insomnia.

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The nurse is teaching an adult post-tonsillectomy patient. Which dietary instructions are most important for the nurse to include? (Select all that apply.)

a. Increase intake of citrus fruits. b. Avoid hot fluids. c. Avoid milk products. d. Avoid foods with red dye. e. Use a straw to drink liquids.

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The nurse suspects that a patient is experiencing the effects of peripheral atherosclerosis. What did the nurse most likely assess in this patient?

A. Complaints of leg pain upon rest B. Peripheral pulses present bilaterally C. Normal hair distribution bilaterally over lower extremities D. Rubor with extremity elevation

Nursing