A patient has an important presentation to make in 4 hours and he needs relief from the congestion of seasonal rhinitis. The patient calls the nurse, explains the situation, and tells the nurse that he cannot afford to be drowsy
Which antihistamine would be a good choice for this patient? A) Diphenhydramine (Benadryl)
B) Dexchlorpheniramine (Polaramine)
C) Loratadine (Claritin)
D) Hydroxyzine (Atarax)
C
Feedback:
The first-generation antihistamines, including diphenhydramine, dexchlorpheniramine, and hydroxyzine, are associated with drowsiness. Loratadine is one of the second-generation antihistamines, which have fewer anticholinergic effects and are less likely to cause drowsiness.
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The nurse explains the clinical signs of death for the client who is not on artificial life support as including: Standard Text: Select all that apply
1. Cessation of apical pulse 2. Cessation of respirations 3. Cessation of blood pressure 4. Total lack of response to external stimuli 5. Absence of electric currents from the brain
The nurse teaches an older adult who has diabetes mellitus and takes metoprolol (Lopressor) to recognize clinical indicators of hypoglycemia
Which clinical indicators of hypoglycemia does the nurse include in patient teaching as the indicators this man is most likely to detect? (Select all that apply.) a. Shaking b. Dizziness c. Weakness d. Diaphoresis e. Tachycardia f. Impaired vision
When administering a prescribed drug to a client, which action would be completely inappropriate? Select all that apply
A) Charting immediately on the MAR after drug administration B) Removing a drug from an unlabeled container C) Giving a drug that someone else prepared D) Crushing tablets or opening capsules E) Removing the drug's unit dose wrapper at the client's bedside
For women with type 1 diabetes, good metabolic control is especially important at the time of conception and during the first trimester to prevent
a. macrosomia. b. fetal malformations. c. nutrient deficiencies. d. excessive weight gain.