During an admission interview, a patient informs you that she has been taking an over-the-counter (OTC) sleeping pill. She asks you if the pill will interact with any medications
You tell the client that OTC sleep medications may have adverse effects when used with anticholinergic drugs and central nervous system depressants. You made this statement based on the knowledge that most OTC sleeping pills contain which of the following?
A) Opioids
B) Tricyclic antidepressants
C) Benzodiazepines
D) Antihistamines
Ans: D
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Most OTC medications for sleep contain the antihistamine diphenhydramine, which causes sedation, drowsiness, and tolerance, as well as the side effect of daytime sleepiness. Antihistamines may have adverse effects when used with anticholinergic drugs and central nervous system depressants.
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The mother of a 4-day-old calls the pediatrician's office because she is concerned about her infant's skin. Which finding needs to be reported promptly to the child's pediatrician?
a. The hands and feet feel cooler than the rest of the body. b. Skin is peeling on several parts of the infant's body. c. There is a small pink patch on the left eyelid and one on the neck. d. Today, the infant's skin has a yellowish tinge.
The nurse is concerned that an older patient with dementia receiving psychotropic medications for sleep is experiencing side effects. What did the nurse assess in this patient? Standard Text: Select all that apply
1. Dizziness 2. Constipation 3. Hallucinations 4. Daytime lethargy 5. Problems swallowing
Which of the following describes the difference between dehiscence and evisceration?
a. With dehiscence, there is a separation of one or more layers of wound tissue; evisceration involves the protrusion of internal viscera from the incision site. b. Dehiscence is an urgent complication that requires surgery as soon as possible; evisceration is not as urgent. c. Dehiscence involves the protrusion of internal viscera from the incision site; with evisceration, there is a separation of one or more layers of wound tissue. d. Dehiscence involves rupture of subcutaneous tissue; evisceration involves damage to dermal tissue.
A patient who uses an inhaled glucocorticoid medication reports having a sore tongue. The nurse notes white spots on the patient's tongue and oral mucous membranes
After notifying the provider, the nurse will remind the patient to perform which action? a. Avoid using a spacer with the inhaled glucocorticoid medication. b. Clean the inhaler with hot, soapy water after each use. c. Consume yogurt daily while using this medication. d. Rinse the mouth thoroughly with water after each use.