A client asks the nurse if there is an antihistamine that does not cause drowsiness. Which of the following medications would this client most likely prefer to treat allergic rhinitis?
1. Diphenhydramine
2. Chlorpheniramine maleate
3. Clemastine
4. Fexofenadine
4
Fexofenadine (Allegra) is a second-generation antihistamine, and second-generation antihistamines exhibit less sedation than first-generation medications such as diphenhydramine, chlorpheniramine maleate, and clemastine.
You might also like to view...
During an assessment the nurse observes the client jumping from one idea to another, unable to completely answer any of the assessment questions. The nurse recognizes this speech pattern as being:
1. Circumlocution. 2. Flight of ideas. 3. Neologisms. 4. Echolalia.
A patient who has diabetes complains of a tingling sensation in the face and is running a fever. Two hours later, the nurse notes dark drainage coming from the patient's nose. Which is the nurse's priority action?
1. Encourage the patient to frequently blow the nose. 2. Notify the health care provider immediately. 3. Administer antipyretics. 4. Obtain a blood glucose level.
A child refuses to tell the nurse how he is doing or if he is in pain. The nurse asks the child to draw a picture of how he feels because:
a. This will both entertain and distract the child b. This allows the nurse to assess his fears c. This will demonstrate to the parent that their child is functioning normally d. All of the above
A 2-year-old male presents to clinic with his caregiver stating that "he slipped and fell running on the hardwood floor with the dog.". He cried immediately and refused to bear weight on his left side
X-rays were taken in the emergency room of his hip, knee, and ankle. The report was negative. The caregiver states that he is still uncomfortable and is not walking on it. Laboratory tests were done and came back negative for elevated ESR, CRP, and CBC. Upon physical examination, he has pain and immediately withdraws his leg on palpation of his anterior tibia shaft. He says "ouchie" and "no hurt my leg.". Your knowledge and the exam would lead you to diagnose the child with which of the following conditions? 1. Juvenile Idiopathic Arthritis 2. Toddler's Fracture 3. Hip Dysplasia 4. Sprained ankle