The nurse is caring for a patient who is hospitalized for an asthma exacerbation. The patient reports taking diphenhydramine at home at night to help with symptoms of allergic rhinitis and cough

The nurse will contact the patient's provider to request an order for which medication?
a. Benzonatate (Tessalon Perles)
b. Cetirizine (Zyrtec)
c. Dextromethorphan hydrobromide (Benylin DM)
d. Diphenhydramine (Benadryl)


ANS: B
Cetirizine is an antihistamine, which is indicated for this patient's symptoms. Diphenhydramine is also an antihistamine but, because of its anticholinergic side effects, is contraindicated in patients with asthma. Benzonatate and dextromethorphan are anti-tussives and not antihistamines.

Nursing

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A client's blood pressure readings have shown great variation since admission. Which of these actions should the nurse take next?

a. Assume the findings reflect the client's medical condition. b. Determine whether the blood pressure cuff being used is the correct size for this client. c. Report findings to the health care provider. d. Review the medications ordered and the administration schedule to determine any effect on blood pressure.

Nursing

A client, being discharged home after an appendectomy for a ruptured appendix, has an open wound that will require packing with wet-to-dry dressing three times a day. She states, "A nurse will have to come do that, I can't stand to look at it."

To provide the needed self-care, the client will first need to effect change in which domain of learning? a. Cognitive b. Psychomotor c. Affective d. Skills

Nursing

The nurse introduces herself and shakes the patient's hand, then sits so that eye contact can be maintained during the health interview. The nurse's actions demonstration which of the following?

1. Positive nonverbal messages 2. Negative nonverbal messages 3. Empathy 4. Facilitation

Nursing

A maternal indication for the use of vacuum extraction is:

a. A wide pelvic outlet. c. A history of rapid deliveries. b. Maternal exhaustion. d. Failure to progress past 0 station.

Nursing