An adult client diagnosed with insomnia asks the nurse about the side effects of over-the-counter medications that contain diphenhydramine. Select all side effects that are correct for the nurse to list

1. Urinary retention
2. Blurred vision
3. Dry mouth
4. Diarrhea
5. Rhinorrhea


ANS: 1, 2, 3
One side effect is constipation, so option 4 is incorrect. Nasal congestion can occur, so option 5 is incorrect. Options 1, 2, and 3 are some of the anticholinergic side effects.

Nursing

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A working goal for the nurse–client relationship is to achieve:

1. Facilitative intimacy. 2. Self-disclosure. 3. Interdependence. 4. Social superficiality.

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Which of the following differences is found in parish nursing in a rural area as opposed to parish nursing in an urban area?

a. Rural parish nurses are less likely to be involved in case management or care coordination than their urban counterparts. b. Rural residents are more grateful for the nurse's assistance because there are so few health resources in rural areas. c. Rural residents are typically less committed to traditional values or a strong religious faith. d. Rural residents may discuss health concerns with the nurse wherever they meet, whether in church or the local market.

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Which medication does the nurse anticipate the health care provider will order for a patient suffering from seasonal allergies?

a. Fluorescein b. Keralac c. Ketorolac d. Silver nitrate

Nursing

The nurse is teaching a client who has undergone a bone marrow biopsy. Which instruction does the nurse give the client?

a. "Wear protective gear when playing con-tact sports." b. "Monitor the biopsy site for bruising." c. "Remain in bed for at least 12 hours." d. "Use a heating pad for pain at the biopsy site."

Nursing