The nurse is caring for a patient with a cold who presents to the emergency department after having taken diphenhydramine (Benadryl), a glass of wine, and four shots of whiskey to "kill" the cold
The nurse should observe the patient for apparent signs of a. vomiting and gastrointestinal upset.
b. central nervous system depression.
c. dryness in the oral mucosa.
d. mydriasis.
B
CNS depression is a resultant drug-to-drug interaction for a patient taking diphenhydramine and alcohol, because both are central nervous system depressants.
Mixing diphenhydramine, wine, and whiskey may or may not cause vomiting and gastrointestinal upset.
Dryness of the oral mucosa is not significant when a patient has mixed diphenhydramine, wine, and whiskey.
Miosis (constricted pupils) rather than mydriasis (dilated pupils) could possibly be expected when diphenhydramine, wine, and whiskey are mixed.
DIF: Cognitive Level: Analysis REF: pp. 35-36
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity: Reduction of Risk Potential
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a. true b. false