Nokea
A nurse is assigned to care for a client with a nonproductive cough. The client has been prescribed codeine sulfate. The nurse understands that this drug is contraindicated in which client?
- A. Client with head injury
- B. Client with COPD
- C. Premature infant
- D. Clients with asthma
Correct Answer: C
Rationale: Codeine sulfate is contraindicated in premature infants. Codeine sulfate should be used cautiously in clients with head injury, COPD, and asthma.
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After administering a decongestant, which of the following would the nurse include in the ongoing assessment? Select all that apply.
- A. Heart sounds
- B. Blood pressure
- C. Level of congestion
- D. Therapeutic effect
- E. Pain assessment
Correct Answer: B,C,D
Rationale: The ongoing assessment for a client taking a decongestant should include assessment of blood pressure and pulse and asking about level of congestion, therapeutic effect, and adverse reactions.
The nurse understands that codeine-containing antitussives should be used cautiously in clients with which of the following conditions? Select all that apply.
- A. Pregnancy
- B. Convulsive disorders
- C. Prostatic hypertrophy
- D. Hyperlipidemia
- E. Type 2 diabetes
Correct Answer: A,B,C
Rationale: Codeine-containing antitussives should be used cautiously during pregnancy and labor and in clients with COPD, acute asthma attacks, pre-existing respiratory disorders, acute abdominal conditions, head injury, increased intracranial pressure, convulsive disorders, hepatic or renal impairment, and prostatic hypertrophy.
A client suffers from motion sickness. Which of the following would the nurse anticipate the primary health care provider to prescribe? Select all that apply.
- A. Promethazine (Phenergan)
- B. Diphenhydramine (Benadryl)
- C. Levocetirizine (Xyzal)
- D. Azelastine (Astelin)
- E. Pseudoephedrine (Sudafed)
Correct Answer: A,B
Rationale: Both promethazine and diphenhydramine can be used in the treatment of motion sickness. None of the other drugs listed would be appropriate.
When describing the actions of upper respiratory system drugs, a nursing instructor explains that which of the following exerts its effect by increasing the production of secretions, thereby decreasing the viscosity? Select all that apply.
- A. Benzonatate
- B. Guaifenesin
- C. Codeine
- D. Potassium iodide
- E. Dextromethorphan
Correct Answer: A,D
Rationale: Benzonatate and potassium iodide are expectorants, which increase the production of secretions, thus making the secretions less viscous. Guaifenesin, codeine, and dextromethorphan are antitussives, which suppress cough.
A nursing instructor is describing the advantages of using a second-generation antihistamine over a first-generation antihistamine. Which of the following would the instructor most likely include? Select all that apply.
- A. Less sedation
- B. Fewer anticholinergic effects
- C. Less nausea
- D. Can be used during pregnancy
- E. Can be used during lactation
Correct Answer: A,B
Rationale: Second-generation antihistamines cause less sedation and fewer anticholinergic effects because they selectively bind to peripheral rather than central H1 receptors. Some first-generation antihistamines can be used as antiemetics. Use of any antihistamine is contraindicated during pregnancy and lactation.