Nokea
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.
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Before administering an antitussive to a client, which of the following would the nurse assess? Select all that apply.
- A. Temperature
- B. Sputum presence
- C. Type of cough
- D. Bowel sounds
- E. Heart sounds
Correct Answer: A,B,C
Rationale: Vital signs, type of cough, presence of sputum, color and amount of sputum, home remedies used, and actions taken should be assessed prior to initiation of an antitussive. Bowel and heart sounds are not part of the preadministration assessment.
A client is prescribed an antitussive for home use. Which of the following should a nurse include in the client's teaching plan? Select all that apply.
- A. Decreasing fluid intake during treatment with an antitussive
- B. Encouraging the use of sedatives during treatment
- C. Drinking fluids at least 30 minutes after taking a lozenge form
- D. Swallowing oral antitussive capsules whole
- E. Avoiding respiratory irritants during antitussive treatment
Correct Answer: D,E
Rationale: A client's antitussive teaching plan should include the following instructions, do not exceed recommended dose; avoid respiratory irritants; drink plenty of fluids if not contraindicated; swallow oral capsules whole; avoid drinking fluids for 30 minutes after taking a lozenge; do not use alcohol or other CNS depressants while being treated with antitussives; and contact the physician if cough is not relieved or becomes worse or is accompanied by chills, fever, chest pain, or sputum production.
Eucalyptus is an herbal product that can be used as a decongestant and expectorant. In which of the following client populations would the nurse identify a contraindication for its use? Select all that apply.
- A. Pregnant females
- B. Children younger than 2 years of age
- C. Lactating females
- D. Postmenopausal females
- E. Men
Correct Answer: A,B,C
Rationale: The use of eucalyptus is contraindicated during pregnancy and lactation, as well as in people who are hypersensitive to eucalyptus and in children younger than 2 years of age.
A client has been prescribed a decongestant drug for congestion associated with rhinitis. When teaching the client about this drug, which of the following would the nurse include as a possible adverse reaction?
- A. Decreased pulse rate
- B. Blurred vision
- C. Drowsiness
- D. Dryness of throat
Correct Answer: B
Rationale: The nurse should inform the client that blurred vision is a possible adverse reaction of decongestant drugs. Additionally, an increased and not decreased pulse rate may also be seen. Drowsiness is not seen with decongestant usage. Dryness of the nasal mucosa and not the throat may be seen with decongestant drugs, which are used mostly as topical sprays and drops.
A nurse is caring for a client with thick sputum who is having difficulty bringing up mucus. Which nursing diagnosis would the nurse most likely identify?
- A. Ineffective Airway Clearance
- B. Acute Pain
- C. Risk for Injury
- D. Impaired Oral Mucous Membranes
Correct Answer: A
Rationale: Thick sputum interferes with moving air effectively in and out of the respiratory tract. Therefore, the most likely nursing diagnosis would be Ineffective Airway Clearance. There is no evidence of pain. Risk for Injury would be appropriate if the client was experiencing sedation or drowsiness from the prescribed medication. Impaired Oral Mucous Membranes would be appropriate if the client was experiencing dry mouth from the medication.