A client has the feeling of having “chest tightness” while experiencing “cold-like” symptoms. Her cough is nonproductive. Her physician prescribed guaifenesin (Mucinex) to help with secretions.
When teaching about this medication, what should the nurse instruct? (Select all that apply)
“Drink extra water while taking this medication.”
“Monitor urine output closely.”
“Take it with an oral antihistamine for better effectiveness.”
“Avoid driving or using heavy machinery while on this medication.”
Correct Answer : A
A. “Drink extra water while taking this medication.”
This is correct. Guaifenesin is an expectorant that works by thinning and loosening mucus in the airways. Drinking extra water helps to enhance its effectiveness by keeping the patient well-hydrated.
B. “Monitor urine output closely.”
Monitoring urine output is not typically necessary with guaifenesin. It does not have a diuretic effect, and excessive monitoring of urine output may not be relevant in this context.
C. “Take it with an oral antihistamine for better effectiveness.”
Guaifenesin is often used in combination with other medications, but taking it with an oral antihistamine is not a standard recommendation. The combination should be based on the specific guidance of the healthcare provider.
D. “Avoid driving or using heavy machinery while on this medication.”
Guaifenesin does not typically cause sedation or impairment, so there is generally no need to avoid driving or using heavy machinery. This instruction may not be necessary for this medication.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. “This medication is a leading cause of bronchospasm.”
Glucocorticoid inhalers are not a leading cause of bronchospasm. In fact, they are often prescribed to reduce inflammation and prevent bronchospasm in conditions like asthma and chronic obstructive pulmonary disease (COPD).
B. “This medication will cause you to become fatigued.”
Fatigue is not a common side effect of inhaled glucocorticoids. Systemic effects are more likely with oral or intravenous administration, whereas inhaled forms are designed to have localized effects.
C. “You must gargle and rinse your mouth immediately after each use of this medication.”
Inhaled glucocorticoids can sometimes lead to local side effects, such as oral candidiasis (thrush) or hoarseness. Gargling and rinsing the mouth after using the inhaler can help minimize these side effects by reducing the risk of fungal overgrowth in the mouth and throat.
D. “This medication may cause you to feel anxious.”
Anxiety is not a common side effect of inhaled glucocorticoids. Again, systemic effects are more associated with other routes of administration. The use of inhaled glucocorticoids is generally well-tolerated when used as directed.
Correct Answer is C
Explanation
A. “Do you think you and your daughter may have time to go shopping for a wig between now and the time you begin treatment?”
This option recognizes the patient's concern about hair loss and offers a practical suggestion for preparing for it. It shows empathy and support by involving a family member in the process of coping with potential hair loss.
B. “Most patients just wear a hat or turban and just let their hair grow back following treatment.”
This statement provides an alternative approach to dealing with hair loss by suggesting the use of head coverings like hats or turbans. It emphasizes the temporary nature of the hair loss during treatment.
C. “I would be less concerned about cosmetic changes that you may experience and be more concerned about treating the cancer.”
This option encourages the patient to prioritize the cancer treatment over cosmetic concerns, emphasizing the importance of addressing the underlying health issue. It offers a supportive and empathetic perspective.
D. “Just pray about it.”
This option suggests relying on prayer as a sole coping mechanism, which may not address the patient's emotional concerns effectively. While spirituality and prayer can be important for some individuals, it's essential to provide practical and emotional support as well.
E. “Keep a positive attitude. Just wait until your treatment begins to before you become concerned
about losing your hair, after all, you may not experience hair loss.”
This statement encourages a positive attitude and suggests delaying concerns about hair loss until after treatment has begun. While maintaining a positive outlook is beneficial, it's also important to acknowledge and address the patient's current concerns and provide information about potential side effects.
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