A client presents at the clinic with a dry nonproductive cough. The client is diagnosed with bronchitis, and it has been determined that assistance is needed in thinning the sputum so the cough can become productive.
What does the nurse expect the provider will prescribe?

Benzonatate.

Dextromethorphan.

Guaifenesin.

Answer and Explanation

The Correct Answer is D

Guaifenesin is an expectorant that helps thin and loosen mucus in the lungs, making it easier to cough up the sputum. Some possible explanations for the other choices are:

Choice A. Benzonatate is wrong because benzonatate is an antitussive that suppresses the cough reflex by numbing the throat and lungs.

It does not help with sputum production or clearance.

Choice B. Dextromethorphan is wrong because dextromethorphan is also an antitussive that acts on the brain to reduce the urge to cough.

It does not affect the mucus or bronchial secretions.

Choice C. Hydrocodone is wrong because hydrocodone is a narcotic antitussive that works by binding to opioid receptors in the brain and spinal cord, blocking pain signals and decreasing cough.

It can cause sedation, respiratory depression, and dependence, and is not indicated for bronchitis.

Normal ranges for sputum production vary depending on the individual and the cause of the cough, but generally range from 10 to 100 mL per day.

Excessive or abnormal sputum may indicate an infection, inflammation, or obstruction of the airways.

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Free Nursing Study Resources

Correct Answer is C

Explanation

The nurse should advise the client to avoid aluminum salts because they can increase the risk of aluminum toxicity when taken with sucralfate. Sucralfate forms a protective coating over the ulcer and binds to aluminum in the stomach.

Choice A is wrong because Milk of Magnesia is a magnesium-based antacid that can cause diarrhea, but does not interact with sucralfate.

Choice B is wrong because Calcium carbonate is a calcium-based antacid that can cause constipation, but does not interact with sucralfate.

Choice D is wrong because Proton pump inhibitors are drugs that reduce the production of stomach acid and can help heal ulcers.

They do not interact with sucralfate.

A. Dimenhydrinate. B. Aspirin. C. Ibuprofen. D. Famotidine.

Correct Answer is B

Explanation

The client should avoid taking aspirin while taking corticosteroids because of the potential drug-drug interaction between them. This interaction may cause a reduction in the blood levels of aspirin and decrease its effectiveness. It may also increase the risk of gastrointestinal side effects such as inflammation, bleeding, ulceration, and perforation.

Choice A is wrong because dimenhydrinate is an antihistamine that is used to prevent and treat nausea, vomiting, and dizziness.

It does not have a significant interaction with corticosteroids.

Choice C is wrong because ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that is used to relieve pain, inflammation, and fever.

It has a similar interaction with corticosteroids as aspirin, but it is less potent and less likely to cause bleeding.

Choice D is wrong because famotidine is a histamine-2 receptor antagonist that is used to treat and prevent ulcers, gastroesophageal reflux disease (GERD), and other conditions that cause excess stomach acid.

It does not have a significant interaction with corticosteroids.

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A client presents at the clinic with a dry nonproductive cough. The client is diagnosed with bronchitis, and it has been determined that assistance is needed in thinning the sputum so the cough can become productive. What does the nurse expect the provider will prescribe?

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Naxlex Comprehensive Predictor Exams

A client with a duodenal ulcer is receiving sucralfate for short-term treatment. What should the nurse advise the client to avoid?

Correct Answer is C

Explanation

A nurse is providing client education to a client who has had corticosteroids prescribed. What drug should the nurse teach the client to avoid while taking the corticosteroids?

Correct Answer is B

Explanation

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A client presents at the clinic with a dry nonproductive cough. The client is diagnosed with bronchitis, and it has been determined that assistance is needed in thinning the sputum so the cough can become productive.
What does the nurse expect the provider will prescribe?