A client with a cold is taking an antitussive medication. Which assessment information indicates to the nurse that the medication is effective?
Expectorating bronchial secretions.
Reports reduced nasal discharge.
Able to sleep through the night.
Denies having coughing spells.
The Correct Answer is D
A. Expectorating bronchial secretions: This outcome is more closely associated with expectorants, which loosen mucus in the airways. Antitussives, by contrast, suppress the cough reflex and are not intended to increase mucus clearance or productive coughing.
B. Reports reduced nasal discharge: Reduced nasal discharge is typically an effect of decongestants or antihistamines, not antitussive medications. Antitussives target the cough reflex, not nasal secretions.
C. Able to sleep through the night: While improved sleep may result from reduced coughing, it is a secondary and nonspecific outcome. The ability to sleep could be influenced by other factors such as overall symptom relief, not necessarily the effectiveness of the antitussive alone.
D. Denies having coughing spells: Antitussives are designed to suppress the cough reflex, particularly in cases of dry, nonproductive cough. A report of no more coughing spells directly reflects the intended therapeutic effect of the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}
Explanation
24 hrs: Insulin glargine provides a steady, basal level of insulin for about 24 hours after injection. It is specifically designed for once-daily dosing to maintain blood glucose stability throughout the day and night.
15 mins: Fifteen minutes is too soon for insulin glargine to start working. This onset time is typical for rapid-acting insulins like lispro or aspart, not for long-acting basal insulins like glargine.
1 hr: Insulin glargine begins to work slowly after administration, with an onset typically around 1 hour. It does not act immediately like rapid insulins but instead gradually lowers blood glucose over an extended time.
48 hrs: A duration of 48 hours is too long for insulin glargine. Its therapeutic window is designed to last about 24 hours, supporting once-daily dosing without significant overlapping or stacking effects if scheduled correctly.
Correct Answer is D
Explanation
A. Headache: Although headache can occur as a mild side effect of azithromycin, it is not typically serious or life-threatening. It does not require immediate reporting unless it is severe or associated with other concerning symptoms.
B. Urinary frequency: Urinary symptoms like frequency are not common adverse effects of azithromycin. If present, they are more likely related to the underlying infection rather than the medication itself.
C. Flatulence and nausea: Gastrointestinal symptoms such as nausea and flatulence are common and expected with azithromycin. They are usually mild and do not require the client to contact the healthcare provider unless they become severe or persistent.
D. Yellow sclera: Yellowing of the sclera is a sign of jaundice, which could indicate liver dysfunction. Azithromycin can rarely cause hepatotoxicity, making this symptom important to report immediately to the healthcare provider for evaluation.
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