A nurse at a provider's office is collecting data from a client who reports taking pseudoephedrine for sinus problems. The nurse should recognize that which of the following conditions from the client's history places the client at risk for harm while taking pseudoephedrine?

Overweight

Migraine headaches

Eczema

Hypertension

Answer and Explanation

The Correct Answer is D

A. Overweight. While weight can affect medication metabolism, it does not specifically increase risk with pseudoephedrine.

B. Migraine headaches. Migraine headaches are not contraindicated with pseudoephedrine, although some stimulants can increase headaches.

C. Eczema. Pseudoephedrine does not typically affect eczema.

D. Hypertension. Pseudoephedrine is a decongestant that can increase blood pressure, so it should be used with caution in clients with hypertension.

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Correct Answer is B

Explanation

A. Suggest that the client rests before eating the meal. Although rest can help with nausea, it does not address the potential issue of digoxin toxicity, which can cause nausea.

B. Check the client's vital signs. Checking vital signs, especially heart rate, is the priority because nausea can indicate digoxin toxicity, which affects heart function.

C. Request a dietary consult. A dietary consult may be helpful if the client continues to refuse meals, but it does not address the immediate potential for digoxin toxicity.

D. Request an order for an antiemetic. Although an antiemetic may help with nausea, assessing for toxicity takes priority.

A. "I will avoid crossing my legs at the knees." B. "I will use a thermometer to check the temperature of my bath water." C. "I will not go barefoot." D. "I will wear stockings with elastic tops."

Correct Answer is D

Explanation

A. "I will avoid crossing my legs at the knees." Crossing the legs can restrict blood flow and should be avoided in PVD.

B. "I will use a thermometer to check the temperature of my bath water." Due to reduced sensation, checking the water temperature can prevent burns.

C. "I will not go barefoot." Going barefoot increases the risk of injury or infection, especially with impaired circulation.

D. "I will wear stockings with elastic tops." Stockings with tight elastic tops can restrict blood flow, worsening symptoms in PVD.

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A nurse at a provider's office is collecting data from a client who reports taking pseudoephedrine for sinus problems. The nurse should recognize that which of the following conditions from the client's history places the client at risk for harm while taking pseudoephedrine?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg daily. The client refuses breakfast and reports nausea. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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