A nurse is assessing a client who has seasonal allergies and is taking an antihistamine. Which of the following findings is an adverse effect of this type of medication?

Photophobia

Diarrhea

Dry mouth

Increased blood pressure

Answer and Explanation

The Correct Answer is C

A. Photophobia: Photophobia is not a common side effect of antihistamines. It can be associated with other conditions, but not typically with antihistamine use.

B. Diarrhea: Diarrhea is not a common side effect of antihistamines; they are more likely to cause constipation due to their anticholinergic effects.

C. Dry mouth: Dry mouth is a common anticholinergic effect of antihistamines. It occurs because these medications block acetylcholine, leading to decreased saliva production.

D. Increased blood pressure: Increased blood pressure is not a typical side effect of antihistamines. While some formulations may cause increased heart rate or palpitations, they do not generally lead to hypertension directly.

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Correct Answer is B

Explanation

A. Vomiting: While vomiting can occur during anaphylaxis, it is not the most immediately life-threatening symptom.

B. Stridor: Stridor indicates upper airway obstruction, which is a critical and life-threatening sign of anaphylaxis. This finding requires immediate intervention, such as administering epinephrine and ensuring airway patency.

C. Hypertension: Hypertension is not typically associated with anaphylaxis; instead, hypotension is more common due to vascular collapse.

D. Urticaria: Urticaria (hives) can occur in anaphylaxis, but it is not as urgent as stridor, which indicates a compromised airway.

A. "This may mean that your liver is failing and you need immediate medical attention." B. "This is an expected finding for someone with a diet high in red meat.” C. “This is a symptom that your urinary tract infection is worsening. I will notify the provider.” D. “This is an expected finding if you are taking the over the counter medication, Phenazopyridine.”

Correct Answer is D

Explanation

A. "This may mean that your liver is failing and you need immediate medical attention." This statement is misleading; orange-red urine is not typically a sign of liver failure, especially in the context of a urinary tract infection.

B. "This is an expected finding for someone with a diet high in red meat." While diet can affect urine color, red meat is not commonly associated with orange-red urine; this is not a relevant response given the client's context.

C. “This is a symptom that your urinary tract infection is worsening. I will notify the provider.” While it is important to monitor urinary tract infections, orange-red urine is more likely related to the use of phenazopyridine rather than a worsening infection.

D. “This is an expected finding if you are taking the over-the-counter medication, Phenazopyridine.” Phenazopyridine is known to cause orange-red discoloration of urine, and this statement provides reassurance to the client regarding their symptoms.

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A nurse is assessing a client who has seasonal allergies and is taking an antihistamine. Which of the following findings is an adverse effect of this type of medication?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client for a suspected anaphylactic reaction following a CT scan with contrast media. For which of the following client findings should the nurse intervene first?

Correct Answer is B

Explanation

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Correct Answer is D

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