A nurse is assisting with teaching a client about over-the-counter medications used to treat insomnia. The nurse should include that which of the following is an adverse reaction of diphenhydramine?
Dry mouth
Hypertension
Memory loss
Medications
The Correct Answer is A
Choice A reason : Dry mouth, also known as xerostomia, is a common side effect of diphenhydramine, an antihistamine used to treat insomnia among other conditions. It occurs because diphenhydramine has anticholinergic properties, which means it inhibits the action of the neurotransmitter acetylcholine. This inhibition can reduce saliva production, leading to a feeling of dryness in the mouth.
Choice B reason : Hypertension, or high blood pressure, is not a typical side effect of diphenhydramine. While some medications, particularly decongestants, can raise blood pressure, diphenhydramine does not usually have this effect. However, individuals with pre-existing heart conditions should consult a healthcare provider before using it.
Choice C reason : Memory loss is not commonly listed as a side effect of diphenhydramine. However, because it can cause drowsiness and has sedative effects, it may lead to temporary forgetfulness or confusion, especially in older adults or when taken in higher doses.
Choice D reason : 'Medications' is not an adverse reaction but rather a general term for drugs used to diagnose, treat, or prevent illness. In the context of diphenhydramine, it would be more appropriate to discuss specific side effects or adverse reactions related to its use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason : While assisting the client in identifying coping strategies that have worked in the past is important, it is not the first step in assessing self-concept. Coping strategies are part of a broader plan to manage self-concept issues once they have been identified.
Choice B reason : Identifying health alterations that are related to self-concept is the first step in the assessment process. Understanding how health changes affect the client's perception of themselves can provide a foundation for further exploration and intervention planning.
Choice C reason : Collaborating with the client to establish short and long-term goals is an important part of the care plan but should come after a thorough assessment of the client's self-concept and related health alterations.
Choice D reason : Determining whether the desired outcome has been achieved is part of the evaluation phase of the nursing process and should occur after interventions have been implemented, not during the initial assessment of self-concept.
Correct Answer is B
Explanation
Choice A reason : Provide limited explanations of procedures needed for the client.Providing limited explanations of procedures can increase anxiety and discomfort for clients, especially those facing a new cancer diagnosis. It is important to give comprehensive information to help them understand their condition and the treatments they will undergo.
Choice B reason : Provide honest answers to the client's questions.Providing honest answers to the client's questions is crucial in promoting comfort and trust. It allows the client to make informed decisions about their care and helps them to prepare mentally and emotionally for the treatments and their potential outcomes.
Choice C reason : Avoid eye contact with the client during care.Avoiding eye contact can make the client feel isolated and unimportant. Maintaining eye contact is a non-verbal way of showing respect, concern, and willingness to engage with the client.
Choice D reason : Avoid giving the client choices regarding their care.Avoiding giving choices can lead to a feeling of loss of control, which can be distressing for clients. It is important to involve clients in decisions about their care to promote their autonomy and comfort.
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