A nurse is collecting data from 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?

Increased blood pressure

Dry mouth

Photophobia

Diarrhea

Answer and Explanation

The Correct Answer is B

A.   Antihistamines typically cause a mild decrease in blood pressure.
B.   Antihistamines often have anticholinergic effects, leading to dry mouth.
C.   This is not a common adverse effect of antihistamines.
D.   Antihistamines are more likely to cause constipation than diarrhea.

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Correct Answer is C

Explanation

A. Popliteal and femoral pulses are not typically used for assessing circulation to the brain.
B. Femoral pulse is not commonly used for assessing brain circulation.
C. The carotid pulse is commonly assessed to evaluate circulation to the brain, especially in emergency situations.
D. Radial pulse is more commonly used to assess peripheral circulation in the arm.

A. Instruct the client on use of call light. B. Apply an ambulation alarm to the client’s leg. C. Apply restraints to the client PRN. D. Raise the four side rails of the client’s bed. E. Check on the client hourly

Correct Answer is ["A","B","D","E"]

Explanation

A. Instructing the client on the use of the call light allows them to easily summon assistance when needed.
B. Applying an ambulation alarm helps monitor the client's movement, especially if there is a risk of falls or wandering.

C. Applying restraints is not the first-line intervention and should only be used when less restrictive measures are ineffective, and the client is at risk of harm to themselves or others.
D. Raising the four side rails of the client’s bed is a safety measure to prevent falls and ensure the client's protection.

E. Checking on the client hourly is an essential intervention to monitor the client’s mental status and ensure safety. Frequent assessments allow for early identification of complications related to opioid use, such as respiratory depression or increased sedation.

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A nurse is collecting data from 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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client who has developed cardiogenic shock. When evaluating circulation to the client’s brain, which of the following pulse sites should the nurse use?

Correct Answer is C

Explanation

A nurse is caring for a client who has a prescription for scheduled opioid analgesia and notes a change in the client’s mental status. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["A","B","D","E"]

Explanation

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A nurse is collecting data from 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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