A nurse is educating a patient about the use of antitussive medications. Which statement by the patient indicates a need for further teaching?
"I should avoid antitussives if I have a productive cough with mucus."
"Antitussives are helpful in clearing mucus from my lungs during a productive cough."
"Using antitussives for a productive cough can lead to mucus buildup in my airways."
"Antitussives are used to suppress a dry, nonproductive cough."
The Correct Answer is B
A. "I should avoid antitussives if I have a productive cough with mucus.": Antitussives can inhibit the body’s ability to clear mucus when coughing is suppressed. In the case of a productive cough, clearing secretions is essential to prevent airway obstruction and secondary infections.
B. "Antitussives are helpful in clearing mucus from my lungs during a productive cough.": Antitussives reduce the cough reflex and do not aid in mucus clearance. Their use during a productive cough can lead to mucus retention, worsening congestion and increasing the risk of complications such as pneumonia.
C. "Using antitussives for a productive cough can lead to mucus buildup in my airways.": Suppressing a productive cough prevents the expulsion of mucus, which can accumulate in the lungs. This can impair gas exchange and create an environment for bacterial growth.
D. "Antitussives are used to suppress a dry, nonproductive cough.": These medications are most appropriate when there is no mucus to expel. They help reduce the frequency and intensity of dry coughing, especially when it interferes with sleep or comfort.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "I will take my Furosemide whenever I notice swelling in my legs.": Furosemide should be taken regularly as prescribed, not just in response to symptoms. Intermittent use can lead to inconsistent fluid management and worsening of heart failure.
B. "I should take my Furosemide in the morning to avoid waking up frequently at night to urinate.". Furosemide is a loop diuretic that increases urine output. Taking it in the morning helps avoid nocturia, improving sleep quality while maintaining its therapeutic effects.
C. "It doesn't matter what time I take my Furosemide as long as I take it with food.": While food may reduce gastric irritation, the timing of diuretics is important due to their impact on urination. Random timing can cause sleep disturbances or inadequate symptom control.
D. "I will take my Furosemide at bedtime to prevent swelling overnight.": Taking Furosemide at bedtime increases the risk of nocturia and disrupted sleep. It does not specifically target overnight swelling and is not recommended for nighttime dosing.
Correct Answer is D
Explanation
A. Advise the parent to discontinue the medication immediately: Discontinuing the medication without consulting the healthcare provider is unsafe. Stimulants are effective in managing ADHD symptoms, and any adjustments should be made under medical supervision. Abrupt cessation may lead to a return or worsening of symptoms.
B. Encourage the parent to eliminate all snacks between meals to promote hunger at mealtimes: While reducing snacks may improve appetite, it can also result in missed opportunities for nutrient intake, especially when the child already has a reduced appetite due to the medication. This intervention is not the most appropriate or immediate.
C. Encourage the parent to increase the child's physical activity to stimulate appetite: Physical activity can naturally increase appetite over time, but it is not the most direct or effective strategy for managing stimulant-induced appetite suppression. This approach is more of a long-term supportive strategy.
D. Encourage the parent to make breakfast the most important meal of the day before administering the medication: Stimulant medications commonly reduce appetite, especially later in the day. Ensuring the child eats a nutritious breakfast before taking the medication helps maximize calorie and nutrient intake when appetite is highest. This is the most appropriate initial nursing intervention.
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