A nurse is reviewing discharge teaching with a client who has a new prescription for diphenhydramine for allergic rhinitis. The nurse should instruct the client to monitor for which of the following adverse reactions? (Select all that apply)

Constipation

Skin rash

Non productive cough

Drowsiness

Dry mouth

Answer and Explanation

Correct Answer : A,D,E

A. Constipation is also a possible side effect due to the anticholinergic properties of the medication.
B. Skin rash is not a common adverse reaction to diphenhydramine.
C. Non-productive cough is not typically associated with diphenhydramine use.
D. Drowsiness is a common side effect of diphenhydramine and should be monitored, especially regarding its impact on daily activities.
E. Dry mouth is a common side effect of diphenhydramine due to its anticholinergic properties, and clients should be advised to maintain adequate hydration.

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Correct Answer is A

Explanation

A. Return demonstration involves the client demonstrating the skill back to the nurse after instruction, ensuring understanding and competence.
B. Discussion involves exchanging information verbally but does not involve demonstration of skill.
C. Question and answer involves the nurse answering client questions but does not include a practical demonstration.
D. Role play involves acting out scenarios but may not directly involve the client performing the actual procedure.

A. Expect stools to become black and tarry. B. Use a soft bristle toothbrush. C. Inject the medication deep into the thigh muscle. D. Easy bruising indicates the medication is effective.

Correct Answer is B

Explanation

A. Black, tarry stools are not an expected effect of subcutaneous heparin; this symptom should be reported to a healthcare provider.
B. Using a soft bristle toothbrush is recommended to minimize the risk of bleeding gums, which can occur due to heparin's anticoagulant effects.
C. Subcutaneous heparin should be injected into the fatty tissue of the abdomen or thigh, not deep into the muscle.
D. Easy bruising is a potential side effect of heparin but does not indicate effectiveness; it should be monitored and reported if excessive.

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A nurse is reviewing discharge teaching with a client who has a new prescription for diphenhydramine for allergic rhinitis. The nurse should instruct the client to monitor for which of the following adverse reactions? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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