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 D

Explanation

A. Aspiration is not necessary for subcutaneous insulin injections and is not recommended as it may cause unnecessary trauma.
B. Insulin injections should be administered subcutaneously, typically in the abdomen, but not specifically 2.5 cm from the navel.
C. Insulin injections are not administered into muscle but into the subcutaneous tissue.
D. NPH insulin should be gently rolled between the palms to mix evenly before administration to ensure the suspension is well-mixed.

A. Bring the dropper from below the client's eye to instill the solution. B. Hold the ophthalmic solution 1 to 2 cm (1/2 to 3/4 in) above the lower conjunctival sac. C. Instill the drops into the inner canthus. D. Ask the client to look down when instilling the solution.

Correct Answer is B

Explanation

A. Bringing the dropper from below the client's eye is incorrect as it increases the risk of contamination from the eyelashes.
B. Holding the ophthalmic solution 1 to 2 cm (1/2 to 3/4 in) above the lower conjunctival sac allows for accurate instillation into the eye without touching the dropper tip to the eye or eyelashes.
C. Instilling drops into the inner canthus is incorrect; drops should be placed into the conjunctival sac to ensure proper absorption.
D. Asking the client to look down may help expose the lower conjunctival sac but is not the correct action for administering the drops.

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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

A nurse is preparing to administer NPH insulin to a client. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is preparing to administer ophthalmic solution to a client. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a client about using transdermal patches at home. Which of the following statements should the nurse identify as an indication that the client understands the teaching?

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