A nurse is teaching a client who has been prescribed hydroxyzine (Vistaril) for anxiety and pruritus due to an allergic reaction. Which of the following instructions should the nurse include in the teaching?
“Avoid driving or operating machinery while taking this medication.”
“Take this medication on an empty stomach to increase absorption.”
“Drink plenty of fluids and suck on hard candy to prevent dry mouth.”
“Report any signs of urinary retention or difficulty urinating.”
The Correct Answer is A
Hydroxyzine (Vistaril) is an antihistamine that can cause drowsiness and sedation as side effects. Therefore, the client should avoid activities that require alertness and coordination while taking this medication.
Choice B is wrong because hydroxyzine can be taken with or without food. Taking it on an empty stomach does not increase absorption.
Choice C is wrong because hydroxyzine can cause dry mouth as a side effect, but the client does not need to drink plenty of fluids or suck on hard candy to prevent it. These measures may help relieve the discomfort of dry mouth, but they are not necessary instructions for taking hydroxyzine.
Choice D is wrong because hydroxyzine does not cause urinary retention or difficulty urinating as side effects. These are signs of anticholinergic toxicity, which can occur with other medications such as tricyclic antidepressants or antipsychotics.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C"]
Explanation
The client may experience hypertensive crisis if aged cheese or red wine are consumed while taking this medication.This is because aged cheese and red wine contain tyramine, an amino acid that can cause a dangerous increase in blood pressure when mixed with MAOIs.MAOIs are drugs that inhibit the enzyme that breaks down excess tyramine in the body.A hypertensive crisis can be deadly and requires emergency treatment.
Choice A and B are partially correct, but not complete. The client should be advised to avoid aged cheese and red wine while taking this medication, but this does not explain why or what could happen if they do not.
Choice D is wrong because serotonin syndrome is caused by too much serotonin, not tyramine.Serotonin syndrome can occur when MAOIs are taken with other drugs that increase serotonin levels, such as SSRIs.
Choice E is wrong because hypotension is low blood pressure, not high blood pressure.
Tyramine can cause hypertension, not hypotension.Hypotension can be a side effect of some MAOIs, but it is not related to tyramine intake.
Correct Answer is ["A","C","E"]
Explanation
The client should avoid foods that are high in tyramine while taking phenelzine, which is a monoamine oxidase inhibitor (MAOI) for depression. Tyramine can cause a hypertensive crisis when combined with MAOIs.
Choice B is wrong because shrimp is not high in tyramine and can be safely consumed by the client.
Choice D is wrong because raisins are not high in tyramine and can be safely consumed by the client.
Some examples of foods that are high in tyramine are avocado, cheddar cheese, pepperoni, aged meats, smoked fish, soy sauce, sauerkraut, beer, and red wine.
The normal range for blood pressure is less than 120/80 mmHg.A hypertensive crisis is defined as a systolic blood pressure of 180 mmHg or higher or a diastolic blood pressure of 120 mmHg or higher.The client should monitor their blood pressure regularly and report any signs of a hypertensive crisis, such as severe headache, chest pain, blurred vision, nausea, or confusion.
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