A nurse is teaching a client who has hearing impairment due to Meniere’s disease about meclizine. Which of the following statements should the nurse include in the teaching?
"This medication might cause urinary frequency."
"This medication might cause an increase in your blood sugar."
"This medication might cause you to have excess saliva."
"This medication might cause drowsiness."
The Correct Answer is D
A) "This medication might cause urinary frequency": Meclizine is not commonly associated with urinary frequency. It is an antihistamine used primarily to manage symptoms of vertigo and motion sickness rather than affecting urinary function.
B) "This medication might cause an increase in your blood sugar": Meclizine does not typically affect blood sugar levels. Concerns about blood sugar levels are more relevant to other medications, such as corticosteroids or certain antihypertensives, rather than meclizine.
C) "This medication might cause you to have excess saliva": Excess saliva is not a common side effect of meclizine. Antihistamines like meclizine usually have the opposite effect, potentially causing dry mouth rather than an increase in saliva.
D) "This medication might cause drowsiness": Drowsiness is a known side effect of meclizine, as it is an antihistamine with sedative properties. This effect can be significant for some individuals, so it's important for clients to be aware of this potential impact on their daily activities.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Help the client role play alternative solutions to identified problems: Role-playing can be a highly effective intervention for clients with generalized anxiety disorder (GAD). It allows clients to practice and develop problem-solving skills in a safe and supportive environment. By simulating different scenarios, clients can explore various responses and coping mechanisms, which can help reduce anxiety by increasing their confidence and preparedness for real-life situations.
B) Have the client write a list of personal characteristics they feel need improvement: This approach may inadvertently increase a client's anxiety by focusing on perceived personal shortcomings. It is more beneficial to focus on strengths and positive attributes to build self-esteem and resilience. Encouraging self-criticism can exacerbate feelings of inadequacy and contribute to a negative self-concept.
C) Give the client detailed instructions when providing teaching about ways to cope: While providing information is important, detailed instructions can sometimes overwhelm clients with GAD, leading to increased anxiety. It is more effective to offer clear, concise, and manageable steps and to ensure that the client fully understands and feels comfortable with each coping strategy before moving on to the next one.
D) Give the client an alternative interpretation of the client's perception of a situation: Offering alternative interpretations can be helpful, but it must be done cautiously. Clients with GAD may feel invalidated if their perceptions are dismissed or challenged too directly. It is more supportive to guide clients to explore and consider different perspectives on their own, fostering a sense of autonomy and self-efficacy in managing their anxiety.
Correct Answer is D
Explanation
A) "Tilt the spirometer toward yourself so you can see the balls rise": Tilting the spirometer is not necessary and may affect its accuracy. The spirometer should be held in an upright position to ensure correct measurement of inhalation.
B) "Inhale deeply and hold each breath for a minimum of 10 seconds": Inhaling deeply is important, but holding each breath for 10 seconds is not a typical recommendation for using an incentive spirometer. The goal is to inhale deeply and slowly, without necessarily holding the breath for an extended period.
C) "Exhale before sealing your lips around the mouthpiece": Exhaling before using the spirometer is not recommended. The correct procedure involves inhaling deeply and slowly after sealing your lips around the mouthpiece to ensure accurate measurement and effective lung expansion.
D) "Use your incentive spirometer every 4 hours while you are awake": Frequent use of the incentive spirometer, often every hour while awake, is recommended to improve lung function and prevent complications such as atelectasis. Using it every 4 hours may not be sufficient for effective respiratory therapy.
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