A patient with nasal congestion has been prescribed phenylephrine 10 mg by mouth every 4 hours.
What patient condition should the nurse report to the healthcare provider before administering the medication?

Hypertension.

Bronchitis.

Diarrhea.

Edema.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Hypertension is a condition that should be reported to the healthcare provider before administering phenylephrine. Phenylephrine is a decongestant used to relieve nasal discomfort caused by colds, allergies, and hay fever. It works by shrinking swollen nasal mucous membranes, which relieves nasal congestion. However, it can cause a rise in blood pressure, which could be dangerous for patients with hypertension.

Choice B rationale

Bronchitis is not a contraindication for phenylephrine. However, if the patient has a chronic respiratory condition like bronchitis, it’s always a good idea to discuss any new medications with the healthcare provider.

Choice C rationale

Diarrhea is not a contraindication for phenylephrine. Phenylephrine is not known to cause or worsen diarrhea.

Choice D rationale

Edema is not a contraindication for phenylephrine. However, if the patient has a history of heart disease or high blood pressure, which can sometimes cause edema, they should inform their healthcare provider.

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Correct Answer is ["42"]

Explanation

To calculate the infusion rate in gtt/min, we first need to calculate the infusion rate in mL/hr. The formula for this is:

Step 1: Calculate the infusion rate in mL/hr

Infusion rate (mL/hr)=Total time (hr)Total volume (mL) Substituting the given values: Infusion rate (mL/hr)=2 hr mL=250 mL/hr

Step 2: Convert the infusion rate from mL/hr to gtt/min Infusion rate (gtt/min)=60 min/hrInfusion rate (mL/hr)×Drop factor (gtt/mL).

Substituting the given values: Infusion rate (gtt/min)=60 min/hr mL/hr×10 gtt/mL ≈42 gtt/min Therefore, the nurse should regulate the infusion to approximately 42 gtt/min.

A. Nausea and diarrhea can occur when using this supplement. B. Ginkgo biloba use should be limited and not taken during pregnancy. C. Aspirin and non-steroidal anti-inflammatory drugs interact with ginkgo. D. Anxiety and headaches increase with the use of ginkgo biloba.

Correct Answer is C

Explanation

Choice A rationale

While nausea and diarrhea can occur when using ginkgo biloba, these are not the most critical side effects to be aware of.

Choice B rationale

Ginkgo biloba should indeed be used with caution during pregnancy due to potential risks. However, this is not the most important information for this patient.

Choice C rationale

Ginkgo biloba can interact with aspirin and non-steroidal anti-inflammatory drugs, increasing the risk of bleeding. This is crucial information for the patient, especially if they are taking these medications.

Choice D rationale

While anxiety and headaches can increase with the use of ginkgo biloba, these are not the most critical side effects to be aware of.

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A patient with nasal congestion has been prescribed phenylephrine 10 mg by mouth every 4 hours.What patient condition should the nurse report to the healthcare provider before administering the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is receiving a secondary infusion of azithromycin 500 mg in 500 mL of normal saline (NS) to be infused over 2 hours. The intravenous (IV) administration set delivers 10 gtt/mL. How many gtt/min should the nurse regulate the infusion?

Correct Answer is ["42"]

Explanation

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Correct Answer is C

Explanation

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A patient with nasal congestion has been prescribed phenylephrine 10 mg by mouth every 4 hours.
What patient condition should the nurse report to the healthcare provider before administering the medication?