After taking the medication guaifenesin (Mucinex), the client complains of coughing up phlegm. What is the best response by the nurse?
This is normal.
This requires further investigation.
This is indicative of an allergic reaction
This means there is probably more pathology present
The Correct Answer is A
A) This is normal.
Guaifenesin is an expectorant medication commonly used to help loosen and thin mucus in the airways, making it easier to cough up. Coughing up phlegm after taking guaifenesin is an expected response and indicates that the medication is working as intended. Guaifenesin helps to clear the airways of excess mucus, which can be particularly beneficial for individuals with respiratory conditions such as bronchitis or chest congestion.
B) This requires further investigation.
Coughing up phlegm after taking guaifenesin is a common and expected response and does not typically indicate a need for further investigation unless there are other concerning symptoms present. It is important for the nurse to provide reassurance and education about the expected effects of the medication.
C) This is indicative of an allergic reaction.
Coughing up phlegm after taking guaifenesin is not indicative of an allergic reaction. Allergic reactions to guaifenesin are rare but may include symptoms such as rash, itching, swelling, dizziness, or difficulty breathing. If the client were experiencing these symptoms, it would be important to assess further for a possible allergic reaction and intervene accordingly.
D) This means there is probably more pathology present.
Coughing up phlegm after taking guaifenesin does not necessarily indicate the presence of more pathology. It simply indicates that the medication is helping to loosen and mobilize mucus in the airways, which is a normal response to expectorant therapy. If the client has concerns about their symptoms, further assessment by a healthcare provider may be warranted, but coughing up phlegm alone is not necessarily indicative of worsening pathology.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) Montelukast:
Montelukast is a leukotriene receptor antagonist (LTRA) used as a controller or maintenance medication for asthma. It is not used for the immediate relief of asthma symptoms during an acute attack. Montelukast is taken regularly to prevent asthma symptoms and reduce the frequency of asthma attacks, but it does not provide rapid relief during an ongoing attack.
B) Fluticasone:
Fluticasone is an inhaled corticosteroid (ICS) used as a controller medication for asthma. It works by reducing airway inflammation and is taken regularly to control asthma symptoms and prevent exacerbations. Fluticasone is not used for the immediate relief of acute asthma symptoms and is not suitable for aborting an ongoing asthma attack.
C) Cromolyn:
Cromolyn is a mast cell stabilizer used as a controller medication for asthma. It helps prevent the release of inflammatory substances that contribute to asthma symptoms. Cromolyn is taken regularly to prevent asthma symptoms and reduce the frequency of asthma attacks but is not used for the immediate relief of acute asthma symptoms like albuterol.
D) Albuterol.
Albuterol is a short-acting beta agonist (SABA) bronchodilator used for the quick relief of asthma symptoms during an acute asthma attack or exacerbation. It works rapidly to relax the smooth muscles in the airways, opening them up and relieving bronchoconstriction, which improves airflow and alleviates symptoms such as wheezing, shortness of breath, and chest tightness. Albuterol is typically administered via inhalation through a metered-dose inhaler (MDI) or a nebulizer.
Correct Answer is ["Antidiarrheals"]
Explanation
Antidiarrheal medications are the most effective drugs for controlling severe diarrhea. These medications work by slowing down bowel movements and reducing the frequency and liquidity of stools. The two main types of antidiarrheal drugs are:
Loperamide: Loperamide is an over-the-counter antidiarrheal medication that works by slowing down the movement of the intestines and reducing the frequency of bowel movements. It is effective for treating acute diarrhea and traveler's diarrhea.
Bismuth subsalicylate: Bismuth subsalicylate is another over-the-counter medication that can help control diarrhea. It works by reducing inflammation in the intestines and slowing down the passage of stools. Bismuth subsalicylate also has antimicrobial properties, which may help in cases of infectious diarrhea.
These medications are often used in combination with rehydration therapy to manage severe diarrhea effectively. However, it is important to use antidiarrheal medications cautiously and under the guidance of a healthcare professional, as they may not be suitable for all individuals, especially those with certain medical conditions or those taking other medications. Additionally, it is essential to address the underlying cause of diarrhea, especially if it persists or worsens despite treatment with antidiarrheal medications. Consulting a healthcare provider is recommended for proper diagnosis and management of severe diarrhea.
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