Before administering diphenhydramine (Benadryl) to a client, it is most important for the nurse to assess for which history?

Hypotension

Allergy to penicillin

Narrow-angle glaucoma

Diabetes insipidus

Answer and Explanation

The Correct Answer is C

A. Hypotension

While diphenhydramine can cause drowsiness and may contribute to orthostatic hypotension, it is not a strict contraindication. However, caution should be exercised in patients with hypotension.

B. Allergy to penicillin

An allergy to penicillin is not directly related to the use of diphenhydramine. Allergies to specific medications, including penicillin, are important to assess but are not a primary concern when administering diphenhydramine.

C. Narrow-angle glaucoma

Diphenhydramine can cause pupil dilation and may worsen narrow-angle glaucoma, leading to increased intraocular pressure. Therefore, it is crucial to assess for a history of narrow-angle glaucoma before administering diphenhydramine. If a patient has a history of this condition, alternative medications or careful monitoring may be necessary.

D. Diabetes insipidus

Diabetes insipidus is not typically a contraindication for diphenhydramine. However, it is essential to consider the overall health status and specific needs of the patient. Diphenhydramine may have anticholinergic effects, and caution is advised in patients with certain medical conditions.

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Correct Answer is C

Explanation

A. Avoid elevated altitudes of greater than 2,000 feet (if possible) and air travel for 2-4 weeks (depending on the oncologist’s advice):

Altitude and air travel restrictions are not common recommendations after completing chemotherapy.

B. Avoid foods high in purine for 30-90 days (depending on the oncologist’s advice):

Restrictions on foods high in purine are not typically associated with post-chemotherapy care.

C. Avoid sun exposure for 60-90 days following chemotherapy (depending on oncologist’s advice):

Chemotherapy can make the skin more sensitive to sunlight. Advising the patient to avoid sun exposure or take precautions such as using sunscreen can help prevent skin damage during this period.

D. Have a solid plan for contraception for 3 months to 2 years (depending on the oncologist’s advice):

Contraception considerations may be important, but the timeframe mentioned is not a standard recommendation following chemotherapy completion. The need for contraception may vary depending on the patient's overall health, reproductive goals, and specific chemotherapy drugs received. This decision is usually discussed with the healthcare provider on an individual basis.

A. Maintenance therapy of controlled chronic asthma B. Severe asthmatic attack C. Asthma that is unresponsive to bronchodilator therapy D. Acute allergic reaction

Correct Answer is C

Explanation

A. Maintenance therapy of controlled chronic asthma

Glucocorticoids are commonly used as maintenance therapy for controlled chronic asthma to prevent exacerbations and maintain long-term control.

B. Severe asthmatic attack

While bronchodilators are often the first-line treatment for a severe asthmatic attack, glucocorticoids may be added to reduce inflammation and improve overall outcomes.

C. Asthma that is unresponsive to bronchodilator therapy

In cases where asthma is unresponsive to bronchodilator therapy or there is an exacerbation of asthma symptoms, glucocorticoids (steroids) are often prescribed. These medications have anti-inflammatory effects and can help reduce airway inflammation, improving symptoms and preventing further exacerbation.

D. Acute allergic reaction

Glucocorticoids may be used in the management of acute allergic reactions, but they are not the first-line treatment. Antihistamines and other medications are typically used initially, and glucocorticoids may be added in certain cases.

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Before administering diphenhydramine (Benadryl) to a client, it is most important for the nurse to assess for which history?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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