The nurse is caring for a client with an upper respiratory disorder. The client states they have a hacky, non-productive cough, which wakens them during the night. Which over-the-counter medication would the nurse suggest to diminish the cough during the night?

Dextromethorphan

Pseudoephedrine

Diphenhydramine

Fluticasone

Answer and Explanation

The Correct Answer is A

A. Dextromethorphan: Dextromethorphan is an antitussive commonly used to suppress non-productive coughs. It acts on the cough center in the medulla to reduce the frequency and intensity of coughing, making it ideal for nighttime relief.
B. Pseudoephedrine: Pseudoephedrine is a decongestant that reduces nasal congestion by vasoconstriction. It does not suppress cough and can actually cause insomnia due to its stimulant effects, making it inappropriate for nighttime use.
C. Diphenhydramine: Diphenhydramine is an antihistamine that may have mild cough suppressant properties and cause sedation. Its primary action is to block histamine receptors, which is more useful for allergic reactions and related symptoms like runny nose or itching. It's not a direct cough suppressant.
D. Fluticasone: Fluticasone is a corticosteroid typically used as a nasal spray for allergic rhinitis. It is not effective for acute cough relief and has no role in suppressing a dry, nighttime cough.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is ["A","C","D"]

Explanation

A. Right extremity comparable in size to left: Reduction in swelling indicates improved venous return and resolution of the thrombus. Symmetry between extremities suggests successful clot dissolution and reduced obstruction in the affected vein.
B. No bleeding or bruising noted: While this is a desirable side effect outcome, it is not a direct measure of thrombolytic effectiveness. Thrombolytics carry bleeding risk, but the absence of bruising doesn’t confirm clot resolution.
C. Right extremity pink: A pink, well-perfused extremity suggests adequate blood flow, which reflects successful reperfusion. This indicates improved circulation after clot breakdown and is a positive therapeutic result.
D. Client denies pain: Pain is a hallmark symptom of DVT due to inflammation and obstruction. Decreased or absent pain after thrombolytic therapy reflects clinical improvement and reduced clot burden.
E. Pedal pulse thready: A thready pulse may indicate decreased perfusion and is not a reassuring finding. Effective thrombolytic therapy should lead to strong, palpable pulses if circulation has improved.

A. Administer the medications and then notify the health care provider. B. Administer atropine to speed the heart rate and then administer the digoxin. C. Administer the medication and inform the charge nurse about the rate. D. Withhold the medication and notify the health care provider of the heart rate.

Correct Answer is D

Explanation

A. Administer the medications and then notify the health care provider: Administering digoxin with a heart rate below 60 bpm can worsen bradycardia and lead to complications like heart block. The drug should be withheld first.
B. Administer atropine to speed the heart rate and then administer the digoxin: Atropine is not given prophylactically without a provider's order. It is used in emergency settings for symptomatic bradycardia, not as a pre-treatment for digoxin.
C. Administer the medication and inform the charge nurse about the rate: This does not follow safe medication guidelines. Administering digoxin without addressing the low heart rate may lead to serious adverse effects.
D. Withhold the medication and notify the health care provider of the heart rate: This is the safest and most appropriate action. Digoxin should be withheld if the apical pulse is below 60 bpm, and the provider must be informed for further evaluation.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is caring for a client with an upper respiratory disorder. The client states they have a hacky, non-productive cough, which wakens them during the night. Which over-the-counter medication would the nurse suggest to diminish the cough during the night?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is evaluating the expected outcomes following thrombolytic therapy for a right leg deep vein thrombosis. Which finding(s) confirms a positive outcome? Select all that apply.

Correct Answer is ["A","C","D"]

Explanation

The nurse is preparing to administer digoxin to a client with heart failure. The nurse obtains an apical pulse rate for 1 minute and determines a rate of 52 beats/minute. What is the first action by the nurse?

Correct Answer is D

Explanation

The nurse is caring for a client is scheduled for chemotherapy followed by autologous stem cell transplant. Which of the following statements by the client indicates a need for further teaching?

The nurse is obtaining a health history from a client with a blood pressure of 146/88 mm Hg. The client states that lifestyle changes have not been effective in lowering blood pressure. Which medication classification does the nurse anticipate first?

Which nursing action is most helpful in managing the positive symptoms of schizophrenia?

The nurse is caring for the client with massive blood loss from a gunshot wound, and type-specific blood is currently not available for transfusion. With little time to spare, which blood type does the nurse infuse?

Which of the following medications does the nurse anticipate administering to a client preparing for cardioversion?

The nurse is caring for a client with an upper respiratory disorder. The client states they have a hacky, non-productive cough, which wakens them during the night. Which over-the-counter medication would the nurse suggest to diminish the cough during the night?

The nurse is providing teaching to a client starting monoamine oxidase inhibitor (MAOI) drug therapy. Which over- the-counter medications should the nurse instruct the client to avoid?

A client with venous insufficiency is instructed to exercise, apply elastic stockings, and elevate the extremities. Which is the primary benefit for this nursing management regimen