The nurse is planning education for a client who is prescribed guaifenesin for a sinus infection. Which instruction should the nurse plan to include in the client's education?
Report clear-colored sputum to the provider.
Increase your oral fluid intake.
Report symptoms that last longer than 2 days.
This medication will stop your cough.
The Correct Answer is B
A. Report clear-colored sputum to the provider: Clear-colored sputum is typically normal and not an indication of infection or complication. The client does not need to report it unless accompanied by other concerning symptoms.
B. Increase your oral fluid intake: Guaifenesin is an expectorant that works by thinning and loosening mucus in the airways. Increasing fluid intake helps optimize its effectiveness, making coughs more productive and facilitating mucus clearance.
C. Report symptoms that last longer than 2 days: Symptoms of a sinus infection often last longer than two days, and short-duration monitoring is insufficient. Clients are usually advised to report persistent or worsening symptoms after about 7–10 days, so this instruction is inaccurate.
D. This medication will stop your cough: Guaifenesin does not suppress cough; instead, it loosens mucus to make coughing more productive. Telling the client it will stop their cough could lead to misunderstanding of the medication’s purpose and effectiveness.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Increases cardiac output: Dobutamine is a beta-1 adrenergic agonist that primarily increases the strength of myocardial contractions, leading to enhanced cardiac output. It is commonly used in clients with heart failure or cardiogenic shock to improve tissue perfusion without significantly increasing heart rate.
B. Promotes diuresis: Dobutamine does not have a direct diuretic effect. While improved cardiac output may indirectly enhance renal perfusion and urine output, promoting diuresis is not its primary therapeutic action.
C. Increases blood pressure: Dobutamine may slightly increase systolic blood pressure due to improved cardiac output, but it is not primarily used as an antihypotensive agent. Its main role is enhancing myocardial contractility rather than raising blood pressure.
D. Inhibits platelet aggregation: Dobutamine has no effect on platelet function or aggregation. Its mechanism of action is limited to stimulating beta-1 receptors in the heart to improve contractility.
Correct Answer is A
Explanation
A. Flu-like symptoms: Clopidogrel can cause adverse effects related to platelet inhibition and immune response, including flu-like symptoms such as fever, malaise, and body aches. Monitoring for these symptoms helps identify early reactions that may require intervention or discontinuation of the medication.
B. Constipation: Constipation is not commonly associated with clopidogrel use. While gastrointestinal discomfort may occur in some clients, it is not a primary adverse effect to monitor when administering this antiplatelet therapy.
C. Nervousness: Nervousness or anxiety is not a recognized adverse effect of clopidogrel. Monitoring for neurological or psychological changes is not typically necessary for this medication unless other comorbidities exist.
D. Hypertension: Clopidogrel does not usually cause elevated blood pressure. Monitoring blood pressure is part of routine assessment but is not specifically related to clopidogrel therapy or its adverse effects.
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