What side effect should a client be aware of when prescribed diphenhydramine?

Sneezing

Redness of the eyes

Hives

Dry mouth

Answer and Explanation

The Correct Answer is D

A. Sneezing: Sneezing is a symptom of allergic reactions or upper respiratory irritation, not a side effect of diphenhydramine. The medication is intended to reduce allergic symptoms, including sneezing, rather than cause it.

B. Redness of the eyes: Redness of the eyes is typically related to allergies or irritation. Diphenhydramine may actually help relieve eye redness caused by allergic reactions, not induce it.

C. Hives: Hives are a manifestation of an allergic reaction. Diphenhydramine is used to treat hives, so their presence would not be an expected side effect of the medication.

D. Dry mouth: Dry mouth is a common anticholinergic side effect of diphenhydramine. The medication blocks muscarinic receptors, reducing salivary secretions, which clients should be educated to manage through hydration or sugar-free lozenges.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Depression: Montelukast has been associated with neuropsychiatric effects, including depression, anxiety, and suicidal thoughts. Clients should be instructed to report mood changes promptly to the healthcare provider to ensure early intervention and medication safety.

B. Blurred vision: Blurred vision is not a common adverse effect of montelukast. While any new visual changes should be evaluated, it is not the primary concern related to this medication.

C. Palpitations: Palpitations are not typically linked to montelukast therapy. Cardiovascular symptoms should still be monitored if present, but they are not the main adverse effect prompting urgent reporting.

D. Constipation: Constipation is generally mild and uncommon with montelukast. It does not require immediate reporting unless severe or persistent, making it a lower-priority adverse effect compared to neuropsychiatric symptoms.

A. A client with an emphysema exacerbation. B. A client experiencing an asthma attack. C. A client with a common cold and fever. D. A client with significant respiratory symptoms. E. A client with mild seasonal allergies.

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

Explanation

A. A client with an emphysema exacerbation: Clients experiencing an acute exacerbation of emphysema often have increased airway obstruction and difficulty breathing. A small volume nebulizer delivers bronchodilators directly to the lungs, providing rapid relief of bronchospasm and improving oxygenation.

B. A client experiencing an asthma attack: During an asthma attack, airway constriction can be severe. An SVN allows precise delivery of inhaled medications like albuterol, which rapidly dilate the airways and reduce respiratory distress, making it essential for urgent intervention.

C. A client with a common cold and fever: A common cold typically causes mild upper respiratory symptoms such as congestion and runny nose. SVNs are not indicated for routine cold management, as bronchodilator therapy is not necessary in uncomplicated viral infections.

D. A client with significant respiratory symptoms: Clients showing significant respiratory distress, regardless of underlying cause, may benefit from an SVN to administer medications that relieve bronchospasm, decrease airway inflammation, and improve ventilation rapidly.

E. A client with mild seasonal allergies: Mild seasonal allergies usually present with sneezing, watery eyes, and nasal congestion without significant airway obstruction. SVNs are not indicated for mild allergic symptoms, as oral or intranasal antihistamines are sufficient.

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What side effect should a client be aware of when prescribed diphenhydramine?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is planning discharge education for a client with a new prescription for montelukast. Which adverse effect should the nurse instruct the client to report to the healthcare provider?

Correct Answer is A

Explanation

A nurse is prioritizing clients in an urgent care setting. Which client(s) would benefit most from the use of a small volume nebulizer (SVN)? Select all that apply.

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

Explanation

For which client is antiplatelet therapy indicated?

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