What statement by a client who is to take an antitussive with codeine indicates that the nurse’s teaching has been effective?

“I will take this medication anytime I start to cough.”.

“This medication may make me anxious and nervous.”.

“This medication can cause drowsiness, so I will avoid driving after taking it.”.

“I might get diarrhea, so I’ll call my provider if that happens.”.

Answer and Explanation

The Correct Answer is C

This statement indicates that the patient understands the common side effect of codeine and how to prevent accidents while taking it.

Choice A is wrong because the patient should not take the medication anytime he starts to cough, but only as prescribed by the doctor.

Taking too much codeine can lead to overdose, addiction, or respiratory depression.

Choice B is wrong because this medication may not make the patient anxious and nervous, but rather sedated and relaxed.

Anxiety and nervousness are more likely to occur with decongestants, which are stimulants.

Choice D is wrong because diarrhea is not a common side effect of codeine.

In fact, codeine may cause constipation, so the patient should increase fluid and fiber intake while taking it.

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Correct Answer is C

Explanation

The nurse should question an order for bismuth salts for a client with an allergy to aspirin because bismuth salts contain salicylates, which are chemically related to aspirin and can cause allergic reactions.

Choice A is wrong because rheumatoid arthritis is not a contraindication for bismuth salts.

Bismuth salts may have anti-inflammatory effects that could benefit clients with rheumatoid arthritis.

Choice B is wrong because viral gastroenteritis is not a contraindication for bismuth salts.

Bismuth salts may help reduce diarrhea and inflammation caused by viral gastroenteritis.

Choice D is wrong because hypertension is not a contraindication for bismuth salts.

Bismuth salts do not affect blood pressure or interact with antihypertensive medications.

A. Dimenhydrinate. B. Aspirin. C. Ibuprofen. D. Famotidine.

Correct Answer is B

Explanation

The client should avoid taking aspirin while taking corticosteroids because of the potential drug-drug interaction between them. This interaction may cause a reduction in the blood levels of aspirin and decrease its effectiveness. It may also increase the risk of gastrointestinal side effects such as inflammation, bleeding, ulceration, and perforation.

Choice A is wrong because dimenhydrinate is an antihistamine that is used to prevent and treat nausea, vomiting, and dizziness.

It does not have a significant interaction with corticosteroids.

Choice C is wrong because ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that is used to relieve pain, inflammation, and fever.

It has a similar interaction with corticosteroids as aspirin, but it is less potent and less likely to cause bleeding.

Choice D is wrong because famotidine is a histamine-2 receptor antagonist that is used to treat and prevent ulcers, gastroesophageal reflux disease (GERD), and other conditions that cause excess stomach acid.

It does not have a significant interaction with corticosteroids.

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What statement by a client who is to take an antitussive with codeine indicates that the nurse’s teaching has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse should question an order for bismuth salts for a client with what condition?

Correct Answer is C

Explanation

A nurse is providing client education to a client who has had corticosteroids prescribed. What drug should the nurse teach the client to avoid while taking the corticosteroids?

Correct Answer is B

Explanation

The nurse admits to the clinic a 7-month-old infant whose parents report that the baby has not had a bowel movement in 4 days. What is the nurse’s best action?

The nurse suspects the client with diabetes may be having a hypoglycemic reaction when what manifestation is assessed?

A client who has chronic bronchial asthma has had a mast cell stabilizer prescribed. What drug would the provider prescribe?

What statement by a client who is to take an antitussive with codeine indicates that the nurse’s teaching has been effective?

A client has begun reporting nausea and vomiting. What would the nurse assess to determine the need for therapy?

With what client should the nurse question the administration of human insulin?

For which client would the use of a phenothiazine most likely be contraindicated?

The nurse is caring for a client who has begun vomiting. The nurse is aware that which part of the client’s brain has been stimulated?