Which patient should be advised by the nurse to avoid over-the-counter cold and allergy preparations that contain phenylephrine?

A 47-year-old female with hypertension

A 52-year-old male with adult-onset diabetes

A 17-year-old female with symptoms of an upper respiratory infection

A 62-year-old male with gout

Answer and Explanation

The Correct Answer is A

A. Phenylephrine is a decongestant that can raise blood pressure, making it contraindicated for individuals with hypertension. Advising a patient with hypertension to avoid phenylephrine is essential to prevent potential cardiovascular complications.

B. While patients with diabetes should be cautious about certain medications, phenylephrine is not specifically contraindicated in this condition.

C. A 17-year-old female with an upper respiratory infection typically does not have contraindications for phenylephrine unless there are underlying conditions not mentioned.

D. Gout does not have a direct contraindication for phenylephrine use, so the patient may not need to avoid it unless other health issues are present.

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Correct Answer is C

Explanation

A. It has a peak effect of 4-6 hours is incorrect; short-acting insulin typically peaks between 2 to 3 hours after administration.

B. It should be given once daily in the evening is incorrect; short-acting insulin is usually administered before meals, not as a once-daily dose.

C. It starts to take effect within 30 minutes to 1 hour after administration is correct; this timing is critical for managing blood glucose levels during meals.

D. It has a duration of action of 24 hours is incorrect; short-acting insulin usually has a duration of about 3 to 6 hours.

A. "Antiviral drugs will not prevent the spread of the disease to others." B. "Antivirals are the cure for viral infections." C. "Topical antivirals should not be applied more frequently than prescribed." D. "When applying a topical antiviral, the nurse should use a finger cot or gloves."

Correct Answer is B

Explanation

A. The statement regarding antiviral drugs not preventing the spread of the disease is accurate, as these medications do not eliminate the virus or prevent transmission.

B. Saying that antivirals are the cure for viral infections is incorrect; while they can reduce symptoms and viral load, they do not cure the infection.

C. The instruction about topical antivirals not being applied more frequently than prescribed is correct and reflects safe medication use.

D. The recommendation to use a finger cot or gloves when applying topical antivirals is correct to prevent contamination and ensure proper application.

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Which patient should be advised by the nurse to avoid over-the-counter cold and allergy preparations that contain phenylephrine?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer short-acting insulin to a patient with type 1 diabetes. Which of the following should the nurse keep in mind regarding this insulin type?

Correct Answer is C

Explanation

The nursing instructor has been teaching about antivirals, actions and effects. The instructor realizes that a student needs further instruction when the student makes which statement?

Correct Answer is B

Explanation

The nursing instructor has been teaching about antivirals, actions, and effects. The instructor realizes that a student needs further instruction when the student makes which statement?

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