The nurse teaching the client about the effects of ...

[sammy]

The nurse teaching the client about the effects of diphenhydramine (Benadryl), an ingredient in the cough suppressant prescribed for the client, should plan to tell the client to do which of the following while taking this medication?
 
  1. Take it on an empty stomach.
  2. Avoid activities requiring mental alertness.
  3. Use alcohol for additional effect in reducing cough.
  4. Avoid chewing sugarless gum or using oral rinses mouth.

Question 2

A nurse is making initial rounds on the nursing unit to check the condition of assigned clients. The nurse notes that a client's intravenous (IV) site is cool, pale, and swollen, and the solution is not infusing.
 
  The nurse interprets that which of the following complications has been experienced by the client? 1. Phlebitis
  2. Infection
  3. Infiltration
  4. Thrombosis

[Kingjoffery]

Answer to Question 1

2

Rationale: Diphenhydramine (Benadryl) has several uses, including antihistamine, antitussive, antidyskinetic, and sedative-hypnotic. Because the medication causes drowsiness, the client should avoid use of alcohol or central nervous system (CNS) depressants, operating a car, or engaging in other activities requiring mental acuity during use. It should be taken with food or milk to decrease gastrointestinal upset, and oral rinses, sugarless gum, or hard candy may be used to minimize dry mouth.

Answer to Question 2

3

Rationale: An infiltrated IV is one that has dislodged from the vein and is lying in subcutaneous tissue. The pallor, coolness, and swelling are the result of IV fluid being deposited in the subcu-taneous tissue. When the pressure in the tissues exceeds the pressure in the tubing, the flow of the IV solution will stop. The corrective action is to clamp the IV tubing, remove the catheter, and prepare to start a new IV line. The other three options are likely to be accompanied by warmth at the site, not coolness.

[sammy]

Excellent

[dantucker]

Gracias!