The client is taking cetirizine (Zyrtec). The nurse teaches the ...

[ARLKQ]

The client is taking cetirizine (Zyrtec). The nurse teaches the client to expect which of the following side effects of this medication?
 
  1. Diarrhea
  2. Excitability
  3. Drowsiness
  4. Excess salivation

Question 2

The nurse is providing care to a client with continuous tube feedings through a nasogastric (NG) tube. The nurse should avoid doing which of the following, which is not part of the standard care for a client receiving enteral nutrition?
 
  1. Check the residual every 4 hours.
  2. Check for placement every 4 hours.
  3. Hang a new feeding bag every 72 hours.
  4. Check for placement prior to administering medications through the tube.

[Laurenleakan]

Answer to Question 1

3

Rationale: Cetirizine (Zyrtec) is an antihistamine; frequent side effects are drowsiness or sedation. Others include blurred vision, hypertension (and sometimes hypotension), dry mouth, constipation, urinary retention, and sweating. Therefore the other options are incorrect.

Answer to Question 2

3

Rationale: A feeding bag and tubing should be changed every 24 hours (or per agency protocol) to reduce risk of bacterial contamination. Placement and residual should be checked at least eve-ry 4 hours during administration of continuous tube feedings and prior to giving medications through the tube.

[ARLKQ]

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