Author Question: The nurse is reviewing the medication administration record to verify medications at the start of ... (Read 93 times)

Arii_bell · **on:** Jul 23, 2018

The nurse is reviewing the medication administration record to verify medications at the start of the shift. The nurse notes a new order for diphenoxylate. What assessment finding would cause the nurse to withhold the medication?

a. Dehydration
b. Diarrhea
c. Constipation
d. Dizziness

Question 2

A patient comes to the clinic for a checkup and shares upcoming plans to go on a vacation cruise.

The patient asks for a medication to prevent sea sickness. The nurse practitioner orders scopolamine. The nurse provides education and tells the patient to be aware of the potential side effects, which include
a. nausea and vomiting.
b. blurred vision and drowsiness.
c. itching and diarrhea.
d. hearing loss and salivation.

Christopher · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: C
The assessment finding that would cause the nurse to withhold the medication is constipation because the drug is only given for diarrhea.
Dehydration would not be a contraindication to the use of diphenoxylate, and it may have been precipitated by the underlying problem (ie, diarrhea, which needs to be controlled).
The medication is indicated for the treatment of diarrhea. The nurse would administer the medication.
Dizziness is not a contraindication to the administration of diphenoxylate.

Answer to Question 2

ANS: B
The most common side effects associated with scopolamine are blurred vision and drowsiness. The drug is given to prevent nausea and vomiting.
Nausea and vomiting are not side effects of the drug.
Constipation, not diarrhea, is a side effect of the drug. Itching is not a side effect.
Dry mouth, not salivation, is a side effect. Hearing loss is not a side effect.