Author Question: The nurse is caring for a patient with a cold who presents to the emergency department after having ... (Read 85 times)

CBme · **on:** Jul 23, 2018

The nurse is caring for a patient with a cold who presents to the emergency department after having taken diphenhydramine (Benadryl), a glass of wine, and four shots of whiskey to kill the cold.

The nurse should observe the patient for apparent signs of a. vomiting and gastrointestinal upset.
b. central nervous system depression.
c. dryness in the oral mucosa.
d. mydriasis.

Question 2

A patient is about to receive prednisone for tendonitis. The nurse reviewing the chart would be concerned about which of the following in the patient's medical history?

a. Asthma and allergic rhinitis
b. Gouty arthritis
c. Seborrheic dermatitis
d. Systemic fungal infection

lkanara2 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
CNS depression is a resultant drug-to-drug interaction for a patient taking diphenhydramine and alcohol, because both are central nervous system depressants.
Mixing diphenhydramine, wine, and whiskey may or may not cause vomiting and gastrointestinal upset.
Dryness of the oral mucosa is not significant when a patient has mixed diphenhydramine, wine, and whiskey.
Miosis (constricted pupils) rather than mydriasis (dilated pupils) could possibly be expected when diphenhydramine, wine, and whiskey are mixed.

DIF: Cognitive Level: Analysis REF: pp. 35-36
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity: Reduction of Risk Potential

Answer to Question 2

D
Glucocorticoids are contraindicated in patients with a history of systemic fungal infections. Glu-cocorticoids are used to treat asthma, allergic rhinitis, gout, and seborrheic dermatitis.