Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is teaching a client about taking diphenhydramine. The nurse should explain to the client that which of the following is an adverse effect of this medication?
A. Headache
While headaches can occur with some medications, they are not a common adverse effect of diphenhydramine. Diphenhydramine's typical side effects are more related to its anticholinergic properties.
B. Constipation
Diphenhydramine is an antihistamine with anticholinergic effects, which can lead to dry mouth, urinary retention, and constipation as common adverse effects.
C. Bradycardia
Diphenhydramine typically does not cause bradycardia. In some cases, it may cause tachycardia (increased heart rate) rather than a slower heart rate.
D. Hypertension
Hypertension is not typically associated with diphenhydramine. In fact, it can sometimes cause hypotension (low blood pressure) rather than high blood pressure.
This question is an excerpt from Nurse Dive's nursing test bank - ATI Custom Pharmacology Proctored Exam 2. Take the full exam now
Full Explanation
The correct answer is choice b. Constipation.
Choice A rationale:
While headaches can occur with some medications, they are not a common adverse effect of diphenhydramine. Diphenhydramine's typical side effects are more related to its anticholinergic properties.
Choice B rationale:
Diphenhydramine is an antihistamine with anticholinergic effects, which can lead to dry mouth, urinary retention, and constipation as common adverse effects.
Choice C rationale:
Diphenhydramine typically does not cause bradycardia. In some cases, it may cause tachycardia (increased heart rate) rather than a slower heart rate.
Choice D rationale:
Hypertension is not typically associated with diphenhydramine. In fact, it can sometimes cause hypotension (low blood pressure) rather than high blood pressure.
Similar Questions
The nurse is preparing a medication for a client and observes the date of expiration on the vial occurred 2 months ago. Which of the following actions should the nurse take?
A. Return the medication to the pharmacy.
Returning the medication to the pharmacy is the correct action. Medications past their expiration date may not be safe or effective, and the pharmacy can provide a replacement.
B. Notify the provider.
Notifying the provider is not necessary in this situation. The nurse should handle the expired medication according to protocol, which typically involves returning it to the pharmacy.
C. Give the medication.
Giving the medication is incorrect. Administering expired medication can be unsafe and ineffective.
D. Discard the medication.
Discarding the medication is not the best option. The pharmacy should handle the disposal of expired medications to ensure proper procedures are followed.
Full Explanation
The correct answer is choice a. Return the medication to the pharmacy.
Choice A rationale:
Returning the medication to the pharmacy is the correct action. Medications past their expiration date may not be safe or effective, and the pharmacy can provide a replacement.
Choice B rationale:
Notifying the provider is not necessary in this situation. The nurse should handle the expired medication according to protocol, which typically involves returning it to the pharmacy.
Choice C rationale:
Giving the medication is incorrect. Administering expired medication can be unsafe and ineffective.
Choice D rationale:
Discarding the medication is not the best option. The pharmacy should handle the disposal of expired medications to ensure proper procedures are followed.
A nurse is teaching a client who has a urinary tract infection (UTI) and is taking ciprofloxacin. Which of the following instructions should the nurse give to the client?
A. This medication can cause photophobia, so be sure to wear sunglasses outdoors.
B. Limit your daily fluid intake while taking this medication.
C. If the medicine causes an upset stomach, take an antacid at the same time
D. You should report any tendon discomfort you experience while taking this medication.
Ciprofloxacin is a fluoroquinolone antibiotic that can cause tendon problems 1. The nurse should instruct the client to report any tendon discomfort while taking this medication. '
Full Explanation
Ciprofloxacin is a fluoroquinolone antibiotic that can cause tendon problems 1. The nurse should instruct the client to report any tendon discomfort while taking this medication.
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A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. Which of the following statements by the client indicates an understanding of the teaching?
A. If I get a fever while taking this medication, I will take some aspirin.
B. I need to increase my fluid intake while taking this medication.
Allopurinol is a medication used to decrease levels of uric acid in people with gout, or kidney stones, or who are receiving certain types of chemotherapy1. Increasing fluid intake while taking this medication can help prevent the formation of kidney stones.
C. I should take this medicine on an empty stomach.
D. If I get a rash from this medication, I will take my usual antihistamine.
Full Explanation
Allopurinol is a medication used to decrease levels of uric acid in people with gout, or kidney stones, or who are receiving certain types of chemotherapy1. Increasing fluid intake while taking this medication can help prevent the formation of kidney stones.
