The nurse is conducting a medication reconciliation of a newly admitted hospital patient, during which the patient states that he has begun taking loratadine (Claritin) every day because of his longstanding allergies.
What teaching point should the nurse consequently provide to this patient?
A) He should not take the drug every day because increased tolerance and reduced effectiveness will result.
B) The patient should take an increased dose during nonallergy seasons to increase serum levels of the drug when symptoms appear.
C) The patient should take the drug consistently, regardless of the presence or absence of allergy symptoms.
D) The drug will be ineffective if the patient's allergy triggers include environmental allergens.
Question 2A patient diagnosed with esophageal reflux disorder has been admitted to the floor. When planning teaching for this patient what should the nurse advise the patient to do?
A) Keep the head of the bed lowered.
B) Drink a cup of hot tea before bedtime.
C) Avoid carbonated drinks.
D) Drink a carbonated drink after meals.
Question 3A patient with seasonal allergies has told the nurse that a colleague recommended pseudoephedrine hydrochloride (Sudafed) as a means of controlling signs and symptoms.
The nurse should be aware that this drug provides relief for many patients but adverse effects include a risk of:
A) Anxiety
B) Decreased urine output
C) Depression
D) Gastritis
Question 4A patient with gastroesophageal reflux disease (GERD) has a diagnosis of Barrett's esophagus and has been admitted to a medical unit. The nurse is writing a care plan for this patient. What information is essential to include?
A) He will need to undergo an upper endoscopy every 6 months to detect malignant changes.
B) Liver enzymes must be checked regularly as H2 receptor antagonists may cause hepatic damage.
C) Small amounts of blood are likely to be present in his stools and should not cause concern.
D) Antacids may be discontinued when symptoms of heartburn subside
Question 5A clinic nurse has been charged with the responsibility of teaching avoidance strategies to an adult patient who has allergic rhinitis. What measure should the nurse recommend to this patient?
A) Make sure that there are never air drafts in your home.
B) Avoid the use of air conditioning whenever possible.
C) If possible, make sure that no one smokes tobacco in your home.
D) Keep your windows open to ensure adequate air circulation.
Question 6The nurse notes that a patient who has undergone skin, tissue, and muscle grafting following a modified radical neck dissection requires suctioning. What is the most important consideration for the nurse when suctioning this patient?
A) Avoid applying suction on or near the graft site.
B) Position patient on his nonoperative side with the head of the bed down.
C) Assess viability of the graft before beginning suctioning.
D) Evaluate the patient's ability to swallow saliva and clear fluids.
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