A nurse is assessing a client who has seasonal allergies and is taking an antihistamine. Which of the following findings is an adverse effect of this type of medication?
Photophobia
Diarrhea
Dry mouth
Increased blood pressure
The Correct Answer is C
A. Photophobia: Photophobia is not a common side effect of antihistamines. It can be associated with other conditions, but not typically with antihistamine use.
B. Diarrhea: Diarrhea is not a common side effect of antihistamines; they are more likely to cause constipation due to their anticholinergic effects.
C. Dry mouth: Dry mouth is a common anticholinergic effect of antihistamines. It occurs because these medications block acetylcholine, leading to decreased saliva production.
D. Increased blood pressure: Increased blood pressure is not a typical side effect of antihistamines. While some formulations may cause increased heart rate or palpitations, they do not generally lead to hypertension directly.
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Correct Answer is C
Explanation
A. "Use the peak expiratory flow meter once per week." The peak expiratory flow meter is usually recommended for daily use in asthma management to monitor lung function and detect any changes early.
B. "Take cromolyn sodium at the first sign of breathing difficulty." Cromolyn sodium is a mast cell stabilizer and is used as a preventative medication rather than for quick relief of symptoms, so it should be taken regularly as prescribed, not only when symptoms arise.
C. "Avoid triggers that cause an attack." Avoiding known asthma triggers is an important part of asthma management to prevent attacks and exacerbations.
D. "You should stop playing basketball, but you can swim instead." Exercise should not necessarily be avoided; instead, it should be managed appropriately with pre-treatment if needed. Avoiding all sports activities is not generally recommended.
Correct Answer is D
Explanation
A. Narrowed pulse pressure: A narrowed pulse pressure can indicate various cardiovascular issues but is not a specific sign of pneumonia.
B. Bradycardia: Bradycardia may occur due to various reasons, including medications or underlying health conditions, but it is not a common sign of pneumonia.
C. Night sweats: While night sweats can occur with pneumonia, they are more associated with infections such as tuberculosis or certain malignancies. It's not a classic presentation.
D. Confusion: Confusion is a common manifestation of pneumonia in older adults due to hypoxia, dehydration, or fever. Older adults often present atypically with changes in mental status during infections.