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A nurse is assessing a client who is taking beclomethasone. Which of the following findings is the priority to report to the provider?

A.

White coating in the mouth.

B.

Nausea.

C.

Myalgia.

D.

Headache.

Answer and Explanation

The Correct Answer is A

Choice A rationale

 

A white coating in the mouth can indicate oral thrush, a common side effect of inhaled corticosteroids like beclomethasone. This requires prompt treatment to prevent further complications.

 

Choice B rationale

 

Nausea is a less common side effect of beclomethasone and is not as urgent as oral thrush.

 

Choice C rationale

 

Myalgia (muscle pain) is a less common side effect and not as critical as oral thrush.

 

Choice D rationale

 

Headache is a common side effect but not as urgent as oral thrush.


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View Related questions

Correct Answer is C

Explanation

Choice A rationale

Rifampin is an antibiotic used to treat tuberculosis and other bacterial infections. It does not have a known interaction with St. John’s wort.

Choice B rationale

Furosemide is a diuretic used to treat fluid retention and high blood pressure. It does not have a known interaction with St. John’s wort.

Choice C rationale

Citalopram is a selective serotonin reuptake inhibitor (SSRI) used to treat depression. St. John’s wort can interact with SSRIs like citalopram, potentially leading to serotonin syndrome, a serious condition caused by excessive levels of serotonin in the brain.

Choice D rationale

Allopurinol is used to treat gout and kidney stones. It does not have a known interaction with St. John’s wort.

Correct Answer is A

Explanation

Choice A rationale

Benzonatate is a non-narcotic cough suppressant that works by numbing the throat and lungs, making the cough reflex less active. It can cause drowsiness and dizziness, so patients are advised not to drive or operate heavy machinery while taking this medication.

Choice B rationale

Benzonatate does not help in coughing up mucus. It suppresses the cough reflex, which can be beneficial for dry, irritating coughs but is not suitable for productive coughs where mucus needs to be expelled.

Choice C rationale

There is no need to decrease dietary fiber intake while taking benzonatate. Dietary fiber does not interact with the medication or its effectiveness.

Choice D rationale

Benzonatate capsules should not be chewed or crushed, as this can cause numbness of the mouth and throat, leading to potential choking hazards.

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