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. A nurse is caring for a client who is prescribed diphenhydramine to relieve pruritus. The client asks the nurse how he can minimize the daytime sedation he is experiencing. Which of the following responses should the nurse give?

A.

"Gradually decrease the dose once tolerance to the effect is reached."

B.

"Take the medication with men is."

C.

"Distribute the doses evenly throughout the day.”

D.

"Take the daily dose at bedtime.”

Answer and Explanation

The Correct Answer is D

A. "Gradually decrease the dose once tolerance to the effect is reached." Tolerance can develop over time, but this approach is not the most effective or safest way to manage sedation.

 

B. "Take the medication with meals." Taking diphenhydramine with food may help with gastrointestinal side effects but does not reduce sedation.

 

C. "Distribute the doses evenly throughout the day." Distributing doses evenly may not effectively reduce sedation, as diphenhydramine has sedative effects regardless of timing.

 

D. "Take the daily dose at bedtime.” Taking diphenhydramine at bedtime can minimize daytime sedation, as the sedative effects will occur during sleep.


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Correct Answer is D

Explanation

A. "Gradually decrease the dose once tolerance to the effect is reached." Tolerance can develop over time, but this approach is not the most effective or safest way to manage sedation.

B. "Take the medication with meals." Taking diphenhydramine with food may help with gastrointestinal side effects but does not reduce sedation.

C. "Distribute the doses evenly throughout the day." Distributing doses evenly may not effectively reduce sedation, as diphenhydramine has sedative effects regardless of timing.

D. "Take the daily dose at bedtime.” Taking diphenhydramine at bedtime can minimize daytime sedation, as the sedative effects will occur during sleep.

Correct Answer is B

Explanation

A. Danazol: Danazol is primarily used for conditions like endometriosis and is not indicated for BPH treatment.

B. Finasteride: Finasteride is a 5-alpha-reductase inhibitor that reduces the size of the prostate and is commonly prescribed for managing symptoms of BPH.

C. Fluoxymesterone: Fluoxymesterone is an anabolic steroid and is not used for treating BPH.

D. Methyltestosterone: Methyltestosterone is also an anabolic steroid and does not address the symptoms of BPH.

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