. 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?
"Gradually decrease the dose once tolerance to the effect is reached."
"Take the medication with men is."
"Distribute the doses evenly throughout the day.”
"Take the daily dose at bedtime.”
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 ["C","D","E"]
Explanation
A. Stimulate production of androgens: The kidneys do not stimulate androgen production. Androgens are produced primarily by the adrenal glands and gonads.
B. Stimulate production of white blood cells: The kidneys do not stimulate white blood cell production. This is mainly a function of the bone marrow.
C. Excrete various drugs and drug metabolites: The kidneys play a key role in filtering and excreting drugs and drug metabolites, helping to remove them from the body.
D. Produce urine: The primary function of the kidneys is to filter blood and produce urine, which is then excreted to remove waste products and maintain fluid balance.
E. Regulate acid/base balance: The kidneys are essential in maintaining acid-base balance by excreting hydrogen ions and reabsorbing bicarbonate, which helps regulate the pH level in the body.
Correct Answer is A
Explanation
A. Diabetes mellitus: Diabetes mellitus is a significant risk factor for UTIs due to elevated glucose levels in the urine, which provides an environment conducive to bacterial growth.
B. Anemia: Anemia does not directly increase the risk of UTIs. UTIs are more related to factors affecting the urinary tract and immune function rather than blood cell count.
C. Osteoporosis: Osteoporosis does not increase susceptibility to UTIs, as it primarily affects bone density and strength.
D. COPD: COPD is a lung condition and does not have a direct connection to an increased risk for UTIs.