Chapters 54, 55, 57, 58, & 59 (Wolters
Kluwer Focus on Nursing Pharmacology
Amy M. Karch 8th edition)
A 94-year-old client is to begin taking psyllium hydrophilic mucilloid daily. What instructions
should the nurse include in the discharge teaching?
- Add all of the medications to the mucilloid.
- Drink at least 8 ounces of fluid with the medication.
- Mix the medication with your food at your evening meal.
- Discontinue the mucilloid if no bowel movement occurs in 24 hours. - ANS-Drink at least 8
ounces of fluid with the medication.
Rationale: Psyllium needs to be taken with at least 8 oz of water or other liquid. The nurse
would not tell the patient to mix the medication with food, to add all medications to the
psyllium, or to discontinue the drug.
\A client has an important presentation to make in 4 hours and needs relief from the
congestion of seasonal rhinitis. The client calls the nurse, explains the situation, and tells the
nurse that he cannot afford to be drowsy. Which antihistamine would be a good choice for
this client? - ANS-Loratidine (Claritin)
Rationale: The first-generation antihistamines, including diphenhydramine,
dexchlorpheniramine, and hydroxyzine, are associated with drowsiness. Loratadine is one of
the second-generation antihistamines, which have fewer anticholinergic effects and are less
likely to cause drowsiness.
\A client needing to evacuate the colon for endoscopy would likely be prescribed which
medication? - ANS-Polyethylene glycol electrolyte solution
Rationale: polyethylene glycol electrolyte solution. A client needing to evacuate the colon for
endoscopy would likely take polyethylene glycol electrolyte solution as it is a bowel
evacuant. Methylcellulose and psyllium are bulk-forming laxatives and will not evacuate the
bowel for endoscopy. Mineral oil is an emollient that lubricates the intestinal walls and
softens the stool, thereby enhancing passage of fecal material.
\A client presents at the clinic with a dry, non-productive cough. The client is diagnosed with
bronchitis, and it is determined that the client needs help thinning the sputum so the cough
can become productive. What does the nurse expect the health care provider will prescribe?
- ANS-Guaifenesin (Mucinex)
\A client recently began taking theophylline for treatment of asthma. Which changes in the
client's lifestyle would suggest that the client understands proper use of the drug and
management of the disease? - ANS-Avoiding caffeine.
Rationale: Some bronchodilating drugs, such as theophylline, can cause tachycardia,
dysrhythmias, palpitations, agitation, and insomnia.
Kluwer Focus on Nursing Pharmacology
Amy M. Karch 8th edition)
A 94-year-old client is to begin taking psyllium hydrophilic mucilloid daily. What instructions
should the nurse include in the discharge teaching?
- Add all of the medications to the mucilloid.
- Drink at least 8 ounces of fluid with the medication.
- Mix the medication with your food at your evening meal.
- Discontinue the mucilloid if no bowel movement occurs in 24 hours. - ANS-Drink at least 8
ounces of fluid with the medication.
Rationale: Psyllium needs to be taken with at least 8 oz of water or other liquid. The nurse
would not tell the patient to mix the medication with food, to add all medications to the
psyllium, or to discontinue the drug.
\A client has an important presentation to make in 4 hours and needs relief from the
congestion of seasonal rhinitis. The client calls the nurse, explains the situation, and tells the
nurse that he cannot afford to be drowsy. Which antihistamine would be a good choice for
this client? - ANS-Loratidine (Claritin)
Rationale: The first-generation antihistamines, including diphenhydramine,
dexchlorpheniramine, and hydroxyzine, are associated with drowsiness. Loratadine is one of
the second-generation antihistamines, which have fewer anticholinergic effects and are less
likely to cause drowsiness.
\A client needing to evacuate the colon for endoscopy would likely be prescribed which
medication? - ANS-Polyethylene glycol electrolyte solution
Rationale: polyethylene glycol electrolyte solution. A client needing to evacuate the colon for
endoscopy would likely take polyethylene glycol electrolyte solution as it is a bowel
evacuant. Methylcellulose and psyllium are bulk-forming laxatives and will not evacuate the
bowel for endoscopy. Mineral oil is an emollient that lubricates the intestinal walls and
softens the stool, thereby enhancing passage of fecal material.
\A client presents at the clinic with a dry, non-productive cough. The client is diagnosed with
bronchitis, and it is determined that the client needs help thinning the sputum so the cough
can become productive. What does the nurse expect the health care provider will prescribe?
- ANS-Guaifenesin (Mucinex)
\A client recently began taking theophylline for treatment of asthma. Which changes in the
client's lifestyle would suggest that the client understands proper use of the drug and
management of the disease? - ANS-Avoiding caffeine.
Rationale: Some bronchodilating drugs, such as theophylline, can cause tachycardia,
dysrhythmias, palpitations, agitation, and insomnia.
