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Aspirin will not cause extravasation injury, radiation recall reaction, or acutenausea and vomiting; these are adverse effects of doxorubicin.Question 19ResponseFeedback:A 24-year-old factory worker has been prescribed guaifenesin for the first time. Which of thefollowing will be a priority assessment by the nurse before the patient's first dose?The amount of alcohol consumption would be the priority assessment, sinceboth guaifenesin and alcohol can cause drowsiness. The amount of salt thepatient consumes as well as the amount of fatty foods and number ofcigarettes would be important to know when planning care for this patient,but none of these would pose the safety risk of drowsiness, especiallyconsidering the patient's occupation.Question 20Children age 6 to 11 are recommended to start with what dosage of Allegra?Question 21ResponseFeedback:A woman has a long history of seasonal allergies that are typically accompanied byrhinorrhea, red eyes, and frequent sneezing. Sneezes are a result ofThe walls of the nasal cavity are sensitive to irritation. When receptors inthese walls are stimulated, a central nervous system (CNS) reﬂex is initiated,and a sneeze results. CO2 levels, goblet cells, and the cilia are do notparticipate directly in the sneeze reﬂex.Question 221 out of 1 points1 out of 1 points1 out of 1 points1 out of 1 points
ResponseFeedback:A high school student was diagnosed with asthma when he was in elementary school andhas become accustomed to carrying and using his “puffers”. In recent months, he hasbecome more involved in sports and has developed a habit of administering albuterol up to10 times daily. The nurse should teach the student that overuse of albuterol can lead toPatients who self-administer albuterol may use their MDIs more frequentlythan recommended. This practice can result in rebound bronchoconstriction,which may motivate the patient to increase MDI use, stimulating the cycle ofrebound congestion. Overuse of albuterol is not linked to pneumonia orhepatotoxicity. Albuterol is not an anticholinergic drug.Question 23ResponseFeedback:A patient with bronchial asthma is prescribed a sustained-release preparation oftheophylline. To help minimize the adverse effects of the drug, which of the following shouldthe nurse suggest?Sustained-release preparations of theophylline should be taken on an emptystomach, 1 hour before or 2 hours after meals. Immediate-releasepreparations should be administered with meals to alleviate gastrointestinaldistress. Foods containing xanthines, in particular caffeine, increase theeffects of theophylline, but they do not help minimize the adverse effects oftheophylline. Patients who smoke may require an increase in theophyllinedosage of up to 50%, but increasing the dosage is not a nursingresponsibility.