Page 1653 - Saunders Comprehensive Review For NCLEX-RN

Answers

583. Answer: 3

Rationale: Guaifenesin is an expectorant and should be taken with a full glass of
water to decrease the viscosity of secretions. Extra doses should not be taken. The
client should contact the primary health care provider if the cough lasts longer than
1 week or is accompanied by fever, rash, sore throat, or persistent headache. Fluids
are needed to decrease the viscosity of secretions. The medication does not have to
be taken with meals.
Test-Taking Strategy: Begin to answer this question by eliminating option 1 first,
recalling that extra doses of medication should not be taken. Next, eliminate option 2
because of the closed-ended word “only.” Next, knowing that increased fluid helps
liquefy secretions for more effective coughing directs you to the correct option.
Level of Cognitive Ability: Evaluating
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Evaluation
Content Area: Pharmacology: Respiratory Medications: Expectorants and
Mucolytic Agents
Health Problem: N/A
Priority Concepts: Client Education; Safety
Reference: Lilley et al. (2017), pp. 575-576.

584. Answer: 3

Rationale: The nurse administering naloxone for suspected opioid overdose
should have resuscitation equipment readily available to support naloxone therapy
if it is needed. Other adjuncts that may be needed include oxygen, a mechanical
ventilator, and vasopressors.
Test-Taking Strategy: Focus on the subject, supportive medical equipment. Note
the words opioid overdose. Recalling the effects of these types of medications will
direct you to the correct option. The correct option is also the umbrella option.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Planning
Content Area: Pharmacology: Respiratory Medications: Opioid Antagonists
Health Problem: N/A
Priority Concepts: Clinical Judgment; Safety
Reference: Ignatavicius, Workman, Rebar (2018), p. 285.

585. Answer: 1

Rationale: Diphenhydramine has several uses, including as an antihistamine,
antitussive, antidyskinetic, and sedative-hypnotic. Instructions for use include taking
with food or milk to decrease gastrointestinal upset and using oral rinses, sugarless
gum, or hard candy to minimize dry mouth. Because the medication causes

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