Question 25 1 out of 1 points A female patient has been taking zafirlukast for a week and is experiencing diarrhea. The nurse should instruct her to do which of the following? Response Feedback : The patient should be urged to drink plenty of fluids if she experiences diarrhea while taking zafirlukast, and she should report these symptoms to the health care provider. The patient should take nonnarcotic analgesics only for headaches. The patient should take the drug on an empty stomach to increase its bioavailability. It is not necessary to schedule a blood test. Question 26 1 out of 1 points A patient with bronchial asthma is prescribed a sustained-release preparation of theophylline. To help minimize the adverse effects of the drug, which of the following should the nurse suggest? Response Feedback : Sustained-release preparations of theophylline should be taken on an empty stomach, 1 hour before or 2 hours after meals. Immediate- release preparations should be administered with meals to alleviate gastrointestinal distress. Foods containing xanthines, in particular caffeine, increase the effects of theophylline, but they do not help minimize the adverse effects of theophylline. Patients who smoke may require an increase in theophylline dosage of up to 50%, but increasing the dosage is not a nursing responsibility. Question 27 1 out of 1 points A 53-year-old man has been treated for severe asthma for several years with prednisone. Recently, his physician initiated alternate-day therapy for him. The patient tells the nurse that he would rather take the medication every day to prevent confusion. Which of the following would be the best response by the nurse? Response Feedback : Alternate-day administration (medication given every other day instead of daily) of long-term, systemic glucocorticoids has been used to lessen the suppression of the hypothalamus, the anterior pituitary, and the rate of bone loss. The nurse will want to stress that the change from daily to alternate-day administration does not occur abruptly, because an abrupt change may cause signs and symptoms of adrenal insufficiency such as fatigue, nausea, vomiting, and hypotension on the days between doses. The alternate-day scheduling should decrease the cost of the medication and could help decrease the retention of fluid, which could result in a slight
decrease in weight. The patient is afraid that this scheduling could cause him to be confused on which day he should take his medication, so it probably is not going to be more convenient for him.
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- Spring '17
- Dextromethorphan, Theophylline