in these walls are stimulated, a central nervous system (CNS) reflex is initiated, and a sneeze results. CO 2 levels, goblet cells, and the cilia are do not participate directly in the sneeze reflex. Question 10 1 out of 1 points A 47-year-old woman has been diagnosed with open-angle glaucoma. Pilocarpine drops are prescribed. The nurse's assessment reveals that the patient has worn soft contact lenses for 15 years. The nurse will instruct the patient to Response Feedback: The nurse should instruct the patient to remove the contact lenses before applying the drops to the eyes. If pilocarpine drops are applied to the eyes when soft contact lenses are in place, the lenses can deteriorate or absorb the drug. There is no need to stop wearing
contact lenses during this therapy, but application of the lenses should take place after the drops have been applied. Question 11 1 out of 1 points A 70-year-old woman has a complex medical and a current drug regimen that includes calcium and vitamin D supplements for osteoporosis, metformin (Glucophage) for type 2 diabetes, phenelzine (Nardil) for depression, and metoprolol (Lopressor) and furosemide (Lasix) for hypertension. The woman is requesting dextromethorphan for the treatment of a recurrent cough. What component of her drug regimen contraindicates the use of dextromethorphan? Response Feedback: Dextromethorphan can block neuronal uptake of serotonin and may produce serotonin syndrome. The concurrent use of dextromethorphan and metformin, calcium supplements, and metoprolol is not problematic. Question 12 1 out of 1 points A 24-year-old factory worker has been prescribed guaifenesin for the first time. Which of the following will be a priority assessment by the nurse before the patient's first dose? Response Feedback: The amount of alcohol consumption would be the priority assessment, since both guaifenesin and alcohol can cause drowsiness. The amount of salt the patient consumes as well as the amount of fatty foods and number of cigarettes would be important to know when planning care for this patient, but none of these would pose the safety risk of drowsiness, especially considering the patient's occupation. Question 13 1 out of 1 points A patient is in the clinic for seasonal allergic rhinitis. Loratadine (Claritin) is prescribed. Which of the following statements will the nurse include when providing patient education concerning this drug? Response Feedback: Loratadine (Claritin) is a second-generation antihistamine and does not usually cause drowsiness like the first-generation medications; however, the patient should take it for at least a day to determine the drug's effect before driving. Loratadine should be taken on an empty stomach to increase absorption. The drug is taken only once a day.
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- Summer '15