A patient taking fexofenadine (second-generation antihistamine) also wants to start using pseudoephedrine for nasal congestion. What should the nurse assess for prior to starting pseudoephedrine?

History of hypertension

Presence of a dry cough

Recent use of antibiotics

History of seizures

Answer and Explanation

The Correct Answer is A

A. Pseudoephedrine is a decongestant that can raise blood pressure and cause increased heart rate, so it is essential to assess the patient’s history of hypertension before starting this medication.

B. While a dry cough may be relevant for other medications, it is not a primary concern when assessing for the use of pseudoephedrine.

C. Recent use of antibiotics is not directly related to the safety of using pseudoephedrine and is not a typical concern.

D. A history of seizures is not a specific contraindication for using pseudoephedrine, although it may warrant caution in some cases.

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Free Nursing Study Resources

Correct Answer is ["0.00025"]

Explanation

1 gram = 1,000,000 micrograms

Therefore, 250 micrograms = 250 / 1,000,000 grams = 0.00025 grams

A. nitroglycerin pm for angina B. furosemide 10 mg by mouth daily C. verapamil 80 mg by mouth three times a day D. acetaminophen 650 mg by mouth prn arthritic pain

Correct Answer is A

Explanation

A. Nitroglycerin is contraindicated with erectile dysfunction medications such as sildenafil (Viagra) because both can cause significant drops in blood pressure when used together, potentially leading to severe cardiovascular complications.

B. Furosemide is a diuretic and does not have a direct contraindication with erectile dysfunction medications, although it may contribute to electrolyte imbalances.

C. Verapamil is a calcium channel blocker that does not directly contraindicate the use of erectile dysfunction medications but should be monitored for potential interactions affecting heart rate and blood pressure.

D. Acetaminophen is a pain reliever and does not pose a contraindication for erectile dysfunction medications.

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A patient taking fexofenadine (second-generation antihistamine) also wants to start using pseudoephedrine for nasal congestion. What should the nurse assess for prior to starting pseudoephedrine?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Convert to equivalents within the metric system. 250 micrograms to grams

Correct Answer is ["0.00025"]

Explanation

A male client is concerned with the inability to have an erection and asks for medication to help with this problem. Which information in the client's medication record would contraindicate the client from being prescribed medication for this condition?

Correct Answer is A

Explanation

A nurse is instructing a colleague on how an antimicrobial produces a therapeutic effect. What should be included in the nurse's teaching?

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What adverse reaction does the nurse anticipate if a client takes nitroglycerin with sildenafil?

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