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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Correct Answer is B

Explanation

A. While resting heart rate and blood pressure are important for overall cardiovascular health, they do not specifically assess the effectiveness of atorvastatin in lowering lipid levels.

B. Reviewing laboratory blood work results, particularly lipid panels, is essential to determine the therapeutic effect of atorvastatin, as it directly measures changes in cholesterol levels (such as LDL and total cholesterol).

C. Assessing exercise tolerance and activities of daily living can provide insight into overall health and well-being but does not specifically evaluate the impact of atorvastatin on lipid levels.

D. A focused cardiac assessment is beneficial for understanding cardiovascular health but is not specific for measuring the effectiveness of lipid-lowering therapy with atorvastatin.

A. A 47-year-old female with hypertension B. A 52-year-old male with adult-onset diabetes C. A 17-year-old female with symptoms of an upper respiratory infection D. A 62-year-old male with gout

Correct Answer is A

Explanation

A. Phenylephrine is a decongestant that can raise blood pressure, making it contraindicated for individuals with hypertension. Advising a patient with hypertension to avoid phenylephrine is essential to prevent potential cardiovascular complications.

B. While patients with diabetes should be cautious about certain medications, phenylephrine is not specifically contraindicated in this condition.

C. A 17-year-old female with an upper respiratory infection typically does not have contraindications for phenylephrine unless there are underlying conditions not mentioned.

D. Gout does not have a direct contraindication for phenylephrine use, so the patient may not need to avoid it unless other health issues are present.

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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

A client diagnosed with hyperlipidemia has been taking atorvastatin for several months. How can the therapeutic effect of the medication be determined?

Correct Answer is B

Explanation

Which patient should be advised by the nurse to avoid over-the-counter cold and allergy preparations that contain phenylephrine?

Correct Answer is A

Explanation

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