Convert the following traditional time to military time.

2:03 am =

A. Advise the patient to continue using the nasal decongestant but reduce the frequency to once daily: Continued use, even at a reduced frequency, may not resolve the underlying issue. Prolonged use of topical nasal decongestants can lead to rebound congestion (rhinitis medicamentosa), which won't improve without discontinuation.
B. Suggest increasing the dosage of the current nasal decongestant to manage congestion: Increasing the dosage worsens rebound congestion and the dependence cycle. Higher doses can also raise the risk of systemic side effects such as elevated blood pressure or tachycardia.
C. Educate the patient on discontinuing the nasal decongestant and recommend a saline nasal spray for symptom relief: This is the most appropriate intervention. Rebound congestion is best managed by stopping the decongestant. Saline sprays help moisturize nasal passages and reduce symptoms safely during withdrawal.
D. Prescribe a stronger nasal decongestant to alleviate symptoms more effectively: A stronger formulation would likely exacerbate the problem. The key to managing rhinitis medicamentosa is breaking the cycle of decongestant overuse, not intensifying it.

A. Avoid caffeine while taking this medication: Theophylline is a methylxanthine, similar in structure and effect to caffeine. Concurrent use can increase CNS stimulation and risk of side effects such as insomnia, tachycardia, and tremors. Avoiding caffeine helps prevent toxicity and unwanted stimulation.
B. Crush your extended-release tablet and mix it with apple sauce for easier consumption: Extended-release formulations should never be crushed, as this can lead to rapid absorption and potentially toxic drug levels. Theophylline has a narrow therapeutic index, and proper dosing is critical.
C. Take this medication as needed when you are not feeling well: Theophylline is a maintenance medication meant to be taken on a regular schedule. Taking it only as needed undermines its therapeutic effectiveness and can lead to inconsistent symptom control.
D. Consume a high-protein diet: While diet can influence drug metabolism, there is no routine recommendation for a high-protein diet with Theophylline. In fact, sudden dietary changes can alter its metabolism, requiring careful monitoring of serum drug levels.