The nurse is caring for a patient in the clinic who states that he is afraid of taking antihistamines because he is a truck driver. What is the best information for the nurse to give this patient?
“Take a lower dose than normal when you have to drive."
“Take the medication only when you are not driving."
"You may be able to safely take a second-generation antihistamine."
"You are correct: you should not take antihistamines."
The Correct Answer is C
A. “Take a lower dose than normal when you have to drive.” Lowering the dose does not reliably prevent sedation, and even mild drowsiness can impair alertness needed for safe driving. Dose reduction still carries unpredictable effects on reaction time and concentration.
B. “Take the medication only when you are not driving.” This may prevent sedation during driving but does not offer a practical solution for someone who drives frequently for work. The patient may need allergy relief during driving hours, so this advice may not meet daily functional needs.
C. “You may be able to safely take a second-generation antihistamine.” Second-generation antihistamines such as loratadine and fexofenadine cause minimal sedation and are preferred for individuals who must remain alert. They provide symptom relief without the high risk of drowsiness seen in first-generation drugs.
D. “You are correct: you should not take antihistamines.” This overgeneralizes and may withhold effective treatment, since not all antihistamines impair alertness. Avoiding all antihistamines is unnecessary when safer second-generation options are available.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. To decrease acetylcholine levels: Levodopa does not directly affect acetylcholine. Parkinson’s disease involves dopamine deficiency, and acetylcholine modulation is a separate therapeutic target addressed by anticholinergic medications.
B. To cure Parkinson's disease: Levodopa does not cure the disease or halt its progression. It temporarily restores dopamine activity to improve motor symptoms, but the underlying neurodegeneration continues.
C. To reduce symptoms of anxiety: Anxiety may occur in Parkinson’s disease but is not directly treated by levodopa. Its main effect is on motor symptoms such as bradykinesia, rigidity, and tremors, not psychological symptoms. Other medications or interventions are used to manage anxiety.
D. To increase dopamine levels in the brain: Levodopa is a dopamine precursor that crosses the blood-brain barrier and is converted to dopamine, replenishing the deficit caused by neuronal degeneration. Increasing central dopamine improves motor function and reduces Parkinsonian symptoms effectively.
Correct Answer is B
Explanation
A. parkinsonism: Atropine-like drugs may worsen certain symptoms such as confusion, but they are not absolutely contraindicated in parkinsonism. Some anticholinergic agents are even used to reduce tremors, so this condition does not represent the primary concern.
B. glaucoma: These drugs increase intraocular pressure by causing pupil dilation, which can obstruct aqueous humor outflow. In clients with glaucoma—especially narrow-angle—this can trigger dangerous pressure elevations and worsen vision rapidly.
C. peptic ulcer: Anticholinergics may slow gastric motility, but they do not directly worsen ulcer pathology. Although used cautiously, they are not considered strictly contraindicated in peptic ulcer disease.
D. cirrhosis: Liver disease requires careful medication management, yet atropine-like drugs do not pose a specific prohibitive risk. They may need dose adjustment, but cirrhosis is not a direct contraindication to their use.
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