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

A 47-year-old female with hypertension

A 52-year-old male with adult-onset diabetes

A 17-year-old female with symptoms of an upper respiratory infection

A 62-year-old male with gout

Answer and Explanation

The Correct Answer is A

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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Correct Answer is A

Explanation

A. Take the drug on an empty stomach is correct because tetracycline should be taken without food for optimal absorption, ideally 1 hour before or 2 hours after meals.

B. Take the drug along with a meal is incorrect as it can reduce the absorption of tetracycline.

C. Take the drug along with milk or fruit juice is incorrect because calcium and magnesium can bind to tetracycline, decreasing its effectiveness.

D. Take the drug immediately after meals is also incorrect as food can hinder absorption, making this timing ineffective for treatment.

A. improved sleep B. decreased anxiety C. reduced appetite D. weight loss E. interest in physical activity

Correct Answer is ["A","B","E"]

Explanation

A. Improved sleep is an indication that fluoxetine is effectively alleviating depressive symptoms, as sleep disturbances are common in depression.

B. Decreased anxiety suggests that the medication is effective, as fluoxetine can help reduce both depressive and anxiety symptoms.

C. Reduced appetite is typically not a sign of effectiveness; it may indicate a side effect or worsening of depression rather than improvement.

D. Weight loss is also not a clear indicator of effectiveness; it may indicate adverse effects or worsening mental health symptoms rather than improvement in mood or behavior.

E. Interest in physical activity indicates improvement in mood and energy levels, which are positive signs of fluoxetine's effectiveness.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has been prescribed oral tetracycline for the treatment of acne. Which of the following must the nurse include in the patient teaching plan?

Correct Answer is A

Explanation

The nurse is caring for a client taking fluoxetine for depression. Which assessment findings indicate that the medication is effective? (Select all that apply.)

Correct Answer is ["A","B","E"]

Explanation

The nurse is caring for a client who is experiencing pulmonary edema. The client is treated with furosemide. What will the nurse monitor most closely?

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?

When researching information about a drug, the nurse finds that the drug tightly binds to protein. The nurse would interpret this to mean that the drug will:

A patient on warfarin is found to have an INR of 5.0. What is the most appropriate action by the nurse?

A client asks, "Why is my prescription being switched from furosemide to spironolactone?" What is the nurse's best response?

Which of the following is a common side effect of antiplatelet therapy with medications such as clopidogrel?

A client is receiving opioid therapy. The nurse should be alert to the possibility that which could occur if the client receives an opioid agonist-antagonist?

A patient taking magnesium citrate as an osmotic laxative reports abdominal cramping and diarrhea. What should the nurse recommend?