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. "I will take this medication at bedtime to help with my symptoms." is correct; famotidine is often taken at bedtime to reduce nocturnal gastric acid secretion and help manage symptoms.

B. "I can take this medication with antacids for faster relief." is incorrect; antacids can interfere with the absorption of famotidine, and patients should be advised to separate the doses by at least an hour.

C. "I should avoid alcohol while taking this medication." is correct; alcohol can increase the risk of gastrointestinal irritation and should generally be avoided.

D. "I will monitor for signs of unusual bleeding or bruising." is correct; while famotidine is not typically associated with bleeding risks, monitoring for signs of unusual bleeding is a good practice when taking any medication, particularly in patients with risk factors.

A. possible drug toxicity. B. decreased therapeutic effects. C. altered drug absorption. D. increased drug metabolism.

Correct Answer is A

Explanation

A. A reduced plasma albumin level can lead to increased free drug levels in the bloodstream, raising the risk of drug toxicity, particularly for highly protein-bound medications.

B. Decreased therapeutic effects are less likely because the decrease in albumin can lead to higher free drug concentrations, which may actually increase effects rather than decrease them.

C. Altered drug absorption is generally not directly influenced by plasma albumin levels; it relates more to gastrointestinal factors.

D. Increased drug metabolism is not a direct consequence of lower albumin levels; instead, the concern is primarily about increased free drug concentrations and potential toxicity.

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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 nurse is educating a patient about the use of famotidine. Which statement by the patient indicates the need for further teaching?

Correct Answer is B

Explanation

A nurse is administering drugs to a 70-year-old patient who has a reduced plasma albumin level. When assessing the patient for therapeutic outcomes of drug therapy, the nurse will also be careful to observe for

Correct Answer is A

Explanation

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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?