Loratadine (Claritin) has an advantage over traditional antihistamines such as diphenhydramine (Benadryl) in that loratadine has

Less sedative effect.

Increased bronchodilating effects.

Less risk of cardiac arrhythmias.

Less gastrointestinal upset.

Answer and Explanation

The Correct Answer is A

Traditional antihistamines like diphenhydramine are known to have sedating properties, which can cause drowsiness and impair cognitive function. On the other hand, loratadine is classified as a non-sedating or second-generation antihistamine. It is designed to have less of a sedative effect, allowing individuals to take it during the day without experiencing significant drowsiness or impairment.

It is important to note that individual responses to medications can vary, and some individuals may still experience mild drowsiness with loratadine. However, compared to diphenhydramine, loratadine is generally associated with a lower risk of sedation.

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Correct Answer is C

Explanation

Montelukast is a medicine used to treat and prevent asthma and allergic rhinitis. It can cause some side effects, such as stomach pain, headache, cough, or fever. However, some side effects are more serious and need to be reported to the provider.

According to the sources I found, the most serious side effect of montelukast that should be reported to the provider is depression. Depression is a mental health condition that can affect your mood, thoughts, and behavior. It can cause symptoms such as feeling sad, hopeless, or worthless; losing interest in activities you used to enjoy; having trouble sleeping or concentrating; or having thoughts of harming yourself or others.

Montelukast has been linked to neuropsychiatric events, such as agitation, aggression, sleep disturbances, suicidal thoughts and behavior (including suicide). The mechanisms underlying these events are not well understood, but they can occur at any time during treatment. Therefore, patients and caregivers should be alert for changes in behavior or new neuropsychiatric symptoms when taking montelukast. If these occur, they should discontinue montelukast and contact a healthcare provider immediately.

The other options are not listed as serious side effects of montelukast that need to be reported to the provider. Constipation, blurred vision, and palpitations are possible side effects of other medicines used to treat asthma or allergic rhinitis, such as corticosteroids, antihistamines, or beta-agonists. However, they are not specific to montelukast and may not be related to its use.

A. Eat a high-fatty meal prior to taking medication B. Medication can be taken often and whenever he feels a cough is starting C. Swallow whole and do not bite or chew the medication D. Take medication with orange juice

Correct Answer is C

Explanation

Benzonatate is available in capsule form (such as Tessalon Pearls), and it should be swallowed whole. It is important not to chew, crush, or break the capsules as this can cause adverse effects, including local anesthesia in the oral cavity, which can lead to choking or difficulty swallowing. Swallowing the capsule whole ensures that the medication is released properly in the stomach for the desired effect.

The other options mentioned are incorrect:
A. Eating a high-fat meal prior to taking medication: There is no specific requirement to eat a high-fat meal before taking Benzonatate. However, taking it with food or a glass of water may help with ease of swallowing.

B. Taking medication often and whenever a cough is starting: Benzonatate should be taken as directed by the healthcare provider. It is not recommended to take it more frequently or as needed, as it can lead to an overdose or unwanted side effects.

D. Taking medication with orange juice: There is no specific requirement to take Benzonatate with orange juice. It can be taken with water or other non-alcoholic beverages as directed by the healthcare provider.

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Loratadine (Claritin) has an advantage over traditional antihistamines such as diphenhydramine (Benadryl) in that loratadine has

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions to a client who has asthma and a new prescription for montelukast. The nurse should instruct the client to report which of the following adverse effects to the provider?

Correct Answer is C

Explanation

When using the antitussive Benzonatate, also known as Tessalon Pearls, it is very important to teach the patient to

Correct Answer is C

Explanation

A nurse is giving discharge instructions to a patient who has been ordered Guaifenesin (Mucinex) to take BID for 3 days after discharge. What response by the patient lets her know that he understands how to take his medication?

The Parasympathetic Nervous System utilizes which neurotransmitter?

A nurse is teaching a client who has a new diagnosis of asthma. Which of the following medications should the nurse instruct the client to use to abort an acute asthma attack?

A nurse is reviewing the medical record of a client who reports taking pseudoephedrine for sinus congestion as needed. The nurse should identify that pseudoephedrine is contraindicated for which of the following client conditions?

A pregnant patient asks the nurse if she can take antihistamines for seasonal allergies during her pregnancy. What will the nurse tell the patient?

A nurse is teaching a client who has been taking prednisone to treat asthma and has a new prescription to discontinue the medication. The nurse should explain to the client to reduce the dose gradually to prevent which of the following adverse effects?

Acetylcysteine (Mucomyst) is a mucolytic that can also be used in the treatment of overdosage of which drug?

A nurse is caring for a client who asks how albuterol helps his breathing. Which of the following responses should the nurse make? (Select all that apply.)