The spouse of a patient who is prescribed
promethazine (Phenergan) as part of her antiemetic therapy with chemotherapy reports that after the last dose the patient did not remember the drive home. What is your best action?
a. Thank the spouse for reporting the problem, and document the adverse drug reaction.
b. Hold the dose of promethazine for this round of chemotherapy until the patient is seen by the prescriber.
c. Reassure the patient and spouse that this is a normal response to the drug and stress that the patient should not drive.
d. Perform a mini-mental status examination and assess the patient's pupillary reflexes before administering the promethazine.
ANS: C
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