An older adult client comes in to the office with severe sunburn. When reviewing the client's medication list, which is the likely cause of the client's sunburn?
1. Phenytoin (Dilantin)
2. Cyclobenzaprine (Flexeril)
3. Naproxen (Aleve)
4. Alprazolam (Xanax)
Correct Answer: 3
Rationale 1: Phenytoin (Dilantin) does not cause increased sensitivity to sunlight. Its major adverse effects are sedation and ataxia.
Rationale 2: Cyclobenzaprine (Flexeril) does not cause increased sensitivity to sunlight. Its major adverse effects are sedation, confusion, and anticholinergic effects.
Rationale 3: Naproxin (Aleve) can cause an increase in sensitivity to sunlight.
Rationale 4: Alprazolam (Xanax) does not cause increased sensitivity to sunlight. Its major adverse effect is sedation.
Global Rationale: Naproxin (Aleve) can cause an increase in sensitivity to sunlight. Phenytoin (Dilantin) does not cause increased sensitivity to sunlight. Its major adverse effects are sedation and ataxia. Cyclobenzaprine (Flexeril) does not cause increased sensitivity to sunlight. Its major adverse effects are sedation, confusion, and anticholinergic effects. Alprazolam (Xanax) does not cause increased sensitivity to sunlight. Its major adverse effect is sedation.
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