A patient asks an NP about using an oral over-the-counter decongestant medication for nasal congestion associated with a viral upper respiratory illness

The NP learns that this patient uses loratadine (Claritin), a B-adrenergic blocker, and an intranasal corticosteroid. The NP would be concerned about which adverse effects? a. Liver toxicity
b. Excessive drowsiness
c. Rebound congestion
d. Tremor, restlessness, and insomnia


D
B-Adrenergic blockers and monoamine oxidase inhibitors may potentiate the effects of decongestants, such as tremor, restlessness, and insomnia. Liver toxicity, excessive drowsiness, and rebound congestion are not known adverse effects of drug interactions.

Nursing

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A nurse is preparing a presentation on serious mental illness. Which conditions should be included? Select all that apply

1. Major depression 2. Schizophrenia 3. Adjustment reaction 4. Bipolar disorder 5. Social phobia

Nursing

The nurse is reviewing the manifestations of premenstrual syndrome (PMS) with a group of community women. Which dietary changes should the nurse recommend?

Select all that apply. 1. eating a diet high in complex carbohydrates 2. eating a diet high in protein 3. increasing caffeine intake 4. increasing fat intake 5. reducing sodium and alcohol consumption

Nursing

The client expresses concern to the nurse about her need for an effective nonpharmacologic measure during the postpartum period to promote bowel function and prevent constipation

What is the nurse's best recommendation to the client? a. Rest on left side in bed during the first 6 to 8 hours after delivery. b. Order cottage cheese on meal tray to promote bowel flora. c. Drink a minimum of 24 ounces of fluid per day. d. Do not attempt early defecation because urge sensation can present as referred pain.

Nursing

Which information should the nurse include in a teaching session regarding treatment for the common cold in the pediatric population?

1. Aspirin should be taken for alleviation of fever if the common cold is contracted. 2. Antibiotics will eliminate the nasopharyngitis virus. 3. Vaccinations can prevent contraction of a nasopharyngitis virus. 4. Proper hand washing can prevent the spread of the common cold.

Nursing