A patient with chronic bronchial asthma is prescribed montelukast (Singulair). What will the nurse instruct the patient to avoid taking?
A) Aspirin
B) Penicillin
C) Sertraline (Zoloft)
D) Nifedipine (Procardia)
A
Feedback:
The nurse would instruct the patient to avoid aspirin, which might cause an increased montelukast level and toxicity. The other options do not cause drug–drug interactions with montelukast.
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A 20-year-old man has begun treatment of the psychotic symptoms of schizophrenia using olanzapine (Zyprexa). Which of the following symptoms would be categorized as a negative symptom of schizophrenia?
A) Lack of interest in normal activities B) Delusional thinking C) Auditory hallucinations D) Visual hallucinations
The client is admitted to rule out a diagnosis of non-Hodgkin's lymphoma. Which assessment finding best indicates to the nurse that an older adult client has non-Hodgkin's lymphoma?
1. Pitting edema bilaterally 2. Difficulty with walking 3. Severe bone pain in the lower back 4. Diffuse lymph node enlargement
Clients who have a history of esophageal varices should avoid which of the following?
a. antibiotics b. antihistamines c. NSAIDs (nonsteroidal anti-inflammatory drugs) d. laxatives
Scott's seizures are well controlled on topiramate and he wants to start playing baseball. Education for Scott regarding his topiramate includes:
1. He should not play sports due to the risk of increased seizures 2. He should monitor his temperature and ability to sweat in the heat while playing 3. Reminding him that he may need higher dosages of topiramate when exercising 4. Encouraging him to use sunscreen due to photosensitivity from topiramate