The nurse is planning care for an older adult taking fexofenadine (Allegra) for seasonal allergies. Which nursing diagnoses would take priority?
Standard Text: Select all that apply.
1. Injury, Risk for
2. Knowledge, Deficient
3. Falls, Risk for
4. Airway Clearance, Ineffective
5. Breathing Pattern, Ineffective
Correct Answer: 1,2,3
Rationale 1: Antihistamines can cause drowsiness, dizziness, and confusion in an older adult, which increases the risk of falling.
Rationale 2: The nurse must make sure the older adult knows the potential side effects of the antihistamine.
Rationale 3: Antihistamines can cause drowsiness, dizziness, and confusion in an older adult, which increases the risk of falling.
Rationale 4: Antihistamines generally improve airway clearance.
Rationale 5: Antihistamines generally help to improve breathing.
Global Rationale: Although considered nonsedating, fexofenadine can still cause drowsiness in certain patients at high doses and if combined with CNS depressants, including alcohol. This places the patient at risk for injury and falls. Education is essential. Airway clearance and ease of breathing is enhanced.
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