A client is prescribed the antihistamine fexofenadine (Allegra) for severe seasonal allergies. Which of the following teaching points are appropriate for this client? Select all that apply
A) Warn the client not to drive or work around machinery.
B) Urge the client to avoid using alcohol and other sedatives.
C) Encourage the client to drink only water when taking the medication.
D) Discontinue the antihistamine for 2 weeks before allergy testing.
E) Use sunscreen to avoid photosensitivity reactions.
F) Warn older adults that a larger dose may be required owing to the effects of aging.
A, B, E
Feedback:
The client should avoid driving and using heavy equipment because of drowsiness and avoid alcohol and other sedatives that could potentiate the effect of the medication. Sunscreen is also recommended to avoid photosensitivity reactions. The client should be encouraged to drink juices and other fluids, not just water, because of the side effect of dry mouth. Antihistamines should be stopped 4 days before allergy testing. Older adults should use these medications with caution because the risk for sedative effects is greater in this population.
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