A patient has been taking phentermine for the past month and a half
During the patient's most recent follow-up visit to the clinic, she tells the nurse, "The pills seemed to work wonders for me for the first few weeks, but now I feel like they don't really make much of a difference." The nurse should anticipate that the prescriber will take what action? A) Increasing the daily dosage of the drug by approximately 50%
B) Ordering blood work to ascertain the serum level of phentermine
C) Discontinuing the drug
D) Changing the route and schedule of administration
C
Feedback:
Tolerance to phentermine usually occurs within 4 to 6 weeks and is an indication for discontinuing drug administration. Continued administration or use of large doses does not maintain appetite-suppressant effects. Instead, it increases the incidence of adverse effects. Blood work is unnecessary, and changing the route is not an option.
You might also like to view...
A client who has been hospitalized for an infection states, "The nursing assistant told me my vital signs are all within normal limits; that means I'm cured." The nurse's best response would be:
1) "Your vital signs confirm that your infection is resolved; how do you feel?" 2) "I'll let your health care provider know so you can be discharged." 3) "Your vital signs are stable, but there are other things to assess." 4) "We still need to keep monitoring your temperature for a while."
A client does not like to wear a ski helmet while skiing because he is unable to hear other skiers around him as clearly. The ski helmet would interfere with the __________ of sound
1. Air conduction 2. Bone conduction 3. Nerve conduction 4. Middle ear conduction
A diet for a child with cystic fibrosis should include:
1. Foods with high protein and high fat content. 2. Foods with low fat and high protein content. 3. A daily dose of fat-soluble vitamin supplements. 4. A daily dose of water-soluble vitamin supplements.
An older adult client diagnosed as being in the early stage of Alzheimer's disease shares with the nurse that her sleep is interrupted by "the noises I hear all through the night." The nurse explains that the most likely reason for this problem is:
1. The client's age 2. A lack of presleep relaxation 3. The amount of noise entering into the client's environment 4. A manifestation of the disease process causing the brain disorder