The client takes diphenhydramine (Benadryl) but forgets to tell ...

[folubunmi]

The client takes diphenhydramine (Benadryl) but forgets to tell the physician about this drug when a monoamine oxidase inhibitor (MAOI) drug is prescribed for depression. What will the best assessment by the nurse reveal?
 
  1. The depression will not subside.
  2. The client may develop seizures.
  3. The diphenhydramine (Benadryl) will not control allergies.
  4. The client may develop a hypertensive crisis.

Question 2

Which statement made by the nurse regarding topical medications is the most appropriate when referring to the desired reaction?
 
  1. The desired reaction is absorption of the medication into the circulation.
  2. The desired reaction is a specified rate of delivery.
  3. The desired reaction is fewer side effects.
  4. The desired reaction is systemic absorption through the skin.

[bassamabas]

Answer to Question 1

4
Rationale 1: Depression is not the concern with this combination.
Rationale 2: Seizures are not the concern with this combination.
Rationale 3: Control of allergies is not the concern with this combination.
Rationale 4: The combination of diphenhydramine (Benadryl) and a monoamine oxidase inhibitor (MAOI) drug can result in a hypertensive crisis.
Global Rationale: The combination of diphenhydramine (Benadryl) and a monoamine oxidase inhibitor (MAOI) drug can result in a hypertensive crisis. Depression, seizures, and control of allergies are not the concern with this combination.

Answer to Question 2

3

Rationale 1:Topical drugs intended to produce a local effect are absorbed very slowly and only small amounts reach the general circulation. Topical delivery also produces fewer side effects. Systemic absorption occurs with slow release and absorption into the general circulation to produce a systemic (system-wide) effect. Transdermal patches contain a specific amount of drug with a specific rate of delivery.
Rationale 2:Topical drugs intended to produce a local effect are absorbed very slowly and only small amounts reach the general circulation. Topical delivery also produces fewer side effects. Systemic absorption occurs with slow release and absorption into the general circulation to produce a systemic (system-wide) effect. Transdermal patches contain a specific amount of drug with a specific rate of delivery.
Rationale 3: Fewer side effects are a desired reaction of a topical drug.
Rationale 4:Topical drugs intended to produce a local effect are absorbed very slowly and only small amounts reach the general circulation. Topical delivery also produces fewer side effects. Systemic absorption occurs with slow release and absorption into the general circulation to produce a systemic (system-wide) effect. Transdermal patches contain a specific amount of drug with a specific rate of delivery.

Global Rationale: Fewer side effects are a desired reaction of a topical drug. Topical drugs intended to produce a local effect are absorbed very slowly and only small amounts reach the general circulation.