Author Question: The nurse has just admitted a patient with asthma and the emergency department doctor has ordered ... (Read 15 times)

darbym82 · **on:** Jul 23, 2018

The nurse has just admitted a patient with asthma and the emergency department doctor has ordered the patient to begin taking zafirlukast (Accolate).

The nurse would hold the medication and contact the physician if the patient reported taking which medication at home? (Select all that apply.) A) Propranolol
B) Warfarin
C) Acetaminophen
D) Ampicillin
E) Terfenadine

Question 2

The nurse administers a narcotic analgesic to the postoperative patient. What is the best way for the nurse to evaluate response to the medication?

A) Observe the patient without her awareness.
B) Use a pain assessment tool before and 30 minutes after administration.
C) Assess vital signs.
D) Measure oxygen saturation.

mjbamaung · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A, B, E
Feedback:
Use zafirlukast with caution if propranolol, theophylline, terfenadine, or warfarin is taken at the same time because increased toxicity can occur. Toxicity may also occur if these drugs are combined with calcium channel blockers, cyclosporine, or aspirin. No reported change of toxicity occurs when the patient is currently taking acetaminophen or ampicillin.

Answer to Question 2

B
Feedback:
A standard pain assessment tool should be used both pre- and post-analgesia. Observing the patient when she is not aware you are watching, assessing vital signs, and measuring oxygen saturation may all contribute useful data but it would not be the best means of determining pain response following analgesic administration.