A nurse is caring for a 30-year-old client who is receiving ...

[ss2343]

A nurse is caring for a 30-year-old client who is receiving albuterol for asthma. The client complains of feeling dizzy, especially when he stands up after sitting.
 
  The nurse suspects that a possible interaction with another drug could be causing the client's problem. Which of the following drugs should the nurse consider as a possible cause?
 
  A) Warfarin
  B) Uterine stimulants
  C) Methylxanthines
  D) Methyldopa

Question 2

A nurse is providing care to a client who has an allergy to sulfamethoxazole/trimethoprim. The nurse understands that the client may have cross-sensitivity reactions with which of the following diuretics? Select all that apply.
 
  A) Chlorothiazide
  B) Furosemide
  C) Chlorthalidone
  D) Metolazone
  E) Spironolactone

Question 3

A client is prescribed amiloride. The nurse would administer this drug cautiously if the client had a history of which of the following? Select all that apply.
 
  A) Gout
  B) Asthma
  C) Diabetes
  D) HIV
  E) Hepatic disease

[ryansturges]

Answer to Question 1

Ans: D
Feedback:
The nurse should consider methyldopa as a cause for the client's complaint of dizziness on standing, suggesting hypotension. Methyldopa and albuterol interact, leading to hypotension. Albuterol does not interact with warfarin. Interaction between albuterol and uterine stimulants leads to severe hypotension, and not severe headache. There is an increased risk of cardiotoxicity when methylxanthines are given along with albuterol.

Answer to Question 2

Many thanks to you.

Answer to Question 3

Ans: A, C, E
Feedback:
Potassium-sparing diuretics, like amiloride, should be used cautiously in clients with gout, diabetes, and hepatic disease.

[ss2343]

Excellent

[brbarasa]

TYSM