A client with vasomotor rhinitis has been prescribed an ...

[KimWrice]

A client with vasomotor rhinitis has been prescribed an antihistamine. The client is eager to know whether the prescribed antihistamine may cause excessive sedation. Which antihistamine would the nurse identify as having very little sedative effect?
 
  A) Brompheniramine
  B) Clemastine
  C) Chlorpheniramine
  D) Azelastine

Question 2

A client complains of increased sedation after the initiation of chlorpheniramine to treat her allergies. Which of the following would the nurse suggest to the client to treat her allergy symptoms that would result in less sedation? Select all that apply.
 
  A) Diphenhydramine (Benadryl)
  B) Clemastine (Tavist)
  C) Loratadine (Claritin)
  D) Cetirizine (Zyrtec)
  E) Phenylephrine (Neo-Synephrine)

[EAN94]

Answer to Question 1

Ans: D
Feedback:
The nurse should assure the client that azelastine has very little sedative effect; it is a second-generation antihistamine with little effect on central nervous system (CNS) depression. Brompheniramine, clemastine, and chlorpheniramine are first-generation antihistamines. Sedation is seen more often with first-generation antihistamines.

Answer to Question 2

Ans: C, D
Feedback:
Loratadine and cetirizine are second-generation antihistamines, which can be less sedating than first-generation antihistamines, like chlorpheniramine, diphenhydramine, and clemastine. Phenylephrine is a decongestant used to treat nasal congestion.

[KimWrice]

Excellent

[bdobbins]

TYSM