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Author Question: A patient who has narrow-angle glaucoma asks the nurse to recommend a medication to alleviate cold ... (Read 32 times)

ss2343

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on: Jul 23, 2018
A patient who has narrow-angle glaucoma asks the nurse to recommend a medication to alleviate cold symptoms such as nasal congestion and runny nose. The nurse will suggest the patient talk to the provider about which medication?
 
  a. Azelastine (Astelin)
  b. Cetirizine (Zyrtec)
  c. Chlorpheniramine maleate (Chlor-Trimeton)
  d. Diphenhydramine (Benadryl)

Question 2

The nurse is preparing to administer interleukin-2 to a patient who has cancer. The patient reports shortness of breath.
 
  The nurse assesses clear breath sounds, a respiratory rate of 22 breaths per minute, a heart rate of 80 beats per minute, an oxygen saturation of 93 on room air, and a blood pressure of 92/68 mm Hg. The nurse will perform which action?
  a. Administer the dose as ordered.
  b. Administer oxygen while giving the dose.
  c. Discuss permanently discontinuing this treatment with the provider.
  d. Hold the dose and notify the provider.


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kbennett34

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A
Antihistamines have anticholinergic effects, which are contraindicated in patients with narrow-angle glaucoma. Cetirizine and azelastin are second-generation antihistamines, with fewer anticholinergic side effects, but azelastine is a nasal spray and is less likely to have systemic side effects.

Answer to Question 2

ANS: D
Because of pulmonary symptoms associated with interleukin-2, the drug should be held if the patient has an oxygen saturation <94 on room air. It may be given when the patient's oxygen saturation improves. The drug does not need to be permanently discontinued.


ss2343

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Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


kbennett34

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Reply #3 on: Jul 23, 2018
Great! Please up vote :D


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