The nurse is caring for a patient whose provider has just ordered ...

[Frost2351]

The nurse is caring for a patient whose provider has just ordered a switch from atenolol (Tenormin) to reserpine. When preparing the patient to take this medication, what will the nurse do?
 
  a. Ask about herbal supplements.
  b. Counsel that NSAIDs are safe to take with reserpine.
  c. Teach about potential side effects of mood elevation and euphoria.
  d. Tell the patient to expect immediate therapeutic effects.

Question 2

The nurse is teaching a patient how to use phenylephrine HCl (Neo-Synephrine) nasal spray to treat congestion from a viral upper respiratory infection. What instruction will the nurse give the patient?
 
  a. Stop using the medication after 3 days.
  b. Spray the medication into the nose while lying supine.
  c. Use frequently since systemic side effects do not occur.
  d. Use the medication with any other over-the-counter medications.

[joewallace]

Answer to Question 1

ANS: A
St. John's wort may antagonize hypotensive effects of reserpine. Reserpine should not be taken with NSAIDs. Side effects include depression, not mood elevation. Therapeutic effects may take 2 to 3 weeks.

Answer to Question 2

ANS: A
Nurses should explain to patients that continuous use of nasal sprays containing adrenergic agonists may result in rebound nasal congestion; these sprays should not be used more than 3 days. To avoid systemic absorption, spray should be administered while the patient is in an upright position. The medication may cause systemic side effects and should not be routinely used with other OTC cold medications.

[Frost2351]

Both answers were spot on, thank you once again

[joewallace]

Great! Please up vote