A patient who has been prescribed prochlorperazine (Compazine) calls the clinic and reports pink-tinged urine. What is your best action?
a. Ask if the patient consumed grapefruit or grapefruit juice during the last 24 hours.
b. Remind the patient to drink more water to prevent this drug from damaging the kidneys.
c. Reassure the patient that this is an expected side effect of the drug and needs no action.
d. Instruct the patient to hold the next drug dose and notify the prescriber immediately.
Question 2
The family of a patient who was prescribed
chlorpromazine (Thorazine) report that the patient continually rolls his tongue and smacks his lips. What is your best action?
a. Reassure the patient and family that this response is an expected side effect of the drug.
b. Instruct the family to ensure that the patient drinks plenty of fluids and performs oral hygiene at least three times daily.
c. Instruct the family to hold the next dose of the drug and have the patient seen by the prescriber as soon as possible.
d. Emphasize the family that this drug cannot be stopped quickly and to gradually reduce the dose over a 2- to 3-week period.