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Author Question: A patient who reports severe seasonal allergies has been prescribed fluticasone (Flonase). The nurse ... (Read 74 times)

jenna1

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A patient who reports severe seasonal allergies has been prescribed fluticasone (Flonase). The nurse providing medication information would collaborate with the prescriber if the patient makes which statement?
 
  1. I don't like licorice anyway.
  2. My kids all have that head cold that is going around school.
  3. Next appointment I want to talk about treatment for my psoriasis.
  4. I have been eating lots of fresh fruits.

Question 2

A client takes two medications at the same time. Why might the action of one drug be intensified when this occurs?
 
  1. Neither drug will bind to any plasma protein receptors, and the effect of the more potent drug will be intensified.
  2. A client must never take two medications at the same time.
  3. The drugs bind together, and the effect of the more potent drug is intensified.
  4. Both drugs compete for the plasma protein receptors, and one drug will displace the other.



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wfdfwc23

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Answer to Question 1

2
Rationale 1: Fluticasone (Flonase) should not be used concurrently with licorice ingestion. This will not be an issue since the patient does not like licorice.
Rationale 2: Corticosteroids should not be used in patients with viral infections.
Rationale 3: There is no contraindication to using this drug in patients with psoriasis.
Rationale 4: There is no contraindication to eating fresh fruits while taking this medication.

Global Rationale: Corticosteroids should not be used in patients with viral infections. Fluticasone (Flonase) should not be used concurrently with licorice ingestion. This will not be an issue since the patient does not like licorice. There is no contraindication to using this drug in patients with psoriasis. There is no contraindication to eating fresh fruits while taking this medication.

Answer to Question 2

3

Rationale 1: When the drug binds to a plasma protein, it is unable to reach its target cells, which will cause the drug to be less effective.
Rationale 2: Clients can take two medications at the same time as long as it is not contraindicated.
Rationale 3: The drugs bind together, and the effect of the more potent drug is intensified.
Rationale 4: The drugs bind together, and the effect of the more potent drug is intensified.

Global Rationale: When drugs bind together, the effect of the more potent drug is intensified. When the drug binds to a plasma protein, it is unable to reach its target cells, which will cause the drug to be less effective. Clients can take two medications at the same time as long as it is not contraindicated.





 

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