A client has been prescribed beclomethasone (Beconase) for ...

[humphriesbr@me.com]

A client has been prescribed beclomethasone (Beconase) for long-term management of persistent asthma. Prior to discharge, the nurse teaches the client about possible side effects, including:
 
  Standard Text: Select all that apply.
  1. hoarseness.
  2. dry mouth.
  3. changes in taste.
  4. nervousness.
  5. insomnia.

Question 2

The nurse in a pulmonary clinic knows that theophylline (Theo-Dur) should not be prescribed for:
 
  Standard Text: Select all that apply.
  1. a teenager taking erythromycin for acne.
  2. a client taking lorazepam for anxiety.
  3. a client taking ciprofloxacin for prostatitis.
  4. a client with elevated liver enzymes.
  5. a client taking St. John's wort for menopausal symptoms.

[samiel-sayed]

Answer to Question 1

Correct Answer: 1,2,3
Rationale 1: Hoarseness can occur as a local reaction to beclomethasone.
Rationale 2: Dry mouth can occur as a local reaction to beclomethasone.
Rationale 3: Changes in taste can occur as a local reaction to beclomethasone.
Rationale 4: Beclomethasone is an anti-inflammatory drug and does not cause nervousness.
Rationale 5: Beclomethasone is an anti-inflammatory drug and does not cause insomnia.
Global Rationale: Inhaled beclomethasone produces few systemic adverse effects. Because small amounts may be swallowed with each dose, the patient should be observed for signs of corticosteroid toxicity (hypercorticism) when taking this drug for prolonged periods. Local effects may include hoarseness, dry mouth, and changes in taste. Nervousness and insomnia are not adverse effects of this drug.

Answer to Question 2

Correct Answer: 1,2,3
Rationale 1: Erythromycin is one of the common antibiotics that have a drugdrug interaction with theophylline.
Rationale 2: Lorazepam is one of the antianxiety medications that have a drugdrug interaction with theophylline.
Rationale 3: Ciprofloxacin is one of the antibiotics that have a drugdrug interaction with theophylline.
Rationale 4: Theophylline could be prescribed for this client, but liver function should be closely monitored.
Rationale 5: St. John's wort may decrease the effectiveness of theophylline but is not contraindicated for concurrent use.
Global Rationale: Erythromycin is one of the common antibiotics that have a drugdrug interaction with theophylline. Lorazepam is one of the antianxiety medications that have a drugdrug interaction with theophylline. Ciprofloxacin is one of the antibiotics that have a drugdrug interaction with theophylline. Theophylline could be prescribed for this client, but liver function should be closely monitored. St. John's wort may decrease the effectiveness of theophylline but is not contraindicated for concurrent use.

[humphriesbr@me.com]

Thanks for the timely response, appreciate it

[marict]

Gracias!