A patient has been prescribed once daily sustained-release ...

[jayhills49]

A patient has been prescribed once daily sustained-release diethylpropion (Tenuate) for weight loss. When providing education about the administration of this drug, the nurse should instruct the patient to take the medication
 
  a. just prior to bedtime.
  b. once daily before breakfast.
  c. 1 hour prior to meals.
  d. during the midmorning.

Question 2

The nurse would question a prescription for alosetron (Lotronex) for a patient with a history of which health problem or problems? (Select all that apply.)
 
  a. Ulcerative colitis
  b. Traveler's diarrhea
  c. Intestinal obstruction
  d. Diabetes
  e. Diverticulitis

[itsakadoozi]

Answer to Question 1

ANS: D
When once daily dosing of sustained-release tablets is used, the patient should be instructed to take the medication in the midmorning.
The medication is not recommended prior to bedtime.
Phentermine is indicated once daily before breakfast.
For a three times a day (TID) dosing schedule with an immediate-release tablet, the medication is taken 1 hour prior to meals.

Answer to Question 2

ANS: A, C, E
The nurse should question a prescription for patients with a history of ulcerative colitis, intestinal obstruction, and diverticulitis. Alosetron is approved only for diarrhea-predominant IBS in women.
Alosetron is not contraindicated in women with irritable bowel syndromediarrhea (IBS-D) who have a history of traveler's diarrhea or diabetes.

[jayhills49]

TYSM

[bblaney]

Excellent