Author Question: A patient with a long-standing history of seasonal allergies has sought care during the spring and ... (Read 36 times)

laurencescou · **on:** Jul 23, 2018

A patient with a long-standing history of seasonal allergies has sought care during the spring and been advised to take a second-generation antihistamine.

Which of the patient's following statements suggests a need for the nurse to perform health education? A) I know these can be a bit expensive, but hopefully it will be worth it for me.
B) I'm really hoping that these pills will cure my allergies before summer starts.
C) I'll check with my doctor to make sure that the diet supplements I'm taking are okay to take at the same time as these pills.
D) It's handy that I don't necessarily have to take these pills at bedtime.

Question 2

A middle-aged patient has not achieved adequate symptom relief of migraines with first-line therapies, and the clinician is considering the use of frovatriptan (Frova).

The patient's concurrent use of what medication would contraindicate the safe use of frovatriptan? A) Albuterol (Ventolin)
B) Metformin
C) Atorvastatin (Lipitor)
D) Fluoxetine (Prozac)

briezy · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Feedback:
Antihistamines mitigate the signs and symptoms of allergies, but they do not cure the problem. Second-generation antihistamines are more expensive than earlier drugs. It is prudent to screen for potential interactions with herbal remedies. Because second-generation drugs do not cause sedation, they may generally be taken at any time.

Answer to Question 2

D
Feedback:
Frovatriptan (Frova) interacts unfavorably with selective serotonin reuptake inhibitors and may lead to serotonin syndrome. Ventolin, metformin, and Lipitor do not present a risk for interactions.