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?

Questions 31

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ATI PN Pharmacology Proctored Exam 2023 Quizlet Questions

Question 1 of 5

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?

Correct Answer: B

Rationale: Fluticasone, a corticosteroid, is contraindicated with active infections (e.g., viral colds) due to immunosuppression risks . 'My kids have a head cold' suggests exposure, prompting nurse-prescriber collaboration to assess infection status. Licorice , psoriasis , and fruit don't contraindicate use. Choice B prioritizes safety, avoiding exacerbation of undetected infection.

Question 2 of 5

The nurse is performing a health history on a patient who is ordered to begin therapy with valproic

Correct Answer: D

Rationale: Valproic acid is metabolized in the liver, and patients with liver disease may have impaired liver function, which can lead to reduced metabolism of the drug and potential toxicity. Therefore, a patient with a history of liver disease starting therapy with valproic acid would be a cause for concern for the nurse. Monitoring of liver function tests would be crucial in this patient population to ensure the medication is being safely metabolized.

Question 3 of 5

Which sign is common with hypocalcemia?

Correct Answer: D

Rationale: Hypocalcemia causes muscle spasms (tetany)-nerve hyperexcitability, per classic signs-unlike bruising (coagulation), hypertension (not direct), or wasting (chronic). Spasms dominate, per assessment.

Question 4 of 5

What medication is a contraindication to Nitroglycerin

Correct Answer: D

Rationale: Erectile dysfunction drugs, such as Viagra (sildenafil), Cialis (tadalafil), and Levitra (vardenafil), are contraindicated with nitroglycerin. Both nitroglycerin and erectile dysfunction drugs can cause a sudden decrease in blood pressure when taken together, leading to a serious drop in blood pressure. This could result in dizziness, lightheadedness, fainting, and even potentially life-threatening complications like a heart attack or stroke. Therefore, it is crucial to avoid the combination of nitroglycerin with erectile dysfunction medications to prevent these adverse effects.

Question 5 of 5

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?

Correct Answer: B

Rationale: Fluticasone, a corticosteroid, is contraindicated with active infections (e.g., viral colds) due to immunosuppression risks . 'My kids have a head cold' suggests exposure, prompting nurse-prescriber collaboration to assess infection status. Licorice , psoriasis , and fruit don't contraindicate use. Choice B prioritizes safety, avoiding exacerbation of undetected infection.

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