PATIENT COUNSELING REMEDIATION>

T/F Sidenafil should be taken 1 hour before intercourse and more can be used daily.

False

Tadalafil counseling point?

a) should be taken 1 hour before intercourse

b) Take daily for BPH and as needed for ED

C) May cause muscle pain for 2 days

b) Take daily for BPH and as needed for ED

C) May cause muscle pain for 2 days

T/F cleocin is taken for SJS?

True

Lithium counseling point, what would you sad to patient taking lithium?

a) Nsaids increase lithium levels

b)Drink adequate fluids and keep salt intake consistent

c) Caffeine decreases lithium levels

d) all the above

d) all the above

What is Lyrica (pregabalin) side effect?

Peripheral edema

T/F. actos can cause urine fluid retention?

true

T/F never place insulin freezer

true

Astepro counseling point

a) causes dry mouth epistaxis

b)Prime for first use and if it has not been used for more than 3 months

c) perennial allergies

d) all the above

d) all the above

Geriatric patients?

a) decreased Cyp450 metabolism

b) Reduced GI absorption

c) Reduced skin integrity

d) all the above

d) all the above

T/F. avoid grapefruit when taking buspirone?

true

Woman about to go on cruise with boyfriend; 2 days of missed birth control pills. What do you recommend?

a) take the most recent missed pill

b) discard other missed pills

c) take the remaining pills in the pack at the usual time

d) Use back up contraception or abstain for 7 days

e) all the above

e) all the above

Flomax counseling point

a) counsel to be careful standing up

b) know medication timing

a) counsel to be careful standing up

b) know medication timing

Sulfatrim counseling point?

a) counsel to wear sunscreen

b) requires refrigeration

c) shake prior to administration

d) A and C

d) A and C

Oxytrol counseling point for BPH:

A) Maintain adequate fluid intake to help with dry mouth and constipation

B) Diphenhydramine can help relieve symptoms

c) Sugar free gum or lozenge can help with the dry mouth

d ) A and C

d ) A and C

Ambien question parasomnias in oversuse

all of the above

Know the abortive/preventive migraine therapies. T/F

Nsaids- abortive

Sumatriptan-abortive

Fioricet-abortive

Topamax-preventive

Inderal-preventive

true

What are the migraine triggers?

a) dehydration

b) stress

c) bright lights

d) all the above

d) all the above

Know the thump grip piece of advair diskus:

used to open the inhaler and expose the mouth piece and lever

The piercing button( green in color)

which prepares the medication for inhalation

matching

Symbicort-MDI, maintenance

Proair- MDI, rescue

Proventil-MDI, rescue

Advair HFA-MDI, inhaler

QVAR-MDI, inhaler

Symbicort-MDI, maintenance

Proair- MDI, rescue

Proventil-MDI, rescue

Advair HFA-MDI, inhaler

QVAR-MDI, inhaler

Mr Billi is prescribed glimepiride (amaryl) What do you say to him?

I need to call your doctor to get it switched

Mr Billi meds that cause photosensitivity ?

a) HCTZ

b) Lisinopril

c) Glucophage

d) pravastatin

a) HCTZ

b) Lisinopril

c) Glucophage

d) pravastatin

Mr billi meds that can cause sulfa allergy?

Glyburide ( Glynase)

What cardivascular medication that cause statin?

Statin

Counseling Mr. Billi's asthma inhalers:

a) prime ventolin and advair'

b) if using the inhalers together take ventolin first the advair

b) if using the inhalers together take ventolin first the advair

Med timing for Mr Billi.

Advair- no change

Synthroid -am

Zolpidem- pm

Wellbutrin XL- am

Lisinopril - No change

Singular-pm

Niaspan-pm

Advair- no change

Synthroid -am

Zolpidem- pm

Wellbutrin XL- am

Lisinopril - No change

Singular-pm

Niaspan-pm

Aripiprazole ( abilify) question

a) taken in the Am

b) even though minimal with Aripiprazole, monitor for weight gain

c)all of the above

c)all of the above

ADHD counseling question which is true:

a) Acidic foods can decrease GI absorption of adderall

b) Concerta can be crushed

c) Methyl causes bradycardia

d) idk but the rest were false

a) Acidic foods can decrease GI absorption of adderall

5 A's of smoking cessation-matching

Ask- about tobacco

Advise- all tobacco users to quit

Assess- readiness to quit

Assist- in quit attempt

Arrange- follow up care

Ask- about tobacco

Advise- all tobacco users to quit

Assess- readiness to quit

Assist- in quit attempt

Arrange- follow up care

5R's of smoking cessation-matching

Relevance: encourage patient to think why quitting is important to them

Risks: identify the negative health consequences

Rewards-benefits of quitting such as improve health

Roadblocks- helps patients identify significant

Repetition-the provider continues to work with patients who are either not motivated to quit or who have been unseccessful in quitting

Relevance: encourage patient to think why quitting is important to them

Risks: identify the negative health consequences

Rewards-benefits of quitting such as improve health

Roadblocks- helps patients identify significant

Repetition-the provider continues to work with patients who are either not motivated to quit or who have been unsuccessful in quitting

Which population(s) is/are at risk for having low health literacy?

a) immigrants

b) low income

c) elderly

d) A and C

e) all the above

e) all the above

Picture of herbal med bottle( support a healthy heart):

Structure-function claim

Flonase counseling question; know how/when to prime, what is used for ?

Flonase patient will need to prime the spray ( at least six times) before first use, and again if not used in a week, or if the cap has been off for 5 days

Niacin can cause?

Increased glucose

Matching side effects:

Gingival hyperplasia------- verapamil

Tinnitus----- Furosemide( lasix)

Angioedema----- Zestril( lisinopril)

Necrosis with petechia------ warfarin

-Rhabdomyolysis------ crestor

Gingival hyperplasia------- verapamil

Tinnitus----- Furosemide( lasix)

Angioedema----- Zestril( lisinopril)

Necrosis with petechia------ warfarin

-Rhabdomyolysis------ crestor

Zestoteric (Hydrochlorothiazide/lisinopril) counseling question, what would tell a patient?

a) Do not recommend salt substitutes

b) "Monitor your blood pressure and keep a log of your pressure readings"

b) "Monitor your blood pressure and keep a log of your pressure readings"

Diabetes counseling question, which statement is true?

Beta blockers counseling question; which of the following is true

a) May mask signs and symptoms of hypoglycemia

b) Nonselective beta blockers can not cause difficulty breathing in patients with asthma, copd, emphysema

c) Advice patient not to discontinue abruptly since it can cause a severe angina exacerbation, MI, or arrhythmia,

d). A and C

D. A and C

How many folic acid should a pregnant woman take?

400mcg

Smoking cessation question

a) gum or lozenge should be used for skin disorders

b) Smoke two cigarette everyday

c) the patch recommended for patients who smoke throughout the day

d) A and C

d) A and C

Bisphosphonates Which of them patient must be sit upright for 60 minutes

a) Ibandronate ( Boniva)

b) Alendronate ( fosamax)

c) Risendronate (Atelvia)

d)Risedronic acid ( actonel)

a) Ibandronate ( Boniva)

Bisphosphonates Which of them patient must be sit upright for 30 minutes

a) Ibandronate ( Boniva)

b) Alendronate ( fosamax)

c) Risendronate (Atelvia)

d)Risedronic acid ( actonel)

b) Alendronate ( fosamax)

c) Risendronate (Atelvia)

d)Risedronic acid ( actonel)

if using more than one topical product, counsel patient to use the product with the water first

a) lotion

b) cream

c) ointment

d) oil

a) lotion

b) cream

c) ointment

T/F TCA's anticonvulsants and beta blockers are used as preventive therapy

true

what are Mr Billi's meds that cause cognitive impairment?

a) chorpheniramine

c) aleve

c) Zolpidem

d) A and C

A and C

Which is true regarding the Nicorette lozenge?

a) the 2mg should be recommend if they cannot wait at least 30 minutes after waking to have their first cigarette

b) patients should keep it readily available at all times

c) the " chew and park method should be used during administration

d) A and C

e) all the above

b) patients should keep it readily available at all times

Which of the following is true regarding Nicoderm CQ?

A) the site of application should not be shaved immediately before application

B) the site of application should be rotate every 10 days to minimize irritation

C) It should be removed before swimming and bathing

D) The 14mg patch is started if patients smoke over 10 cigarettes

E) the patch can be applied at bedtime if it causes sleep disturbance

A) the site of application should not be shaved immediately before

Which antibiotic should be refrigerated ?

a) Cephalexin ( keflex)

b) Fluoroquinolones

c) Aleve

d) aspirin

Cephalexin

T/F Women need at least 25 grams of fiber per day?

True

To follow the my plate guidelines, plate should be advised to:

a) make half their plate fruits and vegetables

b) switch to skim or 1% milk

c) make at least half their grains whole

d) A and C

e) all the above

e) all the above

Patients taking direct vasodilators should receive counseling regarding which of the following potential side effects?

a) Sexual dysfunction

B) reflex tachycardia

c) constipation

d) A and C

e) All the above

B) reflex tachycardia

To follow the my plate guidelines, plate should be advised to:

a) make half their plate fruits and vegetables

b) switch to whole milk

c) make the grains that you eat refined grains

d) A and C

e) all the above

a) make half their plate fruits and vegetables

Patients taking lisinopril should receive which of the following counseling points?

a) "Using an Nsaid such as ibuprofen can result in hypotension"

b) " Cough is a common side effect of this medication"

c) " You will probably need a potassium supplement while taking this medication"

d) A and C

e) all the above

b) " Cough is a common side effect of this medication"

Matching( diabetes):

a)Increase risk of leg foot amputation----- Invokana

b)Can cause or exacerbate heart failure-----Actos

c) acute pancreatis----- Januvia

d) Glucophage ----- dehydration

a)Increase risk of leg foot amputation----- Invokana

b)Can cause or exacerbate heart failure-----Actos

c) acute pancreatis----- Januvia

d) Glucophage ----- dehydration

T/F all diabetes medication are a part of the " skip the meal, skip the medication"

false

Which of the following is true regarding eyedrop counseling?

a) If prescribed both eye drops and eye ointment,use the eye drops

b) if prescribed more than one type of eyedrop wait 5 minutes between each medication

c) if prescribed to use more than one drop wait at least 2 minutes between drops

d) A and C

e) all the above

e) all the above

Which drugs are for weigh loss?

a) topiramate (topamax)

b) Sitagliptin (januvia)

c) canaglifozin (Invokana )

d) Metformin

c) Bupropion (wellbutrin)

d) Exenatide (Byetta)

e) Liraglutide (Victoza)

f)Dulaglutide (Trulicity)

a) topiramate (topamax)

b) Sitagliptin (januvia)

c) canaglifozin (Invokana )

d) Metformin

c) Bupropion (wellbutrin)

d) Exenatide (Byetta)

e) Liraglutide (Victoza)

f)Dulaglutide (Trulicity)

Which drugs are for weigh gain ?

-TCAs

- Lithium(Lithobid)

- Divalproex (Depakote)

- Gabapentin (Neurontin),

- Pregabalin (Lyrica)

-Glipizide ( Glucotrol, Glucotrol)

-Glimepiride ( Amaryl)

-Glyburide( Glynase)

-Aripiprazole ( abililfy)

- Olanzapine (zyprexa)

- Quetiapine ( seroquel)

- Risperidone (risperdal)

- Mirtazepine (rameron)

- Contraceptives

-Pioglitazone(actos)

-TCAs

- Lithium(Lithobid)

- Divalproex (Depakote)

- Gabapentin (Neurontin),

- Pregabalin (Lyrica)

-Glipizide ( Glucotrol, Glucotrol)

-Glimepiride ( Amaryl)

-Glyburide( Glynase)

-Aripiprazole ( abililfy)

- Olanzapine (zyprexa)

- Quetiapine ( seroquel)

- Risperidone (risperdal)

- Mirtazepine (rameron)

- Contraceptives

-Pioglitazone(actos)

When counseling, what would you say to a patient w/CVD on how to ensure proper nutrition

a) Try to restrict your sodium intake to less than 1.5g a day

b) limit food w/no nutritional value such as cakes, cookies and hot dogs

c) fiber may help maintain fullness and help lower cholesterol levels

d) A and C

e) all the above

e) all the above

What counseling points should we remind Mr Billi Rubin about regarding his singular

a) He should start taking it in the evening

b) It is used as rescue therapy

c) I comes in a chewable tablet if he has difficulty swallowing

d) As side effect of this medication is cough

e) it does not interact w/ Nsaids

a) He should start taking it in the evening.

c) I comes in a chewable tablet if he has difficulty swallowing

d) As side effect of this medication is cough

What is the counseling point about muscle relaxants ( pain packet)?

Has anticholinergic activity

Has anticholinergic activity

matching

a) Symbicort--------- MDI

b) Proair---------MDI

c) Proventil------MDI

d) Advair------MDI

e) QVAR-----MDI

f) Advair diskus--- Dry powder inhaler

g) spiriva handihaler----- Dry powder inhaler

h) flovent diskus------- dry powder inhaler

e) Flovent HFA-------- MDI

a) Symbicort--------- MDI

b) Proair---------MDI

c) Proventil------MDI

d) Advair------MDI

e) QVAR-----MDI

f) Advair diskus--- Dry powder inhaler

g) spiriva handihaler----- Dry powder inhaler

h) flovent diskus------- dry powder inhaler

e) Flovent HFA-------- MDI

Women receiving hormone replacement therapy should be counseled on the risks of long term-use of HRT including which of the following

a) Stroke

b) heart attack

c) certain types of cancers

d) A and C

e) all the above

e) all the above

Which of the following would not be considered a cross-cultural communication barrier ?

A) knowledge of cultural differences

B) stereotyping

C) authority

D) Nonverbal communication

E) Fear and distrust

A) knowledge of cultural differences

T/F. Eye drop cans be placed in the ear, but ear drops cannot be place in the eyes.

True

When choosing an agent to recommend to a patient presenting with constipation, which of the following has few adverse effect reactions?

A) Exlax ( senna glycoside)

B) Docusate ( colace)

C) mineral oil

D) A and C

E) all the above

B) Docusate ( colace)

When communicating with adolescents, which of the following is/are the appropriate strategies?

a) ask them nonjudmental, open-ended questions

b) assure them that everything they tell you will be kept confidential

c) listen and reflect using empathetic statements

d) A and D

e) all the above

d) A and D

What is the proper administration of insulin?

a) pinch 2 inches of skin and fat between thumb.

b) insert needle at a 90-degree angle

c) Do not inject within 1 inch of the navel

d) rotate injection sites ( decrease risk of lipodystrophy)

a) pinch 2 inches of skin and fat between thumb.

b) insert needle at a 90-degree angle

c) Do not inject within 1 inch of the navel

d) rotate injection sites ( decrease risk of lipodystrophy)

Which of the following should not be monitored for children receiving stimulants for ADHD?

a) Height

b) weight

c) mood

d) drowsiness

e) appetite

d) drowsiness

Which of the following on the top 200 can be used for ADHD?

a) Xanax ( alprazolam)

b) concerta

c) vyvanse

d) ambien CR

E) Methylin

F) desyrel

b) concerta

c) vyvanse

E) Methylin

What are nicotine withdrawal symptoms?

a) irritability/impatience/anger

b) anxiety

c) difficulty concentrating

d) insomnia

e) depression

f) impaired performance

g) cough

h) craving for nicotine

e) increased appetite/weigh gain

a) irritability/impatience/anger

b) anxiety

c) difficulty concentrating

d) insomnia

e) depression

f) impaired performance

g) cough

h) craving for nicotine

e) increased appetite/weigh gain

Important medication-related points to discuss with an asthmatic patient include which of the following? Select ALL that Apply

a) symbicort is used for maintenance

b) Symbicort is used with MDI

Which of the following is a precaution with oral corticosteroids?

a) osteoporosis( long term use)

b) growth may be reduced in pediatric patients

c)impaired glucose control

d) may cause mood disturbances

e)all the above

a) osteoporosis( long term use)

b) growth may be reduced in pediatric patients

c)impaired glucose control

d) may cause mood disturbances

e)all the above

Patients with asthma should receive which of the following universal counseling points? Select ALL that apply.)

a) it is best to maintain an appropriate weight

b) patient should consider smoking cessation

c) patient should be told to identify and avoid their asthma triggers( molds, dust, mites, pet dander, temperature changes

outdoors triggers: trees, grass, weeds, pollen

strong smells and smoke.

d) patient should avoid certain otc medications that may worsen asthma( ibuprofen, naproxen, aspirin)

e) counsel patients that asthma symptoms may become worse at night

f) patient should be encouraged to get an annual flu vaccine.

g) all the above.

g) all the above

Pharmacists should counsel patients on agents that are associated with skin reactions, including which of the following? Select ALL that apply.

a) Certain antibiotics

b) barbiturates

c) codeine

d) Thiazide

e) anticonvulsant

f) all the above

f) all the above

When applying more than one topical medication, what is the proper order of administration?

a) shampoo,solution/foam, lotions/gels, creams, ointments

-Shampoo, solution/foam, lotions/gels, creams, ointments

AJ is a 36yo male who is picking up a prescription for Astelin® eye drops. Which of the following counseling points should he receive?

a) common side effects: burning of the eye, headache,fatigue

b) do not wear contact lenses if eyes are red

c) wait 10 minutes after administration to wear contact lenses if eyes are not read.

d) all the above

d) all the above

What would you SAY to Mr. Billi regarding the use of his asthma inhalers advair Diskus and Ventolin HFA?

-Avair Diskus is for maintenance therapy whereas ventolin HFA is for rescue therapy

Which of the following is/are appropriate counseling points for montelukast?

a) advise the patient that this not to be used as a rescue therapy to relieve acute symptoms

b) counsel patient to take medication in the evening

c) inform the patient to not discontinue or decrease the dose of other asthma medications

d) montekulast is available in tablets, chewable tablets and oral packets

e)The oral packets can be taken directly by mouth or dissolved in 5ml of cool or room temperature liquid or mixed with a spoonful of sooft food

f) individuals with phenylalanine allergy should not use the chewable or packet formulations

g) all the above

g) all the above

Indicate if the medication is used for rescue or maintenance.

Question

Proair®

QVAR®

Advair® HFA

Proventil®

Symbicort®

Proair®------ rescue

QVAR®-----maintenance

Advair® HFA------maintenance

Proventil®------rescue

Symbicort®------maintenance

T/F Eye drops can be used in the eyes and ears.

False

Which area on the diskus inhaler should patients be told indicates the lever?

#4

Lever: when pressed prepares the medication for use

Which of the following counseling points would you SAY to a patient picking up Astepro® nasal spray?

a) counsel the patient to avoid activities requiring mental alertness until they know how this medication will affect them

b)Advice the patient to avoid alcohol or other CNS depressant

c) counsel the patient to prime the pump before initial use or if it is has been more than 3 days since the last use

d) patient should be counseled on ways to prevent symptoms.

e) all the above

e) all the above

Mr. Billi comes to your pharmacy for advice on nutrition so he can properly manage his diabetes. Which of the following is/are appropriate counseling points?

?

Which of the following is/are appropriate counseling for insulin?

a) very sensitive to changes in light, heat, and pH

b) Refrigerate if not in use( never place in freezer)

c) refrigeration after opening does not prolong use

d) utilize a journal/calendar to keep the tract or expiration date

e) currently used vials or pens may be kept in room temperature for varying period of time

f) avoid storing in-use insulin in bathroom kitchen, cars, purses etc

g) if needed on the go, store in a refrigerated bag ( ice packs)

h) all the above

h) all the above

Patients should be counseled __________ can cause fluid retention and swelling?

Pioglitazone ( actos)

KJ was informed by her physician that she needs to stop her metformin medication a day before getting a CT scan of her abdomen. As the pharmacist how would you explain to KJ why stopping her metformin prior to her CT scan is important.

Discontinue iodinated contrast before imaging then restart 48 hours after procedure.

A patient is using the carbohydrate-counting meal planning approach to adjust her mealtime insulin. One serving of carbohydrates typically contains how many grams?

15g

T/F Glynase® should never be used in patients with a sulfa allergy.

True

Match the medication with the warning/precaution:

a) Invokana

b)Actos

c)Metformin

d)Januvia

e)Insulin

a) Invokana = increase the risk of leg and foot amputation

b)Actos= can cause or exacerbate heart failure

c)Metformin=B12 deficiency, lactic acidosis

d)Januvia= acute pancreatitis

e)Insulin

Which of the following counseling points should Mr. Billi receive regarding his diabetes? Select ALL that Apply.

- perform daily foot checks and annual eye exams

-skip the meal skip the med( rapid acting and regular insulin, sulfonylureas)

-Emphasize the importance of following up with primary care provider

-Get vaccinated ( influenza, hepatitis B, pneumococcal)

- perform daily foot checks and annual eye exams

-skip the meal skip the med( rapid acting and regular insulin, sulfonylureas)

-Emphasize the importance of following up with primary care provider

-Get vaccinated ( influenza, hepatitis B, pneumococcal)

Which of the following counseling points should Mr. Billi receive regarding his diabetes? Select ALL that Apply.

a) give with meal to decrease GI upset

b) discontinue iodinated contrast before imaging

c) drinking alcohol while this medication increases risk of lactic acidosis

d) do not crush , chew, or break ER tablets

e) b12 levels should be checked periodically ( especially patients with anemia or peripheral neuropathy)

?

Mr. Billi’s physician calls in a prescription for Amaryl®. Which of the following counseling points should be TOLD to him?

Patient is allergic to sulfa so meds needs to be switched

Which of the following are counseling points you would SAY to a patient with CVD to ensure proper nutrition?

a) encourage a healthy diet that should not be considered a lifestyle to be continued

b) discuss ways to eat healthier ( ie foods to avoid, shopping the outer aisles, reading nutrition labels, etc)

c) emphasize instituting a heart-healthy diet like the Dash ( dietary approaches to stop hypertension) diet

d) increase consumption of fruits, vegetables, whole grains, poultry, fish and nuts.

e) increase fiber intake and discuss the recommended daily amounts

f) reduce saturated and trans fats and increase the amount of good fats in diet

saturated fat should be not more than 5-6% or total daily calories

g) sodium restriction<2300/day but < 150/day for patients with hypertension

h) sodium substitutes may be used in certain patients

e) reduced processed foods and foods/beverages with added sugar

j) instruct patie

a) encourage a healthy diet that should not be considered a lifestyle to be continued

b) discuss ways to eat healthier ( ie foods to avoid, shopping the outer aisles, reading nutrition labels, etc)

c) emphasize instituting a heart-healthy diet like the Dash ( dietary approaches to stop hypertension) diet

d) increase consumption of fruits, vegetables, whole grains, poultry, fish and nuts.

e) increase fiber intake and discuss the recommended daily amounts

f) reduce saturated and trans fats and increase the amount of good fats in diet

saturated fat should be not more than 5-6% or total daily calories

g) sodium restriction<2300/day but < 150/day for patients with hypertension

h) sodium substitutes may be used in certain patients

e) reduced processed foods and foods/beverages with added sugar

j) instruct patients to limit alcohol consumption.

Which of Mr. Billi's nonprescription/herbal medications can interact with his Coumadin?

a) cranberry

b) grapefruit

c) st john's wart

d) garlic

e) Vit E

f) all the above

f) all the above

Which of the following is/are correct counseling point(s) for patients taking Lovaza?

a) side effects: eructation, dyspepsia, increased bleeding

b) Timing can be taken once or twice daily with meals

c) caution in patients with fish or shellfish allergies

d) Do not open, chew, break or dissolve capsules

e) all the above

e) all the above

Which of the following are counseling points you would SAY to a patient taking diuretics?

a) patient should be advised to take the medication in the morning to prevent nocturia

b) Advise patients to monitor for signs of hypokalemia ( weakness, fatigue, muscle cramps, numbness/tingling, heart palpitation)

c) Encourage a potassium rich diet, salt substitutes, and potassium supplements ( if not prescribed potassium)

d) counsel patients to avoid medications that cause sodium and water retention( Nsaids)

e) encourage regular blood pressure monitoring doctor's visits and nonpharmacological approaches

f) encourage hydration

g) all the above

f) all the above

Which of the following is/are correct counseling point(s) for patients taking beta-blockers?

a) advise not to suddenly discontinue their medication

b) emphasize calling for refills so medication doses are not missed

c) Counsel patient to take the medication at the same time daily without regard to meals exception to metoprolol and carvedilol must be taken with food

e) inform patients that toprol XL may be split but not chew or crushed while Coreg CR should not be split, chewed or crushed

f) reminds patient to contact their provider if they experience difficulty breathing while taking non-selective beta blockers

g) Patient with diabetes should monitor their blood glucose regularly and be counseled of symptoms of hypoglycemia.

h) all the above

h) all the above

Patients taking Jantoven should be counseled that which of the following can cause changes in their INR?

a) acute alcohol

b) chronic alcohol

c) cranberry juice

d) grapefruit

e) all the above

e) all the above

Which of the following counseling points would you SAY to a patient taking spironolactone for hypertension?

Which of the following are counseling points you would SAY to a patient taking diuretics?

a) patient should be advised to take the medication in the morning to prevent nocturia

b) Advise patients to monitor for signs of hyperkalemia ( weakness, fatigue, muscle cramps, numbness/tingling, heart palpitation)

c) avoid a potassium rich diet, salt substitutes, and potassium supplements

d) counsel patients to avoid medications that cause sodium and water retention( Nsaids)

e) encourage regular blood pressure monitoring doctor's visits and nonpharmacological approaches

f) encourage hydration

g) advise patients experiencing those hormonal side effects of spironolactone to contact their physician.