A nurse teaches a client newly prescribed loratadine 10 mg d… | MyMerci
Medical Emergencies PA
Question

A nurse teaches a client newly prescribed loratadine 10 mg daily for seasonal allergies. Which client statement indicates effective teaching?

Explanation
Correct (2): Loratadine is a second-generation antihistamine with minimal CNS penetration and minimal sedation — safe for drivers, pilots, and operators of heavy equipment. (1) Sedation is uncommon. (3) Alcohol unnecessary and can compound any mild sedation. (4) Loratadine is for daily allergy control, not PRN rash.

In-depth explanation

Memory Tip 2nd-gen antihistamine = "Non-sedating, no anticholinergic, once-daily" — loratadine, cetirizine, fexofenadine, desloratadine, levocetirizine. Cetirizine slightly more sedating than loratadine/fexofenadine.

Clinical scenario

Scenario 32-year-old commercial truck driver with seasonal allergic rhinitis starting loratadine 10 mg PO daily. Receiving outpatient teaching.

Key concepts

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For study reference only. Always follow current clinical guidelines and your institution’s protocols.