Chapter 31

A client is prescribed an antihistamine. The nurse determines that the drug would be contraindicated if the client had which condition? (Select all that apply) -nausea and vomiting -angle-closure glaucoma -cardiovascular shock -allergic conjunctivitis -anaphylactic shock

-angle-closure glaucoma -cardiovascular shock

After administering a decongestant to a client, the nurse would assess the client for which possible adverse reaction? (Select all that apply) -bradycardia -blurred vision -nausea -sedation -nervousness

-blurred vision -nausea -nervousness

A client is prescribed oxymetazoline. Which assessment would indicate the drug is effective? -breathing pattern is regular and without difficulty -skin is effectively hydrated -heart rate is maintained at a regular rate and rhythm -urine output is at least 30 mL/hr

breathing pattern is regular and without difficulty

A nursing student is researching which antihistamine drug that elicits its antihistamine effects by selectively binding to peripheral H1 receptors? -diphenhydramine -brompheniramine -clemastine -desloratadine

desloratadine

A nurse is describing the action of a prescribed antihistamine to a client. The nurse is describing which medication, by explaining that the drug elicits its antihistamine effects by nonselectively binding to central and peripheral H1 receptors? -diphenhydramine -fexofenadine -cetirizine -loratadine

diphenhydramine

A group of nursing students are reviewing expectorants. The students demonstrate understanding when they identify which medication as an example? -benzonatate -guaifenesin -acetylcyteine -dextromethorphan

guaifenesin

When describing the action of decongestants, a nurse integrates knowledge of this class of drugs, identifying which mechanism? -selectively binding to peripheral H1 receptors -anesthetizing stretch receptors in the respiratory passages -vasoconstriction of the small blood vessels in nasal membranes -nonselectively binding to the peripheral and central H1 receptors

vasoconstriction of the small blood vessels in nasal membranes

Decongestants should be used cautiously in clients with which medical conditions? (Select all that apply) -glaucoma -asthma -thyroid disease -hypertension -diabetes

-glaucoma -thyroid disease -hypertension -diabetes

Before the nurse administers an antitussive agent, the nurse would document assessment of which information? (Select all that apply) -presence of productive cough -color and amount of sputum -skin turgor -home remedies used to treat the cough -vital signs

-presence of productive cough -color and amount of sputum -presence of productive cough -color and amount of sputum

Before administering a mucolytic drug to a client with an upper respiratory infection, which would the nurse need to assess? -degree of dyspnea -therapeutic effectiveness -evidence of productive cough -frequency of coughing

degree of dyspnea

A client is receiving an antitussive. Which interventions would the nurse include in the client's plan of care to help prevent pooling of secretions in the client's lungs? (Select all that apply) -change positions frequently -maintain the same position as much as possible -limit fluid intake -increase fluid intake -refrain from trying to cough

-change positions frequently -increase fluid intake

A nurse is reviewing the medical record of a client who is prescribed an antihistamine. The nurse would administer the drug cautiously if which condition was noted? (Select all that apply) -hypertension -osteoarthritis -rheumatoid arthritis -narrow-angle glaucoma -hyperthyroidism

-hypertension -narrow-angle glaucoma -hyperthyroidism

A 40-year-old client is prescribed diphenhydramine for allergic rhinitis. When gathering the client's medical history, the nurse learns that the client is on beta-blocker therapy for hypertension. The nurse would assess the client for which adverse effect that could result from the interaction of these two drugs? -increased cardiovascular effect from the beta-blocker -increased CNS depressant action of the antihistamine drug -increased absorption of the antihistamine drug -increased effects of the antihistamine drug

-increased cardiovascular effect from the beta-blocker

A nurse is preparing to administer an antihistamine to a client. The nurse integrates knowledge about this class of drugs, identifying which condition or disease as a possible use to alleviate symptoms? (Select all that apply) -dry mouth -reversal of sedation -nausea -allergic rhinitis -parkinsonism

-nausea -allergic rhinitis -parkinsonism

After teaching a group of nursing students about the uses of acetylcysteine, the instructor determines that the teaching is successful when the students identify which of the following? (Select all that apply) -pulmonary complications of cystic fibrosis -atelectasis due to mucous obstruction -ibuprofen overdosage -tracheostomy care -posttraumatic chest conditions

-pulmonary complications of cystic fibrosis -atelectasis due to mucous obstruction -tracheostomy care -posttraumatic chest conditions

An 82-year-old client is prescribed an antihistamine for the relief of allergic rhinitis. Which findings would the nurse most likely assess in this client? (Select all that apply) -bradycardia -hypertension -sedation -confusion -dry throat

-sedation -confusion -dry throat

A nurse is assigned to care for a client that has been prescribed dextromethorphan. The client's history reveals that the client is also taking monoamine oxidase inhibitor for depression. The nurse would assess the client for which effect? -cardiac arrythmias -hypokalemia -additive antidepressant effects -jerking leg motions

jerking leg motions

A client is taking levothyroxine 150 mcg daily for hypothyroidism. Based on the nurse's understanding of drug interactions, the nurse would ensure that the client does not receive which drug? -potassium iodide -dextromethorphan -codeine -guaifenesin

potassium iodide