Pharm ch 36 questions

What should the nurse tell a patient who reports feeling drowsy after beginning drug therapy with diphenhydramine?

use caution when driving

A patient presenting with cough is prescribed diphenhydramine. The nurse instructs the patient to avoid consuming alcohol. Which consequence of drug interaction with alcohol would be prevented if the patient follows the nurse's instructions?

Central nervous system (CNS) depression

Which patient conditions indicate the need for a nasal decongestant? Select all that apply.

hay fever dust allergy nasal surgery chronic rhinitis

The nurse is instructing a patient on the use of beclomethasone dipropionate. Which statement by the patient indicates an understanding of the teaching?

this medication will help prevent the inflammatory response of my allergies

A patient is prescribed diphenhydramine for the treatment of an allergic disorder. After reviewing the patient's history, the nurse finds that the patient drinks alcohol. Why should the nurse instruct the patient to stop alcohol consumption?

alcohol increases central nervous system depression

A patient comes to the emergency department with urticaria after contact with shrubs. Which type of drug should the nurse expect to be included in the treatment plan?

antihistamine

Which medication can cause paradoxical reactions in children?

antihistamine

The nurse observes a mild cough in a patient after hernia repair. Which medication should the nurse expect the provider to prescribe for this patient?

antitussive

During discharge, which instruction should the nurse provide to a patient who is prescribed naphazoline after reconstructive surgery on the nose?

avoid caffeinated products

For which adverse drug effect is the nurse alert in an older adult patient taking diphenhydramine?

urinary retention

Which drugs are peripherally acting antihistamines? Select all that apply.

cetirizine loratadine fexofenadine

Which is the most effective antitussive?

codeine

An older adult with pneumonia is experiencing a cough that is disrupting rest and sleep. Which types of medication should the nurse expect to administer to this patient to promote sleep and rest? Select all that apply.

codeine and guaifenesin

A patient reports to the nurse that after taking guaifenesin for 1 week, the productive cough still persists. What advice should the nurse give to the patient?

consult your primary health care provider

Which antihistamine causes sedation an adverse drug effect?

diphenhydramine

What are the adverse effects of echinacea? Select all that apply.

dizziness and headache and dermatitis

The nurse is caring for a patient who is taking a traditional antihistamine. What is the most important information for the nurse to teach the patient?

do not drive after taking this medication

Which anticholinergic effect is seen in a patient who takes brompheniramine?

dry mouth

Which side effect of a histamine (H1) antagonist is used therapeutically for patients with allergic rhinitis?

dryness

A patient who is a taxi driver is diagnosed with allergic rhinitis. Which antihistamine should the nurse expect to be included in the treatment plan?

fexofenadine

A patient with chronic paranasal sinusitis and cough is found to have glaucoma. What is the best choice of treatment for management of cough in this situation?

guaifenesin

Which drug is contraindicated in a patient who has Addison's disease?

hydrocodone

A patient is prescribed guaifenesin for treatment of productive cough. What instruction should the nurse give to the patient for maximum therapeutic effect?

increase your fluid intake

The nurse is teaching a patient about the use of an expectorant. What is the most important instruction for the nurse to include in the patient teaching?

increase your fluid intake to decrease viscosity of secretions

A patient complains that symptoms of allergic rhinitis are persistent even after taking fexofenadine. After checking the patient's history, the nurse finds that the patient is taking phenytoin for the treatment of seizures. What should the nurse interpret from this information?

it indicates drug-drug interaction

During the assessment of a patient, the nurse finds symptoms of dizziness, confusion, sedation, and hypotension. After reviewing the patient's medical history, the nurse finds that the patient is taking diphenhydramine for treatment of nighttime insomnia. What should the nurse interpret from the assessment?

it is a paradoxical reaction

Which symptom of allergic rhinitis is treated with fluticasone?

nasal congestion

A patient complains of worsening nasal congestion despite the use of oxymetazoline nasal spray every 2 hours. What is the nurse's most appropriate response?

overuse of nasal decongestants results in rebound congestion

Which patients are the best candidates to receive antitussive cough medication?

patients who have undergone hernia surgery

Which clinical finding is seen in a patient with nasal congestion caused by allergic rhinitis?

release of inflammatory mediators

The use of fexofenadine is contraindicated in patients with which conditions?

renal impairment

A patient is prescribed naphazoline for the treatment of hay fever. During an assessment, the nurse finds that the patient has hypertension. Which action by the nurse is correct?

report this finding to the primary health care provider

A patient is prescribed disulfiram for alcohol abuse. During the assessment, the nurse finds that the patient is also taking echinacea for wound healing. What should the nurse instruct the patient to do?

stop using echinacea

What is the rationale for administering a medication in the same class as chlorpheniramine and clemastine to a patient with an upper respiratory infection?

suppression of mucus secretion

A patient will begin taking diphenhydramine to treat motion sickness. What instruction will the nurse give to the patient to prevent gastrointestinal (GI) upset?

take the medication with food

A patient who reports nasal congestion is prescribed naphazoline, 2 drops in each nostril, every 6 hours, for 5 days. The patient reports increased nasal congestion after 10 days. On assessment the nurse learns that the patient had increased the drug frequency to every 3 hours for 10 days. What should the nurse interpret from this information?

the patient has developed rebound congestion

A patient who has allergic rhinitis comes to the clinic for a scheduled allergy test. After performing a health history, the nurse informs the patient that the allergy test will have to be rescheduled. What may be the reason for this?

the patient is being treated with antihistamine drugs

Diphenhydramine

which drug will the primary health care provider prescribe for a patient who has nighttime insomnia and motion sickness

The nurse is caring for a patient in the clinic who states being afraid of taking antihistamines because of being a truck driver. What is the best information for the nurse to give this patient?

you may be able to safely take a non-sedating antihistamine