PrepU Pharm Assignment 14

A client asks the nurse how long he should use oxymetazoline (Afrin) nasal spray for nasal congestion. What is the nurse's best response?

"Consult with your primary care provider."

A patient is in the clinic for seasonal allergic rhinitis. Loratadine (Claritin) is prescribed. Which of the following statements will the nurse include when providing patient education concerning this drug?

"Determine if the drug is going to make you drowsy before you drive."

A 25-year-old female client presents at the clinic with bronchitis. The physician orders guaifenesin. Which of the following instructions should the clinic nurse offer when teaching the client about the medication?

"Drink at least two liters of fluids each day."

A nurse is teaching a 55-year-old patient about fexofenadine after the physician prescribed the medication to treat allergic symptoms. Which patient statement suggests that the patient understands this teaching?

"I should avoid driving after taking this medication."

Which statement by the client leads the nurse to believe that the client needs additional instruction regarding the nasal decongestant?

"I will use it only when I have nasal discharge."

What statement by a 61-year-old client who is to take an antitussive with codeine indicates that the teaching has been effective?

"This medication can cause drowsiness, so I will avoid driving while I use it."

A nurse is assessing patients who are to be initiated with antihistamine therapy. For which of the following conditions is this therapy contraindicated? Select all that apply.

-Angle-closure glaucoma -Pregnancy

A nurse caring for a client in the hospital is being discharged today with a prescription for benzonatate (Tessalon Perles) 200 mg one capsule 3 times daily. What would the nurse tell the patient about this prescription during discharge counseling? (Select all that apply.)

-Benzonatate can cause GI upset and sedation. -The patient should drink plenty fluids.

What non pharmacological recommendation should be made to the client to prevent pooling of secretions in the lungs during the administration of an antitussive? (Select all that apply)

-Increase fluid intake -Change positions frequently

A patient, aged 82 years, is prescribed an antihistamine for the relief of allergic rhinitis. An older age predisposes the patient to a higher risk of adverse effects. Which adverse effects is a nurse more likely to observe in the patient? (Select all that apply.)

-Sedation -Dryness of throat -Confusion

When antihistamines result in dryness of the mouth, the nurse should recommend which actions to relieve the dryness? Select all that apply.

-Suck on sugarless hard candy. -Offer ice chips. -Take frequent sips of water.

The patient with a productive cough and whose primary care provider will not order an antitussive should do which of the following to ensure that secretions are removed? (Select all that apply.)

-increase fluids -change positions frequently

The client asks, "What is the difference between antitussive medications and expectorants?" The best response is:

Antitussives suppress coughing, and expectorants loosen bronchial secretions.

When instructing the patient who uses a lozenge as an antitussive, what should the nurse teach?

Avoid drinking fluids for 30 minutes after taking a lozenge.

A patient comes to the clinic with what appears to be a cold. What group of upper respiratory drugs cause local vasoconstriction, which decreases blood flow and shrinks swollen membranes to improve air flow?

Decongestants

What is the top priority teaching point when a client is prescribed benzonatate (Tessalon Perles)?

Do not chew tablets.

What adverse effect of most oral antihistamines presents a priority safety concern for older adult clients?

Drowsiness

The pharmacology instructor is discussing the adverse effects of diphenhydramine. Which is not one of these effects?

Excessive salivation

Second generation antihistamines are associated with a higher risk of sedation than first generation antihistamines.

False

Which drug is classified as an expectorant?

Guaifenesin (Robitussin)

The nurse has been ordered to administer a preanesthetic medication that contains both anxiolytic and antiemetic properties. The nurse knows that which preanesthetic drug combines these two properties?

Hydroxyzine (Vistaril)

A patient is prescribed oxymetazoline, a decongestant, for the treatment of hay fever. What should the nurse evaluate to assess the efficacy of therapy?

Maintenance of effective airway clearance

What is an adverse reaction commonly experienced by people taking nasal decongestants?

Rebound congestion

A group of students demonstrate understanding of topical decongestants, identifying them as:

Sympathomimetics

The nurse demonstrates an understanding of the action of the mucolytic drugs when stating which of the following?

They are used to break down the thickness of secretions.

Decongestants elicit their effect by which mechanisms?

Vasoconstriction of small blood vessels of the nasal membranes

A patient who has a recurring problem with sinusitis every spring asks the nurse if there is a herb for this problem, because the patient does not like to take prescription medications. The nurse recommends which of the following herbs?

eucalyptus

Guaifenesin 200 mg PO every 4 hours as needed is ordered for a patient with a respiratory ailment. The nurse understands that this medication is given for which of the following reasons?

relief of cough

A 76-year-old man with a history of heart disease has been prescribed an oral decongestant. The nurse is concerned with this prescription because of the risk for

serious cardiovascular effects.