ATI PHARMACOLOGY upper respiratory disorders

A nurse is reviewing information with a client who has a new prescription for dextromethorphan to suppress a cough. The nurse should instruct the client to monitor for which of the following manifestations as an adverse effect of this medication? A. diarrhea B. anxiety C. sedation D. palpitation

Sedation -dextromethorphan can cause sedation. Advise the client to avoid activities that require alertness.

A nurse is reinforcing teaching with a client who has a new prescription for diphenhydramine for allergic rhinitis. The nurse should instruct the client to monitor for which of the following manifestations as an adverse effect of this medication?(Select all that apply) A. dry mouth B. nonproductive cough C. skin rash D. drowsiness E. urinary hesitation

dry mouth -dry mouth is an anticholinergic manifestations that can occur when a client takes diphenhydramine drowsiness -drowsiness is an adverse reaction of this medication. diphenhydramine is administered to treat insomnia urinary hesitation -urinary hesitation is an anticholinergic manifestation that can occur when a client take diphenhydramine

A nurse is reinforcing teaching the family of a child who has cystic fubrosis and a new prescription for acetylcysteine. Which of the following information should the nurse include in the instructions? A. expect this medication to suppress your childs cough. B. expect this medication to smell like rotten eggs C. expect this medication to cause euphoria D. expect this medication to turn your childs urine orange

Expect this medication to smell like rotten eggs -acetylcysteine has a sulfur content that causes a rotten egg odor.

A nurse is discussing the use of fluticasone with a client to treat perennial rhinitis. Which of the following statements by the client indicates an understanding of the information? A. i should use the spray every 4 hours while i am awake B. it can take as long as 3 weeks before the medication takes a maximum effect C. this medication can also be used to treat motion sickness D. i can use this medication when my nasal passages are blocked

It can take as long as 3 weeks before the medication takes a maximum effect -the client can see some benefits within a few hours but it will take 3 weeks to see maximum benefits

A nurse is caring for a client who has been taking phenylephrine nasal drops for the past 10 days for sinusitis. The nurse should monitor the client for which of the following manifestations as an adverse effect of this medication? A. sedation B. nasal congestion C. productive cough D. constipation

Nasal congestion. -When used for over 5 days, rebound nasal congestion can occur when taking nasal sympathomimetic medications(phenylephrine)