CH. 31 NASAL CONGESTION/ COUGH DRUGS PREP U

Acetylcysteine may be used as a mucolytic agent. What is an additional indication for the drug? Conversion of cardiac arrhythmias Treatment of bronchospasm Treatment of peptic ulcer disease Antidote for acetaminophen poisoning

Antidote for acetaminophen poisoning/ overdose

A client reports having difficulty finding the over-the-counter (OTC) decongestant that the client used in the past. What assessment question should the nurse ask to help address the client's concern? "Did the medication contain pseudoephedrine?" "How long has it been since you last needed to take a decongestant?" "Have you asked the pharmacist about a substitute medication?" "Would you like your health care provider to prescribe something for congestion?"

"Did the medication contain pseudoephedrine?"

A client with cystic fibrosis may use which type of medication to reduce the viscosity of respiratory secretions? Peripherally acting antitussive Expectorant Mucolytic Antihistamine Centrally acting antitussive

Mucolytic THINK: CYSTIC= ACETYLCYTEINEWHICH IS A MUCOLYTIC

A male client is diagnosed with chronic bronchitis. What would the nurse expect to be one of his physical reports? Retention of secretions Chronic nasal swelling Rhinorrhea Rhinitis

Retention of secretions

The nursing instructor is discussing over-the-counter cold remedies. According to the instructor, these products typically combine an analgesic, an antitussive, and an antiviral. an antihistamine, a stimulant, and a decongestant. a decongestant, an analgesic, and an antihistamine. a stimulant, a decongestant, and an antitussive.

a decongestant, an analgesic, and an antihistamine.

Which nursing diagnosis would provide the clearest indication for the administration of inhaled acetylcysteine? risk for infection ineffective breathing pattern ineffective airway clearance impaired tissue perfusion

ineffective airway clearance

A client reports experiencing severe nasal congestion since starting to use an over-the-counter (OTC) nasal decongestant spray a week ago. This symptomology most supports what possible medical condition? bronchitis a drug allergy rebound congestion sinusitis

rebound congestion

A 45-year-old female client is being seen in the health care provider's office for a dry, hacking cough that is keeping her up at night. The provider prescribes dextromethorphan for the cough. Which statement is true about dextromethorphan? Dextromethorphan works by relaxing the smooth muscles in the bronchioles. Dextromethorphan works in the medulla to suppress the cough reflex. Dextromethorphan works by inhibiting allergen response. Dextromethorphan works on the receptors in the throat to

Dextromethorphan works in the medulla to suppress the cough reflex.

A 79-year-old client calls the clinic requesting advice for something that will relieve nasal congestion. The nurse is aware that oral decongestants may cause which adverse effects in older adults? (Select all that apply.) Heart rhythm abnormalities Nervousness Hypertension Bradycardia Excessive sleepiness

Heart rhythm abnormalities Nervousness Hypertension

A client is currently taking pseudoephedrine to help manage the nasal congestion resulting from seasonal allergies. When the client reports being extremely restless and having difficulty getting to sleep at night, what assessment question will the nurse ask to best provide interventions to minimize those effects? "How much coffee, tea, and soda do you drink daily?" "Are you a smoker?" "Do you tend to exercise before going to bed?" "Are you out in the sun much during a typical day?"

"How much coffee, tea, and soda do you drink daily?"

A client is encouraged to take guaifenesin to loosen the secretions due to a viral respiratory infection. What should the nurse suggest to the client to make the medication work more effectively? Take the medication with food Increase fluid intake Dilute the liquid medication with water prior to administration Take the medication with other over-the-counter medications to enhance the effect

Increase fluid intake THINK: GUAIFENESIN--> GUZZLE WATER

What statement by a client who is to take an antitussive with codeine indicates the nurse's teaching has been effective? "This medication can cause drowsiness, so I will not drive after I take it." "This medication may make me anxious and nervous." "I will call my primary health care provider if I have diarrhea." "I will take this medication anytime I start to cough."

"This medication can cause drowsiness, so I will not drive after I take it."

A nurse is conducting an ongoing assessment and notes the client is experiencing difficulty bringing up mucus. Which nursing diagnosis should the nurse prioritize for this client? Impaired Oral Mucous Membranes Acute Pain Injury Risk Ineffective Airway Clearance

Ineffective Airway Clearance

A client 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 Antitussives Expectorants Mucolytics

Decongestants

A client has been prescribed an antitussive. The nurse prepares to assess which factors on the ongoing assessment? Select all that apply. Lung sounds Pain assessment Heart sounds Frequency of cough Therapeutic effect

Lung sounds Pain assessment Frequency of cough Therapeutic effect

The nurse notes a client has a new prescription for an expectorant. The nurse will monitor this client closely if which disorder is noted in the client's history? Renal impairment Seizure disorder Persistent cough Persistent headache

Persistent cough

What is an adverse reaction commonly experienced by people taking nasal decongestants? Headache Rash Rebound congestion Diarrhea

Rebound congestion

A male client presents to the health care provider's office with reports of inability to breathe freely. When the nurse reviews his use of over-the-counter medications, it is discovered that the client routinely uses nasal spray three times a day for 1 year. The nurse knows that what may be causing this client's continuous nasal congestion? Burning of the nares secondary to chronic use of nasal sprays Chronic nasal polyps Rebound nasal swelling Damage of the nasal concha

Rebound nasal swelling

The nurse is preparing a teaching session for a client prescribed dextromethorphan orally. Which instruction should the nurse prioritize? Dissolve the tablet in water and take the drug. Take the drug with a glass of milk. Take the drug on an empty stomach. Swallow the whole tablet and do not chew it.

Swallow the whole tablet and do not chew it.

The instructor is teaching about the use of mucolytics. The nursing student demonstrates an understanding of the action of the mucolytic drugs when stating which? They are used to depress the cough center in the medulla. They are used to relieve a productive cough. They are used to break down the thickness of secretions. They are used to relieve a nonproductive cough.

They are used to break down the thickness of secretions.

A client is questioning the use of eucalyptus as a decongestant. The nurse should point out that eucalyptus is contraindicated for which clients? Select all that apply. Pregnant females Children younger than 2 years Men Postmenopausal females Lactating females

Pregnant females Children younger than 2 years Lactating females

A client presents at the clinic with a dry, nonproductive cough. The client is diagnosed with bronchitis, and it has been determined that assistance is needed in thinning the sputum so the cough can become productive. What does the nurse expect the primary health care provider will prescribe? benzonatate guaifenesin dextromethorphan hydrocodone

guaifenesin KEY WORD: THINS OUT SPUTUM don't let "dry nonproductive cough" distract!!

A 76-year-old man has a history of heart disease, and has been prescribed an oral decongestant. The nurse is concerned with this prescription because of the risk for which? serious cardiovascular effects. insomnia. increased salivation and choking. severe constipation.

serious cardiovascular effects. THINK: PSEUDOEPHEDRINE IS A DECONGESTANT AND CAN CAUSE DYSRHYTHMIAS

A patient is advised to take a decongestant drug to relieve nasal congestion associated with hay fever. The patient is not comfortable with a nasal spray or drops and prefers an oral tablet. Which oral decongestant drugs can be administered to the patient? Pseudoephedrine Ephedrine Tetrahydrozoline Xylometazoline

Pseudoephedrine tablet is swallowed as a whole (DO NOT CHEW)

Cough syrups serve as vehicles for antitussive drugs and also may exert antitussive effects of their own by doing what? Thinning pharyngeal mucus Soothing irritated pharyngeal mucosa Precipitating an anticholinergic reaction Reducing the bacterial load in the respiratory tract

Soothing irritated pharyngeal mucosa THINK: ANTITUSSIVE IS DEXTROMETHROPHAN

What statement best describes how the common cold is effected by and managed using medication therapy? The tendencies to overmedicate and use antibiotics inappropriately with the common cold are widespread and pose significant risk for complications and drug resistance. Colds may be difficult to manage because they often result from drug-resistant microorganisms and occur in people whose immunity is impaired. Because of the way cold viruses are spread, antibiotics are the most important prote

The tendencies to overmedicate and use antibiotics inappropriately with the common cold are widespread and pose significant risk for complications and drug resistance.

A male client presents to the health care provider's office for his annual visit. When questioned about over-the-counter medication use, he states that he uses echinacea to prevent colds. What statement is true about echinacea? To be effective, echinacea must be taken daily regardless of symptoms. Echinacea is the OTC drug of choice for prevention of viral infections. There is limited or no support for the use of echinacea to prevent or treat symptoms of the common cold. He is healthier beca

There is limited or no support for the use of echinacea to prevent or treat symptoms of the common cold.

The nurse is giving discharge instructions to a client who has been diagnosed with an upper respiratory infection and has been advised to take an over-the-counter (OTC) topical nasal decongestant. What should the nurse teach the client in order to prevent rhinitis medicamentosa? Do not take antihistamines at the same time as the decongestant. Increase fluid intake for the duration of treatment. Use the medication for as short a time as possible. Avoid using nonsteroidal anti-inflammatory dru

Use the medication for as short a time as possible.

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

Vasoconstriction of small blood vessels of the nasal membranes

A 25-year-old female client presents at the clinic with bronchitis. The health care provider orders guaifenesin. Which instruction should the clinic nurse offer when teaching the client about the medication? "Restrict your fluid intake to one liter each day." "Take an NSAID to relieve the joint aches that result from taking this medication." "Drink at least two liters of fluids each day." "Use a second method of contraception until you've completed the drug therapy."

"Drink at least two liters of fluids each day." THINK: GUAIFENESIN--> GUZZLE WATER

An older adult client has reported "seeing things that aren't there" after starting to take over-the-counter dextromethorphan for a nonproductive cough associated with a cold. What assessment question will provide the most relevant information regarding the possible cause of this adverse effect? "Have you been nauseated as well since taking the dextromethorphan?" "Have you been taking the dextromethorphan at bedtime?" "Is the dextromethorphan making you dizzy?" "How much dextromethorphan hav

"How much dextromethorphan have you been taking each day?" THINK: SEEING THINGS THAT ARENT THERE= POTENTIAL OVERDOSE

A 29-year-old client diagnosed with sinusitis is prescribed a topical nasal decongestant. What instructions should the nurse provide to the client? "Be sure to take the decongestant medication with meals." "Limit the use of this medication to no more than 5 days." "You need to temporarily avoid foods that are high in sodium" "Use two forms of birth control until treatment is complete."

"Limit the use of this medication to no more than 5 days."

The client reports a mild stinging sensation after using a nasal spray decongestant. Which response by the nurse would be most appropriate? "This sensation is common and usually disappears with continued use." "The dose is probably too strong and needs to be reduced." "We better contact your primary health care provider right away." "You need to stop the medication immediately."

"This sensation is common and usually disappears with continued use."

The nursing instructor is teaching students about the administration of nasal sprays. According to the instructor, the correct patient position for administering the sprays is closest to high Fowler's position. semi-Fowler's position. side-lying position. supine.

high Fowler's position.

The nurse is providing education to a client who has been diagnosed with a sinus infection. What would the nurse identify as a major cause of this disorder? facial pain inflammatory processes impaired blood supply autoimmune processes

inflammatory processes