Chapter 26 pharm
How does ibuprofen help in aid in smoking cessation?
By reducing nicotine cravings
A 2 week old infant client in the neonatal unit has apnea. What respiratory stimulant does the nurse know ay be used to treat this condition?
Caffeine citrate
When working with clients receiving oxygen, the nurse knows that which of the following may be an initial sign of delivering too high of a concentration
Confusion
A client has been prescribed cromolyn, a mast cell stabilizer, for prevention of exercise-induced bronchospasm. Which of the following statements about cromolyn is true?
Cromolyn has no value in the treatment of acute asthma attacks
A client has come to the pulmonologist with complaints of dyspnea and wheezing. He is diagnosed with bronchial asthma and is prescribed a bronchodilator vi inhaler. What should the nurse instruct the client about using inhalers?
Demonstrate the proper technique for inhaler use
A client with nasal congestion has been prescribed pseudoephedrine extended release (Sudafed ER for symptom relief. What instructions should the nurse share?
Do not crush, chew, or break extended release preparations
A client at the allergy clinic has been prescribed a first gen antihistamine for symptom relief. What common anticholinergic side effect might a client asking a first gen antihistamine experience?
Drying of secretions
A client is taking guaifenesin, an expectorant, for bronchitis. The nurse knows that which of the following are side effects of expectorants?
Headache Nausea Dizziness
A client it's chronic asthma has been prescribed an oral Lego trainee receptor antagonist for asthma prophylaxis. Which of the following adverse reactions are side effects?
Headache ad Dizziness Nausea and dyspepsia Pain and fever Behavior or mood changes
A client with cold has been ordered oxygen therapy. What can occur if a client with cold receives too high of 02 concentrations?
Hypoventilation
The monster of a 3 year old client asks the nurse if she could provide information about the safety f OTC cold and cough medicines. Which of the following statements are accurate
In 2007 the FDA nonprescription drugs and pediatric divisors committee found that there was no proof hat OTC col and cough medications eased cold symptoms in children. In 2008 the FDA labeled OTC cold and cough preparations to state " do not use in children under 4 years of age"
The nurse is caring for a client who has been prescribed synthetic corticosteroids to relieve inflammation during treatment of persistent asthma. Which of the following statements is TRUE about corticosteroid therapy?
Inhaled corticosteriods have less systematic side effects than oral or injectable administration
In comparison to first gen antihistamines, second gen antihistamine are?
Less sedating
A client with a psychiatric history of mild depression has decided to quit smoking. After discussing options with the health care practitioner, he decides to try varenicline (chantix) , a particular nicotine receptor agonist-antagonist used as an aid in smoking cessation what symptoms should the nurse educate the client nd his caregivers to monitor while taking chantix?
Monitor for neuropsychiatric symptoms
Patients taking decongestants should be told that
Oral decongestants ar more likely to increase BP
What medication was once commonly used in OTC cold remedies, but was targeted by the combat methamphetamine act of 2005 and is now only ol under special conditions by pharmacies?
Pseudoephedrine
The nurse is educating clients who are being treated with inhaled corticosteroids. Which of the following is an appropriate instruction for the clients?
Rinse your mouth with water o mouthwash after administration
A nurse is caring for a client who has been prescribed a second gen antihistamine for seasonal allergic rhinitis. Which of the following statements does the nurse know is TRUE?
Second gen antihistamine are not effective in treatment of cough
What type of bronchodilator is abuterol sulfate?
Short acting beta agonist
According to the FDA combination cold and cough medications for children ?
Should not be given to children under 4 years of age
A client being treated for asthma is placed on a bronchodilator to relive bronchospasm. which of the following are classifications of bronchodilators?
Sympathomimetics Anticholinergics Kanthine derivative's
Antitussives are medications used to prevent coughing in clients not requiring a productive cough. Which of the following statements does the nurse know is FALSE?
The American college of chest physicians practice guidelines recommend the use of cough supressants in coughs associated with upper respiratory infection.
A nurse working at an allergy clinic is asked to provide a presentation o a group of clients about inhaled corticosteroids. Which of the following are side effects?
Throat irritation Oral candidiasis
An older adult client is taking a theophylline, a can think derivative, for treatment of COPD. While taking theophylline, what might symptoms of tachycardia, anorexia, nausea, vomiting, airhead, restlessness, irritability, and headache indicate?
Toxicity
Which of the following is not considered proper cleaning of MDI?
Use immediately after cleaning
Patients using bronchodilators should be told to:
Watch closely for cardiac irregularities
What type of bronchodilator is theophylline
Xanthine derivative
Most antitussives produce cough suppression by:
Acting on the cough center in the brain stem
A client with history of depression is requesting an antitussive for symptoms of a non reproductive cough. Which of the following antidepressants does the nurse know are known to interact with the cough suppressant dextromethorphan?
Amitriptyline
What type of bronchodilator is ipratropium bromide?
Anticholinergic
