chapter 54 pharm
The nurse is providing education to a client diagnosed with the common cold. What measure should the nurse recommend implementing to help liquefy cold-related secretions? Gargling with normal saline Deep breathing Increasing fluid intake Reducing salt intake
Increasing fluid intake
A group of students are reviewing information about antihistamines. The students demonstrate understanding of the information when they identify which agent as a second generation antihistamine? Promethazine Meclizine Brompheniramine Loratadine
Loratadine
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? Ephedrine Xylometazoline Pseudoephedrine Tetrahydrozoline
Pseudoephedrine
Meclizine is used to relieve the nausea and vomiting that occurs with motion sickness. True False
True
Mucolytics are often used for patients with cystic fibrosis, COPD, or tuberculosis. True False
True
A client, scheduled to receive one unit of packed red blood cells, has a history of an allergic reaction to a transfusion in the past. What class of medication will assist in preventing a reaction to the packed red blood cell transfusion? Antianginals Antipyretics Antihistamines Antimicrobials
Antihistamines
Decongestants should be used cautiously in clients with which medical conditions? Select all that apply. Diabetes Asthma Hypertension Glaucoma Thyroid disease
Diabetes Thyroid disease Glaucoma Hypertension
The nursing instructor is teaching their lab students the best position for the administration of nasal sprays. What position would the instructor teach the students? High Fowler's Side-lying Supine Semi-Fowler's
High Fowler's
A nurse is teaching a 55-year-old client about fexofenadine prescribed to treat allergic symptoms. Which client statement suggests an understanding of this teaching? "This medication has no serious side effects." "I should avoid driving after taking this medication." "Taking this medication shouldn't stop me from having my after-dinner drink." "It's safe to take this medication with the nighttime sinus medication that I've been using."
I should avoid driving after taking this medication.
What statement made by a client suggests a need for further teaching on the risk factors associated with drug allergies? "All drugs have the potential to cause an allergic reaction." "The additives that are in drugs can also cause allergic reactions." "If you didn't have allergies as a child, you won't develop allergies later in life." "Virtually any drug may induce an immunologic response in a susceptible person."
If you didn't have allergies as a child, you won't develop allergies later in life."
A group of students demonstrate understanding of topical decongestants, identifying them as: Parasympatholytics Parasympathomimetics Sympatholytics Sympathomimetics
Sympathomimetics
What outcome may be expected if allergic rhinitis is improperly treated? Select all that apply. emphysema insomnia asthma chronic fatigue sinusitis
chronic fatigue insomnia sinusitis asthma
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? Antitussives Decongestants Expectorants Mucolytics
decongestants
Which nursing diagnosis would provide the clearest indication for the administration of inhaled acetylcysteine? impaired tissue perfusion ineffective airway clearance ineffective breathing pattern risk for infection
ineffective airway clearance
When instructing a client in how to use a topical nasal spray, what would the nurse emphasize to do first? Spray the medication with the bottle upright. Close the opposite nares. Clear the nasal passages. Lie down to tilt the head back.
Clear the nasal passages.
A nurse is preparing a presentation for a local elementary school parent group about over-the-counter cold medications and their use in children. Which would be most appropriate to include? (Select all that apply.) Using household measuring devices for dosage measurements Need to follow the directions for how often to give the drug Avoidance of use in children under age 2 Using adult formulation with smaller doses Importance of reading the label for ingredients and dosage
Avoidance of use in children under age 2 Importance of reading the label for ingredients and dosage Need to follow the directions for how often to give the drug
A critically ill client with a diagnosis of ventilator-associated pneumonia has been administered acetylcysteine. The inhalation of acetylcysteine helps to liquefy secretions in the respiratory tract by what mechanism? Decreasing the osmolality of mucus Drawing increased amounts of water from interstitial spaces into mucus Increasing the osmolality of mucus Breaking the protein bonds that exist in mucu
Breaking the protein bonds that exist in mucus
A client is prescribed oxymetazoline. Which assessment data would indicate that the drug is effective? Skin is effectively hydrated. Urine output is at least 30 mL/hr. Breathing pattern is regular and without difficulty. Heart rate is maintained at a regular rate and rhythm.
Breathing pattern is regular and without difficulty.
A client is prescribed an antihistamine. The nurse determines that the drug would be contraindicated if the client had which condition? Select all that apply. Allergic conjunctivitis Cardiovascular shock Nausea and vomiting Anaphylactic shock Angle-closure glaucoma
Cardiovascular shock Angle-closure glaucoma
A client asks the nurse how long to use oxymetazoline (Afrin) nasal spray for nasal congestion. What is the nurse's best response? Consult with your primary care provider." "Use the medication until your symptoms are completely relieved." "Over-the-counter medications are safe for long-term use." "Afrin can be used as long as nasal burning and stinging do not occur."
Consult with your primary care provider."
A client having an allergic reaction to mold, describes chest tightness and difficulty breathing. Which process is occurring? Decreased permeability of the veins and capillaries Suppression of the vagus nerve endings producing tachycardia Contraction of smooth muscle in the bronchi Decreased secretion of the mucous glands
Contraction of smooth muscle in the bronchi
A client prescribed codeine for a persistent, debilitating cough tells the nurse, "I was sure that codeine was a narcotic that people take for pain." The nurse should cite what mechanism of action when describing this use of codeine? Desensitization of the cough receptors in the sinuses and trachea Depression of the cough center in the medulla oblongata Vasodilation of the alveolar capillaries Stimulation of the reticular activating system (RAS)
Depression of the cough center in the medulla oblongata
A 76-year-old client has been prescribed an oral antihistamine. What adverse effect presents a priority safety concern for older adult clients? Nasal burning Dry mouth Drowsiness Nonproductive cough
Drowsiness
A client who has been suffering from repeated sinus infections is diagnosed with allergic rhinitis and prescribed a daily antihistamine. What is the mechanism of action in the antihistamine medications? It depletes norepinephrine and serotonin. It raises the seizure threshold by impairing vitamin D. It catalyzes the enzymatic oxidation of uric acid. It prevents histamine from acting on target tissues.
It prevents histamine from acting on target tissues.
Which agent would a nurse expect the health care provider to prescribe for a client experiencing motion sickness? Clemastine Meclizine Hydroxyzine Cyproheptadine
Meclizine
A client with cystic fibrosis may use which type of medication to reduce the viscosity of respiratory secretions? Mucolytic Expectorant Peripherally acting antitussive Antihistamine Centrally acting antitussive
Mucolytic
Which would contraindicate the use of a topical nasal decongestant? Glaucoma Nasal ulceration Hypertension Diabetes
Nasal ulceration
Decongestants are available in which dosage forms? (Select all that apply.) Nasal sprays Suppositories Nasal drops Inhalers Oral tablets
Oral tablets Nasal sprays Nasal drops
When the use of antihistamines result in dryness of the mouth, the nurse should recommend which to relieve the dryness? Select all that apply. Take frequent sips of water. Suck on sugarless hard candy. Offer ice chips. Use a dehumidifier in the home. Administer intravenous fluid bolus
Suck on sugarless hard candy. Offer ice chips. Take frequent sips of water.
A 62-year-old client has been prescribed an antihistamine to alleviate vasomotor rhinitis. The client reports gastric irritation after taking the tablet. Which instructions should the nurse provide to help alleviate the client's condition? Take the tablet with food. Take an antacid before the tablet. Take the tablet one hour before food. Drink ample water before taking the tablet.
Take the tablet with food.
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? He is healthier because he uses the echinacea. There is limited or no support for the use of echinacea to prevent or treat symptoms of the common cold. Echinacea is the OTC drug of choice for prevention of viral infections. To be effective, echinacea must be taken daily regardless of symptoms.
There is limited or no support for the use of echinacea to prevent or treat symptoms of the common cold.
After teaching a group of nursing students about the uses of acetylcysteine, the instructor determines that the teaching was successful when the students identify which of the following? Select all that apply. Posttraumatic chest conditions Tracheostomy care Pulmonary complications of cystic fibrosis Ibuprofen overdosage Atelectasis due to mucus obstruction
Tracheostomy care Atelectasis due to mucus obstruction Pulmonary complications of cystic fibrosis Posttraumatic chest conditions
The nursing instructor is teaching about antitussives and their side effects. What ingredient found in some antitussives does the instructor tell students can cause drowsiness? eucalyptus acetaminophen Advil antihistamine
antihistamine
A nurse is preparing a presentation for a local elementary school parent group about over-the-counter cold medications and their use in children. Which would be most appropriate to include? (Select all that apply.) Avoidance of use in children under age 2 Using household measuring devices for dosage measurements Importance of reading the label for ingredients and dosage Using adult formulation with smaller doses Need to follow the directions for how often to give the drug
avoidance of use in children under age 2 Importance of reading the label for ingredients and dosage Need to follow the directions for how often to give the drug
What intervention should be included in the care plan of a client experiencing excessive respiratory tract secretions? administration of guaifenesin deep breathing and coughing exercises administration of pseudoephedrine oxygen by nasal prongs supplemental
deep breathing
What medication should be prescribed to minimize the risk associated with a blood transfusion for a client with a history of a previous transfusion reaction? clemastine cetirizine diphenhydramine epinephrine
diphenhydramine
What is the chemical mediator released in immune and inflammatory response to allergic reactions? Epinephrine Norepinephrine Mast cells Histamine
histamine
Which condition would contraindicate the use of or oxymetazoline? skin rash cough hypertension nasal congestion
hypertension
The health care provider has ordered promethazine (Phenergan) for a client who is having a severe allergic reaction. The nurse is aware that this medication is also used to treat what condition? Central nervous system depression Joint pain Nausea and vomiting Hypotension
nausea and vomiting
A client 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 Maintenance of an effective heart rate Maintenance of effective hydration of the skin Maintenance of an effective urine output;z
Maintenance of effective airway clearance
Which agent would a nurse expect the health care provider to prescribe for a client experiencing motion sickness? Clemastine Hydroxyzine Meclizine Cyproheptadine
Meclizine
A client asks, "What is the difference between antitussive medications and expectorants?" What information should the nurse's response be based upon? Antitussives kill cold viruses while expectorants liquefy bronchial secretions. Antitussives suppress coughing while expectorants loosen bronchial secretions. Both drug types loosen bronchial secretions for ease of removal. Antitussives liquefy bronchial secretions while expectorants assist in the expectoration of those secretions.
Antitussives suppress coughing while expectorants loosen bronchial secretions.
A client is admitted after overdose with acetaminophen. What medication would the nurse expect to be administered? Daptomycin Darbepoetin alfa Acetylcysteine Oxymetazoline hydrochloride
Acetylcysteine
What home remedies are effective for mouth dryness and cough? (Select all that apply.) Administration of over-the-counter antihistamine Humidification of the environment Swishing the mouth with astringent mouthwash. Adequate fluid intake Sucking on hard candy or throat lozenges
Adequate fluid intake Humidification of the environment Sucking on hard candy or throat lozenges
Acetylcysteine may be used as a mucolytic agent. What is an additional indication for the drug? Treatment of peptic ulcer disease Conversion of cardiac arrhythmias Antidote for acetaminophen poisoning Treatment of bronchospasm
Antidote for acetaminophen poisoning
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 client about this prescription during discharge counseling? (Select all that apply.) Consumption of alcohol is okay while taking benzonatate. Benzonatate capsules should be sucked on like a lozenge. Benzonatate can cause GI upset and sedation. Benzonatate can be taken more frequently than prescribed if needed. The client should drink plenty fluids.
Benzonatate can cause GI upset and sedation. The client should drink plenty fluids.
A client has hypertension and wants to take a nasal decongestant for cold symptoms. Which statement by the nurse indicates the effect of hypertensive medications on hypertension? "The administration of a nasal decongestant will cause bradycardia and increase peripheral blood pressure gastric reflux." "The administration of nasal decongestant will act on the central nervous system to cause vasodilation of blood vessels." "The administration of a nasal decongestant will decrease the thyroid production and increase blood pressure." "The administration of a nasal decongestant will increase blood pressure due to vasoconstriction of blood vessels."
"The administration of a nasal decongestant will increase blood pressure due to vasoconstriction of blood vessels."
A client has self-medicated with an over-the-counter (OTC) decongestant nasal spray for several weeks in order to help prevent "getting the common cold." The nurse should educate the client concerning the risk for which result of long-term use of OTC cold remedies? Select all that apply. Anticholinergic effects Hepatotoxicity Chronic nasal congestion Damage to the nasal mucosa Chronic epistaxis
Chronic nasal congestion Damage to the nasal mucosa
What factor is consistent with a drug reaction? Select all that apply. It follows ingestion of a drug known to produce allergic reactions. It follows a previous exposure to the same or similar drug. It occurs approximately 7 to 10 days after initial exposure to the suspected drug. It occurs after a moderate to large dose of the drug. It is limited to drugs that are based on organic compounds.
It follows a previous exposure to the same or similar drug. It follows ingestion of a drug known to produce allergic reactions. It occurs approximately 7 to 10 days after initial exposure to the suspected drug.
A female client calls the pediatrician's office for a suggestion regarding the best over-the-counter cough and cold medicine for her 6-month-old child. The pediatrician advises against the medication for what reason? The medication is contraindicated for the child's symptoms. Misuse could result in overdose. The medication is not effective for croup. The medication is contraindicated for viral infections.
Misuse could result in overdose.
Pseudoephedrine (Sudafed) is prescribed for a client suffering from nasal and sinus congestion. What is the most important assessment the nurse should complete before the client leaves the clinic to purchase the medication? Ask about history of hay fever. Ask about nausea and vomiting. Observe for swelling in nasal passages. Obtain the client's blood pressure.
Obtain the client's blood pressure.
An 82-year-old client is prescribed an antihistamine for the relief of allergic rhinitis. Which findings would the nurse most likely assess in this client? Select all that apply. Bradycardia Confusion Dry throat Sedation Hypertension
Sedation Dry throat Confusion
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? rebound congestion a drug allergy bronchitis sinusitis
rebound congestion
The nurse is educating an older adult client diagnosed with rhinosinusitis in an outpatient clinic about the prescribed topical oxymetazoline. The client has a history of hypertension and coronary artery disease. Which statement made by the client establishes the need for further clarification? "I will blow my nose before using the nasal spray." "The drug is used no longer than 3 days." "I will rinse the spray tip off after each use." "I can take over-the-counter pseudoephedrine, too."
I can take over-the-counter pseudoephedrine, too."
A female client calls the pediatrician's office for a suggestion regarding the best over-the-counter cough and cold medicine for her 6-month-old child. The pediatrician advises against the medication for what reason? The medication is not effective for croup. The medication is contraindicated for viral infections. The medication is contraindicated for the child's symptoms. Misuse could result in overdose.
Misuse could result in overdose.
Which agent acts directly on the medullary cough center? Tetrahydrozoline Codeine Benzonatate Ephedrine
Codeine
A nurse is describing the action of a prescribed antihistamine to a client. The nurse is describing which medication, by explaining that the drug elicits its antihistamine effects by nonselectively binding to central and peripheral H1 receptors? Fexofenadine Loratadine Cetirizine Diphenhydramine
Diphenhydramine
A female client is prescribed a first-generation antihistamine for her allergies. The nurse would expect her to experience what adverse effect? Dry mouth Incontinence Diarrhea Slurred speech
Dry mouth
An adult client has reported experiencing a dry mouth and urinary retention after several nights of taking an over-the-counter (OTC) sleep aid. The nurse should suspect that this medication contains what antihistamine? Loratadine Olopatadine Diphenhydramine Promethazine
Diphenhydramine
A female client presents at the clinic with a dry, nonproductive cough. The client is diagnosed with bronchitis, and it is determined that she will need help thinning sputum so that the cough can become productive. What does the nurse expect will be prescribed for the client? Guaifenesin Aspirin Dextromethorphan Codeine
Guaifenesin
When describing the benefits of second-generation H1 receptor antagonists to those of first-generation H1 receptor antagonists, the nurse should cite what advantage? Once-weekly dosing Decreased sedation Absence of adverse effects Lower cost
decreased sedation
When describing the action of decongestants, a nurse integrates knowledge of this class of drugs, identifying which mechanism? Nonselectively binding to central and peripheral H1 receptors Anesthetizing stretch receptors in the respiratory passages Vasoconstriction of small blood vessels of the nasal membranes Selectively binding to peripheral H1 receptors
Vasoconstriction of small blood vessels of the nasal membranes
A client reports a hacking cough. The client asks if taking an antihistamine would be helpful. The nurse's best response is: Antihistamines are not recommended for this issue; only antibiotics are useful. Antihistamines are recommended for extended use, as long as you monitor for adverse effects. Antihistamines are not used for this issue. Antihistamines are not recommended because they can dry lower respiratory secretions and worsen secretion retention and cough
Antihistamines are not recommended because they can dry lower respiratory secretions and worsen secretion retention and cough.
When developing the teaching plan for a client receiving an antihistamine, which would the nurse include? (Select all that apply.) Using sugarless candies or lozenges to combat dry mouth Stopping the drug after 3 days if no relief is obtained Encouraging the client to engage in usual activities such as driving Advising the client to avoid alcohol consumption
Using sugarless candies or lozenges to combat dry mouth Advising the client to avoid alcohol consumption
An adult client has asked the nurse to recommend an OTC cold remedy. Before making a recommendation, the nurse should implement which intervention? Consult with a pharmacist or pharmacy technician. Assess the client's understanding of the epidemiology of the common cold and upper respiratory infections. Ensure that the client has tried some of the more common herbal and natural remedies. Assess the client for health problems that may contraindicate the use of a particular remedy.
Assess the client for health problems that may contraindicate the use of a particular remedy.
When providing health education to an adult who is taking an over-the-counter (OTC) combination cold and cough remedy, the nurse should encourage the client to implement what intervention to best assure medication safety? Withhold the medication until a prescription is obtained from a care provider. Carefully read the label and adhere to the guidelines for use. Administer the medication with an additional dose of acetaminophen to potentiate therapeutic effects. Start with a low dose and gradually increase it until symptoms are relieved.
Carefully read the label and adhere to the guidelines for use.
A gerontological nurse has encouraged a group of caregivers who work with older adults to avoid administering first-generation H1 receptor antagonists to their clients. The nurse's cautionary message is an acknowledgment of what possible nursing diagnosis? Risk for infection related to adverse effects of antihistamines Risk for falls related to sedation Risk for impaired skin integrity related to urticaria Risk for deficient fluid volume related to diuresis
Risk for falls related to sedation
Fexofenadine (Allegra) is prescribed for a client with seasonal allergies. What should the nurse teach the client about the side effects of this medication? "Drink three to four glasses of water a day to loosen the mucus and congestion in your sinuses." "You may experience an increased heart rate or palpitations." "This medication should relieve your cough symptoms within several days." "Less drowsiness occurs with this medication compared to other antihistamines."
Less drowsiness occurs with this medication compared to other antihistamines
Which agent would the nurse instruct a client to use orally? Tetrahydrozoline Pseudoephedrine Xylometazoline Phenylephrine
Pseudoephedrine
What is an adverse reaction commonly experienced by people taking nasal decongestants? Headache Diarrhea Rash Rebound congestion
Rebound congestion
The instructor is discussing adverse effects associated with nasal decongestants. What is an effect of excessive use of these products when administered correctly? Rash Headache Rebound nasal congestion Diarrhea
Rebound nasal congestion
A client asks the nurse how long to use oxymetazoline (Afrin) nasal spray for nasal congestion. What is the nurse's best response? "Afrin can be used as long as nasal burning and stinging do not occur." "Consult with your primary care provider." "Use the medication until your symptoms are completely relieved." "Over-the-counter medications are safe for long-term use."
"Consult with your primary care provider.
A client has expressed frustration stating, "I've been taking an over-the-counter (OTC) decongestant for several days and it still hasn't really cured my cold." What teaching point should the nurse convey to the client? "Most people find that cold medications are essentially ineffective." "Drugs like this can often relieve some of the symptoms of a cold, but they won't cure it." "It usually takes between 8 and 10 days for a decongestant to cure affect cold symptoms." "Sometimes a decongestant can sometimes mask the effects of your cold, essentially prolonging it
"Drugs like this can often relieve some of the symptoms of a cold, but they won't cure it."
After teaching a client who is receiving an antitussive about the drug, which statement indicates the need for additional teaching? "I'll keep the room warm and toasty." "I can use some lozenges for comfort." "I'll get a humidifier for my bedroom." "I need to increase the amount of fluids I drink."
"I'll keep the room warm and toasty."
What statement made by a client suggests a need for further teaching on the risk factors associated with drug allergies? "Virtually any drug may induce an immunologic response in a susceptible person." "All drugs have the potential to cause an allergic reaction." "If you didn't have allergies as a child, you won't develop allergies later in life." "The additives that are in drugs can also cause allergic reactions."
"If you didn't have allergies as a child, you won't develop allergies later in life."
The nurse is educating an adult client diagnosed with rhinosinusitis with viscous clear mucous about the prescribed guaifenesin 400 mg PO every 4 hours. Which statement made by the client establishes the need for further clarification? "The drug is not affected by taking it with or without meals." "I will drink at least 8 ounces of water with each dose." "I will ask my pharmacist before taking any over-the-counters." "The drug will suppress my cough so I can sleep easier."
"The drug will suppress my cough so I can sleep easier."
A patient receives dextromethorphan. The nurse would expect this drug to begin acting within which time frame? 20 to 25 minutes 25 to 30 minutes 10 to 15 minutes 15 to 20 minutes
25 to 3o min
A client with a cough has been prescribed 400 mg of benzonatate daily by a physician. The on-hand availability of benzonatate is a 100 mg softgel capsule. How many capsules will the nurse have to administer to the client daily? 6 capsules 8 capsules 4 capsules 10 capsules
4 capsules
A client asks the nurse about using dextromethorphan to relieve a cough. What type of cough would the nurse explain is best treated with the drug? A cough that is associated with an allergy to ragweed A dry, nonproductive cough A cough that occurs when the client is exposed to airborne irritants An occasional, productive cough
A dry, nonproductive cough
A nurse administers an antitussive agent cautiously to a client with asthma for which reason? The drug can lead to addiction. A loss of respiratory reserve can occur. The airway needs to be maintained. The client may experience increased sedation
A loss of respiratory reserve can occur.
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 client about this prescription during discharge counseling? (Select all that apply.) Consumption of alcohol is okay while taking benzonatate. Benzonatate can cause GI upset and sedation. Benzonatate capsules should be sucked on like a lozenge. Benzonatate can be taken more frequently than prescribed if needed. The client should drink plenty fluids.
Benzonatate can cause GI upset and sedation The client should drink plenty fluids.
A nurse is caring for a patient who has been prescribed a nasal decongestant. Which of the following factors should the nurse assess before administering the drug? Auditory tests Vision Blood pressure Motor coordination
Blood pressure
The nurse is teaching a community group about prevention measures to protect against the common cold. Which preventive measure is most important to teach? Taking 1200 g of vitamin C Maintaining vaccinations Frequent handwashing Taking Echinacea daily
Frequent handwashing
Mr. Zee is prescribed an inhaled nasal steroid to relieve his symptoms associated with seasonal allergies. What is true about inhaled nasal steroids? Inhaled nasal steroids do not have any adverse effects. Inhaled nasal steroids are more effective than oral medications in treating the global symptoms associated with allergies. Inhaled nasal steroids are used only to treat seasonal allergies. Inhaled nasal steroids produce a significant systemic effect.
Inhaled nasal steroids are more effective than oral medications in treating the global symptoms associated with allergies.
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? Chronic nasal polyps Damage of the nasal concha Rebound nasal swelling Burning of the nares secondary to chronic use of nasal sprays
Rebound nasal swelling
A male client is diagnosed with chronic bronchitis. What would the nurse expect to be one of his physical reports? Rhinitis Retention of secretions Rhinorrhea Chronic nasal swelling
Retention of secretions
When describing the effects of second-generation antihistamines, which would the nurse address as being decreased? Gastrointestinal upset Hypersensitivity Dry mouth Sedation
Sedation
A client is experiencing allergy symptoms after being exposed to environmental dust. This reaction involves the action of histamine, which is released by what cells? Platelets Basophils CD4 T cells Lymphocytes
basophils
A patient receives guaifenesin. The nurse would expect the drug to begin acting within which time frame? 30 minutes 15 minutes 45 minutes 60 minutes
30 minutes
When should a client prescribed diphenhydramine take the medication to prevent motion sickness during a ferry boat ride? the night before the scheduled trip as soon as the ferry leaves the dock 30 to 60 minutes before the ferry trip when the client boards the ferr
30 to 60 minutes before the ferry trip
When providing health education to a client prescribed diphenhydramine, what information should the nurse convey to the client? "Some people find that this drug makes their muscles weak." "You might have a dry cough for a few hours after taking this drug." "This drug is likely to make you feel drowsy." "This drug will likely make you urinate more than usual."
"This drug is likely to make you feel drowsy."
After teaching a group of parents about the use of over-the-counter cough and cold products with their children, which statement indicates the need for additional teaching? "We can use over-the-counter products for our 5-year-old but not for our 18-monthold." "We need to read the label carefully to see how often and how much to give." "We should use the cup that comes with the drug to measure it out." "We can use the adult brand, but we just have to decrease the amount."
"We can use the adult brand, but we just have to decrease the amount."
The health care provider suggests that a client use guaifenesin to help his cough. The nurse instructs the client to call the health care provider if he continues to have a productive cough after which amount of time? 2 weeks 3 weeks 5 days 1 week
1 week
What effect is associated with a first-generation H1 receptor antagonist? It catalyzes the enzymatic oxidation of uric acid. It raises the seizure threshold by impairing vitamin D. It decreases capillary permeability. It depletes norepinephrine and serotonin.
It decreases capillary permeability.
The nurse prepares to administer acetylcysteine by nebulization to an adult client diagnosed with chronic bronchitis. Which measures would the nurse provide for safe and effective drug administration? Select all that apply. Instruct client that the drug irritates gastric vagal receptors to stimulate respiratory tract fluid. Provide drug after meals and before bedtime to remove mucous, which causes difficulties in breathing. Report dyspnea, chest tightness, bronchospasms, and inability to expel secretions to the prescriber. Assess for improvement in coughing up increased amounts of mucous, respirations less than 26, and SaO2 greater than 90%. Administer prescribed bronchodilator aerosolized treatment 10 to 15 minutes before the acetylcysteine treatment. SUBMIT ANSWER
Report dyspnea, chest tightness, bronchospasms, and inability to expel secretions to the prescriber. Assess for improvement in coughing up increased amounts of mucous, respirations less than 26, and SaO2 greater than 90%. Administer prescribed bronchodilator aerosolized treatment 10 to 15 minutes before the acetylcysteine treatment.
The nursing instructor is discussing the use of nasal decongestants and shares what reason for their effectiveness? They treat multiple symptoms in a cost-effective manner. They are absorbed systemically. They come into direct contact with nasal mucosa. Their effects last for 48 to 72 hours.
They come into direct contact with nasal mucosa.
A group of nursing students are reviewing information about expectorants. The students demonstrate understanding when they identify which medication as an example? Benzonatate Acetylcysteine Dextromethorphan Guaifenesin
Guaifenesin
A client informs the nurse about taking pseudoephedrine for the relief of nasal congestion due to the common cold. In which situation should the nurse suggest that the client not use this medication since it is a contraindication for this health care concern? The client is being treated for severe hypertension. The client has a history of cataracts. The client has hypothyroidism. The client has had a cold for 3 days.
The client is being treated for severe hypertension
