Pharm Ch. 54 PrepU

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."

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."

A patient is prescribed an antitussive agent with codeine and receives patient education. Which statement by the patient indicates that the teaching has been effective?

"This medication will cause drowsiness, and I will not drive."

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

Decongestants should be used cautiously in patients with which medical conditions? (Select all that apply.)

-Diabetes -Thyroid disease -Glaucoma -Hypertension

A client is taking phenelzine (Nardil), a monoamine oxidase inhibitor, for depression. The client started taking dextromethorphan (Robitussin) over the counter without consulting his physician. The use of these two medications is contraindicated. Which symptoms might the patient exhibit? (Select all that apply.)

-Fever -Coma

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.)

-Need to follow the directions for how often to give the drug -Importance of reading the label for ingredients and dosage -Avoidance of use in children under age 2

First-generation antihistamines may be effective against what symptoms? (Select all that apply.)

-Sneezing -Rhinorrhea -Cough

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.

Acetylcysteine may be used as a mucolytic agent. What is an additional indication for the drug?

Antidote for acetaminophen poisoning

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 because they can dry lower respiratory secretions and worsen secretion retention and cough

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

Antitussives suppress coughing, and expectorants loosen bronchial secretions

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?

Blood pressure

Which agent acts directly on the medullary cough center?

Codeine

A 45-year-old female client is being seen in the physician's office for a dry, hacking cough that is keeping her up at night. The physician prescribes dextromethorphan for the cough. Which statement is true about dextromethorphan?

Dextromethorphan works in the medulla to suppress the cough reflex.

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

Drowsiness

A female client is prescribed a first-generation antihistamine for her allergies. The nurse would expect her to experience what adverse effect?

Dry mouth

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)

A patient is using oxymetazoline (Afrin). Which condition will contraindicate the use of this adrenergic drug?

Hypertension

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

The physician 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?

Nausea and vomiting

A patient with a respiratory tract infection is prescribed expectorants by a physician. In which type of patients should a nurse administer expectorants cautiously?

Patients with a persistent cough

Which agent would the nurse instruct a client to use orally?

Pseudoephedrine

A male client presents to the physician'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?

Rebound nasal swelling

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.

A male client presents to the physician'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?

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

Mucolytics are often used for patients with cystic fibrosis, COPD, or tuberculosis.

True

The nursing instructor is teaching the students about antitussives and their side effects. What ingredient found in some antitussives does the instructor tell students sometimes can cause drowsiness?

antihistamine

A client reports severe nasal congestion for the last 8 days. The client has been using an OTC nasal decongestant spray. The nurse knows that this is indicative of:

rebound nasal congestion