Unit 3 Pharm Exam

A nurse is teaching a client about the use of fluticaseone to treat perennial rhinitits. Which of the following statements by the client indicates and understanding of teaching?

It can take as long as 3 weeks before you get the maximum effect.

A nurse in a providers office is instructing a guardian of a toddler how to administer ear drops.

place child on unaffected side Warm medication by rolling between hands gently shake keep child on their side for 5 minutes

patients using metazoline should only use the drug for a short time because?

rebound congestion

A nurse in the er is reviewing the med record of a client who is being evaluated for angle closure glaucoma. What would indicative this condition?

Severe pain around the eyes

A woman begins using an albuterol inhaler and a beclomethasone inhaler for her asthma. She asks if it matters which inhaler she uses first. The best response by the nurse in which of the following?

You should use the albuterol inhaler first followed in 5-10 minutes by the beclomethsone inhaler.

A common mucolytic used to liquefy mucus in the respiratory tract is A. acetylcysteine (Mucomyst) B. ipratropium (Atrovent) C. dextromethorphan D. pseudoephedrine (Sudafed)

acetylcysteine

A nurse is teaching a client who has a new prescription for albuterol and beclomethasone inhalers for the control of asthma. Which instructions should you include?

administer the albuterol prior to the beclomethasone

The nurse receives an order to administer diphenhydramine. This medication is recommended for what?

adults to prevent allergic reactions

When teaching a patient about the proper use of metered dose inhalers, which of the following statements should be alerted.

after you inhale the med, hold the breath for about 10 seconds, and inhale slowly

A patient with glaucoma is receiving pilocarpine. What patient teaching does the nurse provide to decrease the possible cardiac adverse effects.

apply pressure to the lacrimal sac after application

Cold remedies listed as non drowsy do not contain?

1st gen antihistamine

how does 1st gen H1 differ from @nd gen H1?

2nd gen doesn't cross the blood brain barrier

A nurse is teaching a client about taking diphenhydramine. The nurse should explain to the client that which of the following is an adverse effect of this medication? A.Sedation B.Constipation C.Hypertension D.Bradycardia.

A.Sedation

A nurse is evaluating teaching on a client who has a new prescription for montelukast to treat asthma. Which of the following statements by the client indicates an understanding of the teaching? A."I'll rinse my mouth after taking this medication." B."I'll take this medication when I get an asthma attack." C."I'll take this medication once a day in the evening." D."I'll use a spacer device when I inhale this medication."

C."I'll take this medication once a day in the evening."

A nurse is reviewing the medical record of a client who reports taking pseudoephedrine for sinus congestion as needed. The nurse should identify that pseudoephedrine is contraindicated for which of the following client conditions? A.Eczema B.Migraines C.Hypertension D.Diverticulitis

C.Hypertension

A nurse is teaching a client about taking an expectorant to treat a cough. The nurse should explain that this type of medication has which of the following actions? A.Reduces inflammation B.Suppresses the urge to cough C.Dries mucous membranes D.Stimulates secretions

D.Stimulates secretions

Which medical diagnosis requires that phenylephrine be administered cautiously? A.Cataracts B.Hypothyroidism C.diabetes mellitus D.hypertension

D.hypertension

A nurse is teaching a client who has a new prescription for diphenhydramine for allergic rhinitis. You should monitor for what?

Dry mouth drowsiness urinary hesitation

The nurse instructs a patient on the procedure to occlude the tear ducts for 5 minutes after administering eye drops. What is the purpose of this patient teaching? A. It prevents eye infections B. It prevents systemic absorption of the medication C. It makes self-administration easier D. It follows for the administration of a smaller dose

It prevents systemic absorption. of medication

A patient's ophthalmologist has prescribed manitol intravenously for the treatment of glaucoma. Which of the following aspects of patient teaching will provide the patient with information about the action of the medication?

It reduces IOP by creating an osmotic gradient in between the plasma and ocular fields.

A nurse is instructing a client who has a new prescription for timolol how to insert eye drops. How would you insert to prevent systemic absorption.

Nasolacrimal duct

A nurse is teaching a client is teaching a client who has a new prescription for brimonidine ophthalmic drops wears soft lenses. What should teaching include?

The medication can absorb into your lenses

A 14 year old girl visits the school nurse office. The girl wants longer lashes after watching a commercial for latisse. What information should the school nurse provide the girl regarding this form of bimatoprost?

This medication is not recommended for anyone under 16

A nurse is teaching a client about preventing otitis externa. Which instructions should the nurse include.

Tip the head to the side to remove water from the ears after showering

A nurse is providing instructions to a client who has a new prescription for albuterol, po. Which instructions should you include?

Tremor are an adverse effect of this medication

Montelukast is effective in relieving the the inflammation and bronchoconstriction associated with acute asthmatic attacks through which principal action?

blocking leukotriene receptors

What should you not take in on acetylcysteine?

caffeine

In caring for a patient with nasal congestion, the nurse knows that adrenergic drugs are used as nasal decongestants to relieve symptoms by doing what?

constricting arterioles and reducing blood flow to nasal mucosa

When applying mascara, a woman may have scratched her cornea. She does not have time to go to the ophthalmologist. What ocular disorder could this result in?

corneal ulceration

A patient asked for an antihistamine to relieve symptoms of an upper respiratory infection. The explains that studies have demonstrated that for treatment of the common cold antihistamines?

do not relieve symptoms and are not recommended

The nurse is working in the er anticipates an order of a severe allergic reaction with anaphylaxis, knowing that the drug of choice for severe allergic reactions with anaphylaxis?

epinephrine

A nursing student is reviewing a 72 year old man's chart. In the diagnostic section of section of the chart, the student notices that the man's intraocular pressure is 23mmHg. What. should the student suspect regarding the pressure?

glaucoma

The nurse notes that a patients serum theophylline level is 25 mcg/mL and that a scheduled dose of the dose is due. The nurse should?

hold. the scheduled dose, contact the health care provider, and assess the pt for signs of theophylline toxicity

An elderly patient is is receiving cyclopentolate for visualization of the eye. What is the patient at risk?

increased intraocular pressure

Because of the action of antihistamines on target tissues, these drugs are effective in producing which of the following actions?

inhibiting vascular permiability reducing pruitus minimizing edema formation

A nurse is caring for a client who has been taking phenylephrine nasal drops for the past 10 days for sinusitis. The nurses should monitor what?

nasal congestion

a man who is using a steroid inhaler complains of anorexia and discomfort when he eats. The nurse reports this to the the care provider, and the patient receives a diagnosis of oropharyngeal candidiasis. It is possible to decrease this adverse effect by which of the following actions?

rinse the mouth after use reduce the dose

A nurse is teaching a client who has a new prescription for beclomethasone. Which instructions would be included?

rinse your mouth after use

A nurse is teaching the family of a child. with cystic fybrosis with a prescription. for acetylcystine. What instructions should you include?

rotten egg smell

A nurse is teaching a client who. has a new prescription for. dextromethorphan to suppress a cough. What is an adverse effect?

sedation

A patient with parkinson's disease is taking selegiline hydrochloride. He receives a diagnosis of increased IOP. His ophthalmologist prescribes brimonidine drops. What recommendation does the nurse make to the prescriber?

stop the selegiline hydrochloride 2 weeks before starting brimonidine

a 68 year old man who has been well controlled on theophylline for 2 years complains of insomnia, nervousness, nausea, and vomiting, and tachycardia. He originally thought the nervousness was from smoking cessation. What is the best explanation for theophylline toxicity in this patient?

the metabolism of theophylline has decreased with the recent smoking cessation

Which herbal preparations appears to play a role in the defense mechanisms of respiratory system in adults?

vitamin C

A nurse is teaching a client who has a prescription for long term use of oral prednisone for treatment of chronic asthma. What should you monitor for?

weight gain