Mod 10 CH 31 Nasal Congestion

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? An occasional, productive cough A cough that is associated with an allergy to ragweed A cough that occurs when the client is exposed to airborne irritants A dry, nonproductive cough

A dry, nonproductive cough

A client has purchased an over-the-counter (OTC) cold remedy that advertises a "nondrowsy" formulation. The nurse explains to the client that such a medication likely contains what classification of drug? A. A nasal decongestant B A benzodiazepine C An antihistamine D. A narcotic analgesic

A. A nasal decongestant

The nurse is educating an adult client who has been diagnosed with a nonproductive cough about the prescribed dextromethorphan. Which statement made by the client establishes the need for further clarification? A. "I will not eat or drink for 30 minutes after taking a dose." B "I will dilute the drug syrup with an equal amount of water." C "If I raise mucous, I will stop taking the drug and call my prescriber." D "The drug should only be taken as directed on the package."

B "I will dilute the drug syrup with an equal amount of water."

A client, after presenting at the clinic with sneezing and coughing, is diagnosed with the common cold. Which type of microorganism causes the common cold? Gram-positive bacteria Gram-negative bacteria Virus Fungus

Virus

The nurse is providing education to parents who want to give their child a dextromethorphan-based cough suppressant. Which statement provides the most effective teaching for the parents? "Dextromethorphan effectively suppresses cough in children." "Dextromethorphan is ineffective in children." "Dextromethorphan must be combined with codeine to be effective." "Dextromethorphan raises blood pressure in children."

"Dextromethorphan is ineffective in children."

The nurse is educating an older adult client who has been 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." "I will rinse the spray tip off after each use." "I can take over-the-counter pseudoephedrine, too." "The drug is used no longer than 3 days."

"I can take over-the-counter pseudoephedrine, too."

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 increase blood pressure due to vasoconstriction of blood vessels." "The administration of a nasal decongestant will cause bradycardia and increase peripheral blood pressure." "The administration of a nasal decongestant will decrease thyroid activity, thereby increasing blood pressure." "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 increase blood pressure due to vasoconstriction of blood vessels."

. 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. Assess the client for health problems that may contraindicate the use of a particular remedy. 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.

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 results of long-term use of OTC cold remedies? Select all that apply. Chronic epistaxis Anticholinergic effects Chronic nasal congestion Damage to the nasal mucosa Hepatotoxicity

Chronic nasal congestion Damage to the nasal mucosa

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? Depression of the cough center in the medulla oblongata Vasodilation of the alveolar capillaries Stimulation of the reticular activating system (RAS) Desensitization of the cough receptors in the sinuses and trachea

Depression of the cough center in the medulla oblongata

The nurse is teaching a community group about prevention measures to protect against the common cold. Which preventive measure is most important to teach? Frequent handwashing Maintaining vaccinations Taking 1200 g of vitamin C Taking Echinacea daily

Frequent handwashing

The nurse is assessing a client suspected of overdose with dextromethorphan. What assessment finding is suggestive of an overdose with the drug? Hallucinations Dysrhythmias Kussmaul's respirations Profound diaphoresis

Hallucinations

. The nurse is providing education to a client who has been diagnosed with the common cold. What measure should the nurse recommend implementing to help liquefy cold-related secretions? Reducing salt intake Deep breathing Gargling with normal saline Increasing fluid intake

Increasing fluid intake

A client is taking pseudoephedrine to reduce nasal congestion. The nurse should caution the client against use of this decongestant if the client is currently taking what other type of drug? Anti-infective agents Anti-inflammatory agents Proton pump inhibitors (PPIs) Thyroid preparations

Thyroid preparations

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? "Drugs like this can often relieve some of the symptoms of a cold, but they won't cure it." "Most people find that cold medications are essentially ineffective." "It usually takes between 8 and 10 days for a decongestant to cure affect cold symptoms." "Sometimes a decongestant can 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."

The nurse is educating an adult client who has been 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? "I will ask my pharmacist before taking any over-the-counter medications." "I will drink at least 8 ounces of water with each dose." "The drug will suppress my cough so I can sleep easier." "The drug is not affected by taking it with or without meals."

"The drug will suppress my cough so I can sleep easier."

A critically ill client diagnosed with ventilator-associated pneumonia has been administered acetylcysteine. The inhalation of acetylcysteine helps to liquefy secretions in the respiratory tract by what mechanism? Increasing the osmolality of mucus Decreasing the osmolality of mucus Breaking the protein bonds that exist in mucus Drawing increased amounts of water from interstitial spaces into mucus

Breaking the protein bonds that exist in mucus

The parent of a toddler asks about giving an over-the-counter (OTC) cough and cold product containing pseudoephedrine to the child. What information regarding safety and efficacy should the nurse offer? Cough and cold remedies are generally safe and effective for children over the age of 2. There are concerns among health professionals about how safe and effective these medications are. Media reports about the risks of cough and cold medications in children have greatly exaggerated the risks. D. Risk can be minimized by using age-specific preparations of cough and cold remedies

There are concerns among health professionals about how safe and effective these medications are.

A client is prescribed an antitussive agent with codeine. Which statement by the client indicates that the nurse's teaching has been effective? "I will take this medication whenever I am coughing." "This medication will make me anxious and nervous." "I will call my health care provider if I develop diarrhea when I take it." "This medication will cause drowsiness, and I will not drive."

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

A client is admitted after overdose with acetaminophen. What medication would the nurse expect to be administered? Oxymetazoline hydrochloride Acetylcysteine Daptomycin Darbepoetin alfa

Acetylcysteine

A client with allergies has expressed interest in taking pseudoephedrine for seasonal allergies. What client condition would most strongly lead the nurse to caution against taking the drug? Currently breast-feeding History of severe hypertension Diagnosis of chronic obstructive pulmonary disease (COPD) Diagnosis of myasthenia gravis (MG)

History of severe hypertension

An adult client diagnosed with type 1 diabetes has begun to experience diabetic nephropathy over the past year. How will this client's current health status influence the possible use of pseudoephedrine in the treatment of cold symptoms? The client should monitor blood glucose levels more frequently when taking pseudoephedrine. The use of pseudoephedrine is absolutely contraindicated by the fact that the client has diabetes and takes insulin. The client may require a higher-than-average dose of pseudoephedrine because of excess fluid volume secondary to renal failure. The client should use caution and will likely require a lower dose of pseudoephedrine because of impaired renal function.

The client should use caution and will likely require a lower dose of pseudoephedrine because of impaired renal function.