Upper respiratory system drugs sem. 2

20. The nurse is preparing to administer an antihistamine to a client. Which actions should the nurse prioritize during the preadministration assessment? Select all that apply.

Asking about symptoms Asking about prescription medications

16. A nurse is preparing to administer diphenhydramine to a client with bronchial irritation. Which activity should the nurse prioritize during the preadministration assessment?

Document color and amount of any sputum present.

suck on sugarless hard candy to address which potential adverse reaction? 10. A client with allergic rhinitis is prescribed an antihistamine. The nurse instructs the client

Dryness of the oral mucosa and the throat

8. The nurse determines the appropriate nursing diagnosis for a client is Ineffective Airway Clearance. Which instructions will the nurse prioritize for this client? Select all that apply.

Encouraging increased fluid intake /Assisting the client in taking deep, diaphragmatic breaths Encouraging the client to change positions

4. A nurse is conducting an ongoing assessment and notes the client is experiencing difficulty bringing up mucus. Which nursing diagnosis should the nurse prioritize for this client?

Ineffective Airway Clearance

11. The nursing instructor is conducting a teaching session with a group of nursing students analyzing the differences between first and second generation antihistamines. The instructor determines the class is successful when the students correctly choose which actions as advantages for administering second generation antihistamines? Select all that apply.

Less sedation Fewer anticholinergic effects

2. The nurse notes a client has a new prescription for an expectorate. The nurse will monitor this client cautiously if which disorder is noted in the client's history?

Persistent cough

25. The nurse has completed teaching a client about the prescribed upper respiratory drug. The nurse determines additional teaching is warranted when the client chooses which finding as necessitating?

Sputum appears clear.

22. The nurse is preparing a teaching session for a client prescribed dextromethorphan orally. Which instruction should the nurse prioritize?

Swallow the whole tablet and do not chew it.

1. The nurse is preparing a teaching session for a client who is prescribed an antitussive. Which instructions should the nurse prioritize? Select all that apply.

Swallowing oral antitussive capsules whole Avoiding respiratory irritants during antitussive treatment

15. The client reports a mild stinging sensation after using a nasal spray decongestant. Which response by the nurse would be most appropriate?

This sensation is common and usually disappears with continued use."

15. The client reports a mild stinging sensation after using a nasal spray decongestant. Which response by the nurse would be most appropriate?

This sensation is common and usually disappears wth continued use.

When teaching a client about using a decongestant in a nasal spray form, which instruction would the nurse include? Select all that apply.

"Know that nasal burning or stinging may occur." Overuse can make the symptoms return."

18. A client prescribed an antihistamine for vasomotor rhinitis is concerned about the potential increased sedation effects. Which antihistamine can the nurse point out as the best option to help avoid the sedation effects?

azelastine

13. A client presents to the urgent care center reporting prolonged congestion which has not been relieved by an over-the-counter nasal spray or by a decongestion which was added later. Which suggestions should the nurse prioritize? Select all that apply.

Advise the client to gradually discontinue the decongestant product. Suggest the client switch from a topical decongestant to an oral product. Suggest a saline irrigation of the nasal passages in place of the decongestant.

12. The nursing instructor teaches a group of nursing students about the actions of various the students correctly choose which drugs that are responsible to increase the production upper respiratory system drugs. The instructor determines the session is successful when of secretions? Select all that apply.

benzoate potassium iodide

29. The nurse is preparing a teaching session for a client with rhinitis about the prescribed decongestant. Which potential adverse reaction should the nurse point out?

blurred vision

23. A client taking metoprolol 50 mg one tablet twice daily begins taking over-the-counter pseudoephedrine. The nurse would assess for which potential reaction? Select all that apply.

bradycardic episode hypertensive episode

21. A client with allergies reports increased sedation after the initiation of chlorpheniramine. Which medications should the nurse point out as alterative medications for this client? Select all that apply.

cetirizine loratadine

24. A client presents to the clinic with a cough that is getting worse. The client reports having used over-the-counter dextromethorphan. Which findings on assessment should the nurse prioritize after noting the client is prescribed phenelzine? Select all that apply.

coma fever

31. A client suffers from motion sickness. Which drug would the nurse anticipate the primary health care provider to prescribe? Select all that apply.

diphenhydramine promethazine

14. An elderly client is prescribed an antihistamine. Which finding on the ongoing assessment should the nurse prioritize? Select all that apply.

dry mouth hypotension sedation

19. After teaching a group of nursing students about antihistamines, the instructor determines that the teaching was successful when the students correctly choose which drugs as less sedating? Select all that apply.

fexpfenadine cetirizine loratadine

17. The nurse has administered an antitussive to an older client. Which findings on assessment should the nurse prioritize? Select all that apply.

hearing loss visual impairment

7. The nurse is preparing to administer naphazoline to a client. The nurse will exercise caution if which disorder is noted in the client's history on preadministration assessment? Select all that apply.

hypothyroidism glaucoma diabetes

26. A client has been prescribed an antitussive. The nurse prepares to assess which factors on the ongoing assessment? Select all that apply.

pain assessment lung sounds therapeutic effect sounds frequency of cough

30. The nurse is preparing to administer a drug to a client reportíng nasal congestion. Which drug does the nurse anticipate administering? Select all that apply.

phenylephrine oxymetazoline

6. The nurse is preparing to administer a codeine-containing antitussive to a client. The nurse will exercise caution if which additional situation is noted in the client's medical history? Select all that apply.

pregnancy prostatic hypertrophy convulsive disorder

32. A client with a nonproductive cough is prescribed codeine sulfate. The nurse will question this order for clients with which history?

premature infant

3. A client currently prescribed a MAOI for depression is also prescribed a decongestant for cold symptoms. Which potential adverse reaction should the nurse point out will warrant contacting the health care provider?

severe headache

27. The nurse is preparing to administer an antitussive to a client. Which assessments will the nurse prioritize in the preadministration assessment? Select all that apply.

temperature type of cough sputum presence

28. The nurse is monitoring a client for the effectiveness of a prescribed decongestant. Which factors should the nurse prioritize in the ongoing assessment? Select all that apply.

therapeutic effect level of congestion blood pressure