CHAPTER 54 NURSING PHARMACOLOGY

The pharmacology instructor is discussing the adverse effects of diphenhydramine. Which is not one of these effects? Excessive salivation Dry mouth Blurred vision Drowsiness

Excessive salivation

A group of nursing students are reviewing information about expectorants. The students demonstrate understanding when they identify which medication as an example? a. Dextromethorphan b. Acetylcysteine c. Benzonatate d. Guaifenesin

Guaifenesin

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 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 Diagnosis of myasthenia gravis (MS) Diagnosis of chronic obstructive pulmonary disease (COPD) History of severe hypertension

History of severe 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? Joint pain Nausea and vomiting Central nervous system depression Hypotension

Nausea and vomiting

What is an adverse reaction commonly experienced by people taking nasal decongestants? Rebound congestion Diarrhea Headache Rash

Rebound congestion

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? Rebound nasal swelling Chronic nasal polyps Damage of the nasal concha Burning of the nares secondary to chronic use of nasal sprays

Rebound nasal swelling

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 falls related to sedation Risk for impaired skin integrity related to urticaria Risk for infection related to adverse effects of antihistamines Risk for deficient fluid volume related to diuresis

Risk for falls related to sedation

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? SATA *Atelectasis due to mucus obstruction *Ibuprofen overdosage *Pulmonary complications of cystic fibrosis *Posttraumatic chest conditions *Tracheostomy care

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? antihistamine Advil eucalyptus acetaminophen

antihistamine

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? "The drug is used no longer than 3 days." "I can take over-the-counter pseudoephedrine, too." "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 nurse is teaching a client about the potential for allergic drug reaction. What statement made by a client suggests a need for further teaching? "Virtually any drug may induce an immunologic response in a susceptible person." "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." "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."

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 *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 *Using household measuring devices for dosage measurements

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

Acetylcysteine

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? Antihistamines Antimicrobials Antipyretics Antianginals

Antihistamines

A client asks, "What is the difference between antitussive medications and expectorants?" What information should the nurse's response be based upon? a. Both drug types loosen bronchial secretions for ease of removal. b. Antitussives suppress coughing while expectorants loosen bronchial secretions. c. Antitussives liquefy bronchial secretions while expectorants assist in the expectoration of those secretions. d. Antitussives kill cold viruses while expectorants liquefy bronchial secretions.

Antitussives suppress coughing while expectorants loosen bronchial secretions.

A client is prescribed oxymetazoline. Which assessment data would indicate that the drug is effective? Breathing pattern is regular and without difficulty. Urine output is at least 30 mL/hr. Skin is effectively hydrated. Heart rate is maintained at a regular rate and rhythm.

Breathing pattern is regular and without difficulty.

A client having an allergic reaction to mold, describes chest tightness and difficulty breathing. Which process is occurring? Decreased secretion of the mucous glands Decreased permeability of the veins and capillaries Suppression of the vagus nerve endings producing tachycardia Contraction of smooth muscle in the bronchi

Contraction of smooth muscle in the bronchi

A 76-year-old client has been prescribed an oral antihistamine. What adverse effect presents a priority safety concern for older adult clients? Nonproductive cough Drowsiness Dry mouth Nasal burning

Drowsiness

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

Dry mouth