Pharm Chapter 31 NCLEX

after administering a decongestant to a client, the nurse would assess the client for which of the following as a possible adverse reaction (select all that apply) a) nausea b) sedation c) nervousness d) blurred vision e) bradycardia

a) nausea c) nervousness d) blurred vision

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 (select all that apply) a) tracheostomy care b) posttraumatic chest conditions c) ibuprofen overdosage d) atelectasis due to mucous obstruction e) pulmonary complications of cystic fibrosis

a) tracheostomy care b) posttraumatic chest conditions d) atelectasis due to mucous obstruction e) pulmonary complications of cystic fibrosis

a nurse is assigned to care for a patient who is prescribed dextromethorphan. the client's history reveals that he is also taking a monoamine oxidase inhibitors for depression. the nurse would assess the client for which of the following a) additive antidepressant effects b) hypokalemia c) jerking leg motions d) cardiac arrhythmias

c) jerking leg motions

a nursing student is researching which antihistamine drug that elicits its antihistamine effects by selectively binding to peripheral H1 receptors a) diphendydramine b) clemastine c) brompheniramine d) desloratadine

d) desloratadine

a nurse is preparing to administer an antihistamine to a client. the nurse integrates knowledge about this class of drugs, identifying which of the following as a possible use (select all that apply) a) allergic rhinitis b) Parkinsonism c) reversal of sedation d) nausea e) dry mouth

a) allergic rhinitis b) Parkinsonism d) nausea

before administering a mucolytic drug to a client with an upper respiratory infection, which of the following would the nurse need to assess a) degree of dyspnea b) frequency of coughing c) therapeutic effectiveness d) evidence of productive cough

a) degree of dyspnea

decongestants should be used cautiously in patients with which of the following medical conditions (select all that apply) a) diabetes b) hypertension c) glaucoma d) asthma e) thyroid disease

a) diabetes b) hypertension c) glaucoma e) thyroid disease

a nurse is describing the action of a prescribed antihistamine to a client. the nurse is describing which of the following by explaining that the drug elicits its antihistamine effects by non selectively binding to central and peripheral H1 receptors a) diphenhydramine b) cetirizine c) fexofenadine d) loratadine

a) diphenhydramine

before the nurse administers an antitussive agent, the nurse would document assessment of which of the following (select all that apply) a) home remedies used to treat the cough b) vital signs c) presence of sputum d) color and amount of sputum e) type of cough

a) home remedies used to treat the cough b) vital signs c) presence of sputum d) color and amount of sputum e) type of cough

a nurse is reviewing the medical record of a client who is prescribed an antihistamine. the nurse would administer the drug cautiously if which condition was noted (select all that apply) a) hypertension b) hyperthyroidism c) osteoarthritis d) rheumatoid arthritis e) narrow-angle glaucoma

a) hypertension b) hyperthyroidism e) narrow-angle glaucoma

an 82 year old client is prescribed an antihistamine for the relief of allergic rhinitis. which of the following would the nurse most likely assess in this client (select all that apply) a) sedation b) bradycardia c) hypertension d) confusion e) dry throat

a) sedation d) confusion e) dry throat

a 40 year old client is prescribed diphenhydramine for allergic rhinitis. when gathering the patient's medical history, the nurse learns that the patient is on beta-blocker therapy for hypertension. the nurse would assess the client for which of the following that could result from the interaction of these two drugs a)increased cardiovascular effects of the beta blocker b) increased effects of the antihistamine drug c) increased absorption of the antihistamine drug d) increased CNS depressant action of the antihistamine drug

a)increased cardiovascular effects of the beta blocker

a client is prescribed an antihistamine. the nurse determines that the drug would be contraindicated if the client has which condition (select all that apply) a) allergic conjunctivitis b) cardiovascular shock c) nausea and vomiting d) angle-closure glaucoma e) anaphylactic shock

b) cardiovascular shock d) angle-closure glaucoma

a group of nursing students are reviewing information about expectorants. the students demonstrate understanding when they identify which of the following as an example a) dextromethorphan (Delsym) b) guaifenesin (Robitussin) c) benzonatate (Tessalon perles) d) acetylcysteine (Mucomyst)

b) guaifenesin (Robitussin)

a client is taking levothyroxine 150 mcg daily for hypothyroidism. base don the nurse's understanding of drug interactions, the nurse would ensure that the client does not receive which drug a) dextromethorphan b) potassium iodide c) codeine d) guaifenesin

b) potassium iodide

a patient is prescribed oxymetazoline. which of the following would indicate that the drug is effective a) heart are is maintained at a regular rate and rhythm b) urine output is at least 30 mL/hour c) breathing pattern is regular and without difficulty d) skin is effectively hydrated

c) breathing pattern is regular and without difficulty

a client is receiving an antitussive. which of the following would the nurse include in the client's plan of care to help prevent pooling of secretions in the client's lungs (select all that apply) a) maintain the same position as much as possible b) limit fluid intake c) increase fluid intake d) change positions frequently e) refrain from trying to cough

c) increase fluid intake d) change positions frequently

when describing the action of decongestants, a nurse integrates knowledge of this class of drugs, identifying which of the following as the mechanism a) anesthetizing stretch receptors in the respiratory passages b) non selectively binding to central and peripheral H1 receptors c) vasoconstriction of small blood vessels of the nasal membrane d) selectively binding to peripheral H1 receptors

c) vasoconstriction of small blood vessels of the nasal membrane