Chapter 31

Before administering a mucolytic drug to a client with an upper respiratory infection, which would the nurse need to assess? A. degree of dyspnea B. evidence of produtive cough C. therapeutic effectiveness D. frequency of coughing

A

When describing the action of decongestants, a nurse integrates knowledge of this class of drugs, identifying which mechanism? A. vasoconstriction of small blood vessels of the nasal membranes B. nonselectively binding to central and peripheral H1 receptors C. anesthetizing stretch receptors in the respiratory passages D. selectively binding to peripheral H1 receptors

A

After administering a decongestant to a client, the nurse would assess the client for which possible adverse reaction? Select all that apply. A. blurred vision B. nausea C. nervousness D. sedation E. bradycardia

A, B, C

Before the nurse administers an antitussive agent, the nurse would document assessment of which information? Select all that apply. A. vital signs B. presence of productive cough C. color and amount of sputum D. home remedies used to treat the cough E. skin turgor

A, B, C, D

A client is prescribed an antihistamine. The nurse determines that the drug would be contraindicated if the client had which condition? Select all that apply. A. cardiovascular shock B. nausea and vomiting C. allergic conjunctivitis D. anaphylactic shock E. angle-closure glaucoma

A, E

An 82-year-old client is prescribed an antihistamine for the relief of allergic rhinitis. Which findings would the nurse most likely assess in this client? Select all that apply. A. hypertension B. sedation C. bradycardia D. confusion E. dry throat

B, D, E

A 40 year-old client is prescribed diphenhydramine for allergic rhinitis. When gathering the client's medical history, the nurse learns that the client is on beta-blocker therapy for hypertension. The nurse would assess the client for which adverse effect that could result from the interaction of these two drugs? A. increased CNS depressant action of the antihistamine drug B. increased absorption of the antihistamine C. increased cardiovascular effects of the beta blocker D. increased effects of the antihistamine drug

C

A nursing student is researching which antihistamine drug that elicits its antihistamine effects by selectively binding to peripheral H1 receptors? A. clemastine B. diphendydramine C. brompheniramine D. desloratadine

D

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. guaifenesin D. benzonatate

C

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. pulmonary complications of cystic fibrosis C. atelectasis due to mucous obstruction D. ibuprofen overdosage E. posttraumatic chest conditions

A, B, C, E

Decongestants should be used cautiously in clients with which medical conditions? Select all that apply. A. diabetes B. hypertension C. asthma D. glaucoma E. thyroid disease

A, B, D, E

A nurse is reviewing the medical record of a client who is prescribed an antihistamine. The nurse would adminster the drug cautiously if which condition was noted? Select all that apply. A. narrow-angle glaucoma B. rheumatoid arthritis C. hyperthyroidism D. hypertension E. osteoarthritis

A, C, D

A nurse is preparing to administer an antihistamine to a client. The nurse integrates knowledge about this class of drugs, identifying which condition or disease as a possible use to alleviate symptoms? Select all that apply. A. nausea B. reversal of sedation C. dry mouth D. parkinsonism E. allergic rhinitis

A, D, E

A client is prescribed oxymetazoline. Which assessment data would indicate that the drug is effective? A. urine output is at least 30 mL/hr B. breathing pattern is regular and without difficulty C. skin is effectively hydrated D. heart rate is maintained at a regular rate and rhythm

B

A client is taking levothyroxine 150 mcg daily for hypothyroidism. Based on 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. guaifenesin D. codeine

B

A nurse is assigned to care for a client who is prescribed dextromethorphan. The client's history reveals that the client is also taking a monoamine oxidase inhibitor for depression. The nurse would assess the client for which effect? A. additive antidepressant effects B. jerking leg motions C. cardiac arrhythmias D. hypokalemia

B

A nurse is describing the action of a prescribed antihistamine to a client. The nurse is describing which medication, by explaining that the drug elicites its antihistamine effects by nonselectively binding to central and peripheral H1 receptors? A. loratadine B. diphenhydramine C. fexofenadine D. cetirizine

B

A client is receiving an antitussive. Which interventions would the nurse include in the client's plan of care to help prevent pooling of secretions in the client's lungs? A. limit fluid intake B. maintain the same position as much as possible C. refrain from trying to cough D. change positions frequently E. increase fluid intake

D, E