Pharm Ch 54 Drugs Acting on the Upper Respiratory Tract
After teaching a client who is receiving an antitussive about the drug, which statement indicates the need for additional teaching? "I'll get a humidifier for my bedroom." "I'll keep the room warm and toasty." "I need to increase the amount of fluids I drink." "I can use some lozenges for comfort."
"I'll keep the room warm and toasty."
The nurse is providing education for a client who has been prescribed a second-generation antihistamine. Which client statement suggests a need for additional teaching? "I know these can be a bit expensive, but hopefully it will be worth it for me." "I'll check with my health care provider to make sure that the diet supplements I'm taking are okay to take at the same time as these pills." "It's handy that I don't necessarily have to take these pills at bedtime." "I'm really hoping that these pills will cure my allergies before summer starts."
"I'm really hoping that these pills will cure my allergies before summer starts."
A male client asks the nurse whether antihistamines will help him cope with the symptoms of the common cold. What is the nurse's best response? "Antihistamines should be taken only before bed." "Antihistamines are recommended." "Antihistamines should be taken only if you are not driving." "Antihistamines do not relieve symptoms."
"antihistamines do not relieve symptoms."
Which client, acknowledging the regular use of pseudoephedrine, should be assessed further for the possible risk of contraindications to the use of this medication? a client currently being treated for depression a client with a history of breast cancer a client with an allergy to dairy products a client currently recovering from hip replacement surgery
a client currently being treated for depression
When instructing a client in how to use a topical nasal spray, what would the nurse emphasize to do first? Clear the nasal passages. Lie down to tilt the head back. Spray the medication with the bottle upright. Close the opposite nares.
clear the nasal passages
An older adult client presents with sneezing, a nonproductive cough, and reports nasal congestion that began 5 days ago. What common, viral respiratory infection is the client likely experiencing? allergic rhinitis (hay fever) common cold acute bronchitis sinusitis
common cold
A client comes to the clinic with what appears to be a cold. What group of upper respiratory drugs cause local vasoconstriction, which decreases blood flow and shrinks swollen membranes to improve air flow? Mucolytics Decongestants Antitussives Expectorants
decongestants
The nurse is planning care for a client who is experiencing excessive respiratory tract secretions. What intervention should the nurse include? deep breathing and coughing exercises administration of pseudoephedrine administration of guaifenesin supplemental oxygen
deep breathing and coughing exercises
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 Stimulation of the reticular activating system (RAS) Desensitization of the cough receptors in the sinuses and trachea Vasodilation of the alveolar capillaries
depression of the cough center in the medulla oblongata
A 45-year-old female client is being seen in the health care provider's office for a dry, hacking cough that is keeping her up at night. The provider prescribes dextromethorphan for the cough. Which statement is true about dextromethorphan? Dextromethorphan works on the receptors in the throat to prevent a cough. Dextromethorphan works by inhibiting allergen response. Dextromethorphan works by relaxing the smooth muscles in the bronchioles. Dextromethorphan works in the medulla to suppress the cough reflex.
dextromethorphan works in the medulla to suppress the cough reflex
The pharmacology instructor is discussing the adverse effects of diphenhydramine. Which is not one of these effects? Excessive salivation Blurred vision Dry mouth Drowsiness
excessive salivation
A client presents at the clinic with a dry, nonproductive cough. The client is diagnosed with bronchitis, and it is determined that they will need help thinning sputum so that the cough can become productive. What does the nurse expect will be prescribed for the client? Guaifenesin Aspirin Codeine Dextromethorphan
guaifenesin
Which would the nurse expect to administer as a nasal spray? Hydrocodone Benzonatate Oxymetazoline Dextromethorphan
oxymetazoline
An instructor is describing topical decongestants as belonging to which class? Antihistamines Sympathomimetics Anticholinergics Adrenergic antagonists
sympathomimetics
Decongestants should be used cautiously in clients with which medical conditions? Select all that apply. Thyroid disease Hypertension Diabetes Asthma Glaucoma
thyroid disease hypertension diabetes glaucoma
A nurse caring for a client in the hospital is being discharged today with a prescription for benzonatate (Tessalon Perles) 200 mg one capsule 3 times daily. What would the nurse tell the client about this prescription during discharge counseling? (Select all that apply.) Benzonatate can cause GI upset and sedation. Consumption of alcohol is okay while taking benzonatate. Benzonatate capsules should be sucked on like a lozenge. Benzonatate can be taken more frequently than prescribed if needed. The client should drink plenty fluids.
Benzonatate can cause GI upset and sedation
A client calls the clinic and reports symptoms of a cold. The client is most concerned because the cold symptoms are preventing him from sleeping. The nurse would inform the client that what medication relieves cold symptoms and aids sleep? Phenergan Antihistamine Epinephrine Diphenhydramine
diphenhydramine
The nurse instructs a client on self-administration of a nasal decongestant. Which client observation indicates that teaching was effective? blows the nose after administering the medication inserts the tip of the bottle an inch into one nare reclines in bed holds the spray bottle upright
holds the spray bottle upright
Which condition would contraindicate the use of oxymetazoline? nasal congestion cough skin rash hypertension
hypertension
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 deficient fluid volume related to diuresis Risk for infection related to adverse effects of antihistamines Risk for falls related to sedation Risk for impaired skin integrity related to urticaria
risk for falls related to sedation
After teaching a group of students about topical nasal steroid decongestants, the instructor determines the need for additional teaching when the students identify which as an example? Triamcinolone Tetrahydrozoline Flunisolide Fluticasone
tetrahydrozoline
When developing the teaching plan for a client receiving an antihistamine, which would the nurse include? (Select all that apply.) Stopping the drug after 3 days if no relief is obtained Using sugarless candies or lozenges to combat dry mouth Encouraging the client to engage in usual activities such as driving Advising the client to avoid alcohol consumption
using sugarless candies or lozenges to combat dry mouth advising the client to avoid alcohol consumption
A client is receiving dornase alfa at home. Which would the nurse instruct the client to do? "Protect the drug from light." "Take the drug orally with meals." "Store the drug at room temperature." "Mix the drug with tap water."
"protect the drug from light."
Which agent would a nurse expect the health care provider to prescribe for a client experiencing motion sickness? Clemastine Meclizine Hydroxyzine Cyproheptadine
meclizine
A client with cystic fibrosis may use which type of medication to reduce the viscosity of respiratory secretions? Antihistamine Centrally acting antitussive Expectorant Mucolytic Peripherally acting antitussive
mucolytic
Pseudoephedrine (Sudafed) is prescribed for a client suffering from nasal and sinus congestion. What is the most important assessment the nurse should complete before the client leaves the clinic to purchase the medication? Ask about nausea and vomiting. Observe for swelling in nasal passages. Obtain the client's blood pressure. Ask about history of hay fever.
obtain the client's blood pressure
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 Supine Side-lying Semi-Fowler's
high-fowler's
A client is prescribed dextromethorphan for a persistent cough. For which drug category would the nurse question giving the antitussive to the client? beta blocker cardiac glycoside monoamine oxidase inhibitor (MAOI) diuretic
monoamine oxidase inhibitor (MAOI)
Which would contraindicate the use of a topical nasal decongestant? Nasal ulceration Hypertension Glaucoma Diabetes
nasal ulceration
An older adult client is administered dimenhydrinate. Which is the priority nursing intervention for this client? Maintain IV access. Encourage fluids with this client. Have the client void after administration. Protect from injury.
protect from injury
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 cause bradycardia and increase peripheral blood pressure gastric reflux." "The administration of a nasal decongestant will increase blood pressure due to vasoconstriction of blood vessels." "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 decrease the thyroid production and increase blood pressure."
"the administration of nasal decongestant will increase blood pressure due to vasoconstriction of blood vessels."
A client asks, "What is the difference between antitussive medications and expectorants?" What information should the nurse's response be based upon? Antitussives liquefy bronchial secretions while expectorants assist in the expectoration of those secretions. Both drug types loosen bronchial secretions for ease of removal. Antitussives suppress coughing while expectorants loosen bronchial secretions. Antitussives kill cold viruses while expectorants liquefy bronchial secretions.
antitussives suppress coughing while expectorants loosen bronchial secretions
A client reports to the nurse, "My head is stuffed up and I can't breathe through my nose." Nasal discharge is noted upon examination. The client is diagnosed with a common cold. The nurse should prepare to provide medication instructions related to what classification of medication directed at the client's nasal mucosa? decongestant antitussant antihistamine expectorant
decongestant
An adult client has asked the nurse to recommend an OTC cold remedy. Before making a recommendation, the nurse should implement which intervention? Assess the client's understanding of the epidemiology of the common cold and upper respiratory infections. Consult with a pharmacist or pharmacy technician. 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.
assess the client for health problems that may contraindicate the use of a particular remedy
When describing the action of acetylcysteine in treating cystic fibrosis, which would the nurse need to keep in mind about the drug? It separates extracellular DNA from protein in the mucus. It binds with a hepatotoxic metabolite. It splits the disulfide bonds that hold mucus together. It liquefies secretions to increase tenacity.
it splits the disulfide bonds that hold mucus together
A 16-year-old boy is prescribed cromolyn sodium nasal spray to treat a nasal allergy. To maximize the therapeutic effects of the drug, which will the nurse include in instructions to the patient? Take the drug for one full week before coming in contact with allergens. Drink plenty of fluids. Avoid high noise levels. Take the drug on a full stomach.
take the drug for one full week before coming in contact with allergens
