Deck 40: Drugs for Upper Respiratory Disorders

Question 1

The client is experiencing cold symptoms. The nurse anticipates that the client will be ordered:

A) antivirals.
B) antifungals.
C) antitussives.
D) antibiotics.

Answer 1

antitussives.

Question 2

The client requires a nasal decongestant and tells the nurse that she is very interested in using herbal remedies. She has been using peppermint as an herbal decongestant. The nurse's most accurate interpretation of this is that peppermint __________ nasal decongestant.

A) can be effectively used as an herbal
B) is usually ineffective when used as a
C) can cause an anaphylactic reaction when used as a
D) can cause fatality when used as a

Answer 2

can be effectively used as an herbal

Question 3

The client is taking Flonase in the home setting. Once the client's symptoms have subsided; the nurse's highest priority instruction to the client should be to reduce the spray to:

A) three times daily.
B) two times daily.
C) once daily.
D) once every other day.

Answer 3

once daily.

Question 4

The client has symptoms of the common cold and is to be treated with a decongestant nasal spray. What is the nurse's highest priority instruction to the client?

A) Use as many puffs as needed as often as necessary for up to 10 days.
B) Use one to two puffs four to six times daily for up to 5 to 7 days.
C) Use no more than one puff three times daily for up to 7 days.
D) Use two puffs two times daily for no longer than 3 days.

Question 5

A client has had a sinus infection for 1 week. She was seen in the clinic 4 days ago and was instructed to take over-the-counter decongestants and antipyretics. She returns to the clinic with continued symptoms and green nasal mucus. The nurse anticipates that which medication will be ordered?

A) Narcotic
B) Antibiotic
C) Antiviral agent
D) Antifungal agent

Question 6

A client is ordered to receive azelastine (Optivar) nasal spray. This antihistamine has a half-life of 22 hours. The nurse anticipates this medication to be ordered _____ per day.

A) once
B) twice
C) three times
D) four times

Question 7

The client has been ordered Nasonex. The highest priority instruction that the nurse should give the client is to direct the spray:

A) upwards in the nasal passages.
B) downwards in the nasal passages.
C) towards the nasal septum.
D) away from the nasal septum.

Question 8

The client is being ordered Robitussin DM. He complains of experiencing dizziness. What is the highest priority nursing intervention?

A) Call the physician; this is indicative of an anaphylactic reaction to the medication.
B) Call the physician; this is an expected side effect of the medication.
C) Call the pharmacist; this is evidence that the drug was prepared incorrectly.
D) Call the pharmacist; this is evidence that this is not the correct drug.

Question 9

The client has been taking Robitussin DM in the home setting. The nurse suspects that she is taking an excessive amount of the medication when she complains of:

A) nausea.
B) drowsiness.
C) hallucinations.
D) bloody sputum.

Question 10

The client tells the nurse that he has been taking Neo-Synephrine for the past month. What is the nurse's highest priority response to the client?

A) Neo-Synephrine can be taken indefinitely while it is still effective.
B) Neo-Synephrine should not be taken longer than 24 hours.
C) Neo-Synephrine can be taken until symptoms decrease.
D) Neo-Synephrine should not be taken for longer than 3 to 5 days.