Question 1

Which assessment is most relevant to the care of a client with a new order for an inhaled nasal steroid?

Accepted Answer

Inhaled nasal steroids are primarily used for the treatment of allergic rhinitis, which causes inflammation of the nasal passages. Therefore, it is most relevant to assess the client's history of allergic rhinitis in order to ensure appropriate medication management. While a history of asthma may also be relevant, it is not the most specific to the medication in question. Histories of chronic bronchitis and emphysema do not directly relate to the use of inhaled nasal steroids.

Question 2

The nurse is planning care for an older adult taking fexofenadine (Allegra)for seasonal allergies.Which nursing diagnoses would take priority? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse is planning care for an...

Question 3

A client with a severe cough has a new order for a hydrocodone-based antitussive.Which history assessment would result in changing the prescription?

Accepted Answer

A history of persistent intermittent asthma could be a contraindication for a hydrocodone-based antitussive because opioids can cause respiratory depression and may exacerbate asthma symptoms.

Question 4

The nurse is teaching a group of teens with asthma how the structures of the upper respiratory tract protect against infections.Which statement by a teen demonstrates that teaching has been successful? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

A) This statement correctly describes the function of the nasal passages and throat in filtering, warming, and humidifying air.
B) This statement correctly describes the function of the upper respiratory tract in trapping particulate matter and pathogens.
C) This statement correctly describes the function of cilia in the upper respiratory tract, which move back and forth to push foreign matter away from the lungs. 
D) This statement is incorrect as mucous membranes do not produce allergens; rather, they produce mucus that can help trap and remove pathogens.
E) This statement is also incorrect, as saliva does not contain cells that eat bacteria.

Question 5

The nurse is assessing a client who regularly takes an oral first-generation antihistamine for nasal allergies.Which medication order would trigger concerns about drug interaction with the antihistamine?

Accepted Answer

First-generation antihistamines can cause central nervous system depression and may interact with other medications that have similar side effects, such as opiates. Hydrochlorothiazide, enoxaparin and atenolol are unlikely to have significant interactions with the antihistamine.

Question 6

A client asks the nurse why the physician prescribed an oral rather than an intranasal decongestant.The nurse responds: Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

- A) Intranasal decongestants can lead to rebound congestion, worsening symptoms once the medication wears off. - B) Intranasal decongestants are recommended for short-term use (no longer than 5 days) to avoid the risk of rebound congestion, whereas oral decongestants can be used for longer periods, making them suitable for the duration of the allergy season.

Question 7

A client is being treated with dornase alfa (Pulmozyme).The nurse anticipates that the client is most likely to experience which cluster of adverse effects?

Accepted Answer

Dornase alfa (Pulmozyme) is a medication used for the management of cystic fibrosis, a chronic pulmonary disorder. The most common adverse effects associated with this medication are sore throat, conjunctivitis, and hoarseness. These adverse effects are related to the medication's mode of action, which involves loosening and clearing mucus from the lungs. The throat, eyes, and vocal cords can become irritated due to the medication's effects on mucus. Clients typically develop tolerance for these side effects after several days of treatment. The other options (A, B, and C) are not associated with dornase alfa's use.

Question 8

A 12-year-old with allergies has been prescribed desloratadine (Clarinex).The nurse instructs the client and the mother about possible adverse effects,including: Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

The answer of A 12-year-old with allergies has been prescribed...

Question 9

The nurse is assisting with the administration of an acetylcysteine (Mucomyst)nebulizer treatment by mask.What warning to the client is essential prior to the start of the treatment?

Accepted Answer

Acetylcysteine (Mucomyst) has a strong sulfur smell, which can be unpleasant to many patients. It's important to warn them about this so they are not surprised or overly concerned by the odor during treatment.

Question 10

A client asks the nurse why the physician has ordered an antihistamine for insomnia that is the same one a neighbor takes for seasonal allergies.The nurse explains that antihistamines are effective in treating a number of problems,including: Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

The answer of A client asks the nurse why the...

Question 11

Rebound congestion is occasionally a problem after use of some drugs for allergic rhinitis.Which preparation is mostly likely to cause this concern?

Accepted Answer

Intranasal decongestants, such as oxymetazoline and phenylephrine, can cause rebound congestion if used for more than a few days. This occurs when the blood vessels in the nasal passages become dependent on the medication to keep them constricted, and then overreact when the medication is stopped or wears off, causing worsened congestion. This rebound congestion can be more severe than the original congestion and can last for several days or longer. Therefore, intranasal decongestants should only be used for short-term relief of nasal congestion and not for more than a few days in a row. Oral decongestants, oral antihistamines, and intranasal steroids do not typically cause rebound congestion.

Question 12

A client has been receiving a cough medicine with guaifenesin for 48 hours.Which nursing diagnosis would this medication best address?

Accepted Answer

Guaifenesin is an expectorant that works by loosening and thinning mucus in the airways, making it easier to cough up. Therefore, it would best address the nursing diagnosis of Ineffective Airway Clearance related to large amount of tenacious mucus.

Question 13

What is an expected outcome of antihistamine therapy for allergic rhinitis?

Accepted Answer

The main purpose of antihistamine therapy for allergic rhinitis is to reduce the symptoms of sneezing and tearing, which are caused by the release of histamine in response to allergen exposure. It does not directly affect the nasal airway or sinuses, and it is not expected to make coughing productive.

Question 14

The nurse instructing a client with allergic rhinitis would recommend which actions to decrease exposure to allergens? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse instructing a client with allergic...

Question 15

It has been determined that a client's rhinitis is not the result of previous exposure to an allergen.The nurse explains that a nonallergic response can occur with: Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

Nonallergic rhinitis can be caused by various factors, including exposure to x-ray dye, certain drugs (such as aspirin and blood pressure medications), and plasma expanders. Pollens and animal dander, on the other hand, commonly trigger allergic rhinitis.

Question 16

The nurse keeps which therapeutic goals in mind when teaching a client with allergic rhinitis about prescribed medications? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse keeps which therapeutic goals in...

Question 17

A pediatric nurse is triaging a 6-year-old in an urgent care facility and suspects the child is experiencing complications from allergic rhinitis.Which symptoms did the nurse assess? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

The answer of A pediatric nurse is triaging a 6-year-old...

Question 18

The nurse is caring for a client who is taking benzonatate (Tessalon)for a cough.The client accidentally bites into one of the gelcaps prior to swallowing it.What should the nurse do next?

Accepted Answer

Benzonatate interacts with the mucous membranes of the mouth and can cause numbness, tingling, and a burning sensation if chewed or broken. The nurse should explain to the client that they may experience numbness of the tongue and monitor for any other adverse effects. Contacting the physician or completing a variance report is not necessary in this situation as it is a common adverse effect of the medication. Assessing blood pressure frequently or warning about nausea is not necessary in this situation.

Question 19

The nurse is teaching a client about the side effects of intranasal beclomethasone (Beconase),including:

Accepted Answer

The most common side effects of intranasal beclomethasone (Beconase) are burning and nosebleed. Nuchal rigidity and headache are not typically associated with this medication. Muscle aches and conjunctivitis are also not common side effects. Frequent sneezing and hiccups are not typical side effects of this medication.

Question 20

The nurse would expect to see an order for a drug that blocks H₂ receptors in a client with: Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

H2 (histamine 2) receptors are found in the stomach and are responsible for stimulating gastric acid secretion. Drugs that block these receptors, known as H2 receptor antagonists, are used to reduce acid production and are therefore useful in treating conditions associated with excess gastric acid such as peptic ulcer disease (B) and gastroesophageal reflux disease (C). They are also used in conditions where reducing gastric acid is beneficial, such as in excess gastric acid production (A). Conditions like allergic rhinitis (D) and seasonal allergies (E) involve histamine 1 (H1) receptors, not H2, and are treated with H1 receptor antagonists, not H2 receptor antagonists.

Quiz 45: Pharmacotherapy of Allergic Rhinitis and the Common Cold

Which assessment is most relevant to the care of a client with a new order for an inhaled nasal steroid?

The nurse is planning care for an older adult taking fexofenadine (Allegra) for seasonal allergies.Which nursing diagnoses would take priority? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A client with a severe cough has a new order for a hydrocodone-based antitussive.Which history assessment would result in changing the prescription?

The nurse is assessing a client who regularly takes an oral first-generation antihistamine for nasal allergies.Which medication order would trigger concerns about drug interaction with the antihistamine?

A client asks the nurse why the physician prescribed an oral rather than an intranasal decongestant.The nurse responds: Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A client is being treated with dornase alfa (Pulmozyme) .The nurse anticipates that the client is most likely to experience which cluster of adverse effects?

A 12-year-old with allergies has been prescribed desloratadine (Clarinex) .The nurse instructs the client and the mother about possible adverse effects,including: Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

The nurse is assisting with the administration of an acetylcysteine (Mucomyst) nebulizer treatment by mask.What warning to the client is essential prior to the start of the treatment?

Rebound congestion is occasionally a problem after use of some drugs for allergic rhinitis.Which preparation is mostly likely to cause this concern?

A client has been receiving a cough medicine with guaifenesin for 48 hours.Which nursing diagnosis would this medication best address?

What is an expected outcome of antihistamine therapy for allergic rhinitis?

The nurse instructing a client with allergic rhinitis would recommend which actions to decrease exposure to allergens? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

It has been determined that a client's rhinitis is not the result of previous exposure to an allergen.The nurse explains that a nonallergic response can occur with: Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

The nurse keeps which therapeutic goals in mind when teaching a client with allergic rhinitis about prescribed medications? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

The nurse is caring for a client who is taking benzonatate (Tessalon) for a cough.The client accidentally bites into one of the gelcaps prior to swallowing it.What should the nurse do next?

The nurse is teaching a client about the side effects of intranasal beclomethasone (Beconase) ,including:

The nurse would expect to see an order for a drug that blocks H₂ receptors in a client with: Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Quiz 45: Pharmacotherapy of Allergic Rhinitis and the Common Cold

Which assessment is most relevant to the care of a client with a new order for an inhaled nasal steroid?

The nurse is planning care for an older adult taking fexofenadine (Allegra) for seasonal allergies.Which nursing diagnoses would take priority? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A client with a severe cough has a new order for a hydrocodone-based antitussive.Which history assessment would result in changing the prescription?

The nurse is assessing a client who regularly takes an oral first-generation antihistamine for nasal allergies.Which medication order would trigger concerns about drug interaction with the antihistamine?

A client asks the nurse why the physician prescribed an oral rather than an intranasal decongestant.The nurse responds: Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A client is being treated with dornase alfa (Pulmozyme) .The nurse anticipates that the client is most likely to experience which cluster of adverse effects?

A 12-year-old with allergies has been prescribed desloratadine (Clarinex) .The nurse instructs the client and the mother about possible adverse effects,including: Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

The nurse is assisting with the administration of an acetylcysteine (Mucomyst) nebulizer treatment by mask.What warning to the client is essential prior to the start of the treatment?

Rebound congestion is occasionally a problem after use of some drugs for allergic rhinitis.Which preparation is mostly likely to cause this concern?

A client has been receiving a cough medicine with guaifenesin for 48 hours.Which nursing diagnosis would this medication best address?

What is an expected outcome of antihistamine therapy for allergic rhinitis?

The nurse instructing a client with allergic rhinitis would recommend which actions to decrease exposure to allergens? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

It has been determined that a client's rhinitis is not the result of previous exposure to an allergen.The nurse explains that a nonallergic response can occur with: Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

The nurse keeps which therapeutic goals in mind when teaching a client with allergic rhinitis about prescribed medications? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

The nurse is caring for a client who is taking benzonatate (Tessalon) for a cough.The client accidentally bites into one of the gelcaps prior to swallowing it.What should the nurse do next?

The nurse is teaching a client about the side effects of intranasal beclomethasone (Beconase) ,including:

The nurse would expect to see an order for a drug that blocks H2 receptors in a client with: Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

The nurse would expect to see an order for a drug that blocks H₂ receptors in a client with: Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.