Question 1

A client asks the nurse why the physician prescribed an oral rather than an intranasal decongestant.The nurse responds:
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 2

The nurse is planning care for an older adult taking fexofenadine (Allegra)for seasonal allergies.Which nursing diagnoses would take priority?
Select all that apply.

Accepted Answer

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

Question 3

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?
Select all that apply.

Accepted Answer

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

Question 4

The nurse instructing a client with allergic rhinitis would recommend which actions to decrease exposure to allergens?
Select all that apply.

Accepted Answer

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

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 interact with central nervous system depressants, such as opioid analgesics like Tylenol with codeine, causing an increased risk of sedation and respiratory depression. This combination could be dangerous and should be monitored closely by a healthcare provider. The other medication options listed (a diuretic, an anticoagulant, and an antihypertensive) do not have significant interactions with first-generation antihistamines.

Question 6

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 is a local anesthetic that can cause numbness or tingling in the mouth and throat. The nurse should explain to the client that biting into the gelcap may have intensified this effect, causing numbness of the tongue. The client may need reassurance that this is a normal side effect and will resolve on its own. However, if the client experiences difficulty breathing or swallowing, or if the numbness spreads beyond the mouth and throat, immediate medical attention is needed. The other options, such as calling the physician and completing a variance report, assessing blood pressure, or warning the client about nausea, are not indicated in this situation.

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 is an inhaled medication used to treat cystic fibrosis. The most common adverse effects of dornase alfa are respiratory in nature, including sore throat, hoarseness, and conjunctivitis. Headache, nasal stuffiness, and earaches are not typically associated with dornase alfa use. Nausea, vomiting, diarrhea, epigastric pain, belching, and flatulence are also not commonly reported adverse effects of the medication.

Question 8

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 helps to thin and loosen mucus in the airway, making it easier to cough up and clear. Therefore, it would best address the nursing diagnosis of Ineffective Airway Clearance related to a large amount of tenacious mucus.

Question 9

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 or phenylephrine, are most likely to cause rebound congestion with prolonged use. It is important to use these medications for no more than 3-5 days to avoid this complication. Intranasal steroids, oral decongestants, and oral antihistamines do not typically cause rebound congestion.

Question 10

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

Accepted Answer

The side effects of intranasal beclomethasone include burning and nosebleed. The other side effects listed are not associated with this medication.

Question 11

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?
Select all that apply.

Accepted Answer

Statements A, B, and C are all correct and demonstrate understanding of how the structures of the upper respiratory tract protect against infections. Statement D is incorrect as mucous membranes inside the nose do not produce allergens; rather, they produce mucus that helps to trap pathogens. Statement E is also incorrect as saliva does not contain cells that can eat bacteria.

Question 12

A 12-year-old with allergies has been prescribed desloratadine (Clarinex).The nurse instructs the client and the mother about possible adverse effects,including:
Select all that apply.

Accepted Answer

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

Question 13

The nurse would expect to see an order for a drug that blocks H₂ receptors in a client with: 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.

Question 14

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:
Select all that apply.

Accepted Answer

Antihistamines can be used to treat Parkinson disease symptoms due to their anticholinergic effects, motion sickness by blocking histamine receptors in the brain, and hives by reducing histamine-induced allergic reactions. They are not typically used for bronchoconstriction or hypotension.

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:
Select all that apply.

Accepted Answer

Nonallergic rhinitis can be triggered by non-allergic substances such as x-ray dye, certain drugs, and plasma expanders. These substances can cause irritation or a direct effect on the nasal membranes without involving the immune system's response to allergens like pollens or animal dander.

Question 16

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

Accepted Answer

A history of allergic rhinitis is most relevant to the care of a client with a new order for an inhaled nasal steroid, as inhaled nasal steroids are typically used to treat nasal symptoms associated with allergic rhinitis such as congestion, sneezing, and itching. Histories of chronic bronchitis, emphysema, and asthma are not as relevant as these conditions affect the lungs rather than the nasal passages.

Question 17

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

Accepted Answer

Antihistamines work by blocking the effect of histamine, a chemical released during an allergic reaction that causes symptoms such as sneezing and tearing. Therefore, the expected outcome of antihistamine therapy for allergic rhinitis is a decrease in sneezing and tearing.

Question 18

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 19

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 20

The nurse keeps which therapeutic goals in mind when teaching a client with allergic rhinitis about prescribed medications?
Select all that apply.

Accepted Answer

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

Quiz 45: Pharmacotherapy of Allergic Rhinitis and the Common Cold

A client asks the nurse why the physician prescribed an oral rather than an intranasal decongestant.The nurse responds: Select all that apply.

The nurse is planning care for an older adult taking fexofenadine (Allegra) for seasonal allergies.Which nursing diagnoses would take priority? Select all that apply.

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? Select all that apply.

The nurse instructing a client with allergic rhinitis would recommend which actions to decrease exposure to allergens? Select all that apply.

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?

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?

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

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

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

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? Select all that apply.

A 12-year-old with allergies has been prescribed desloratadine (Clarinex) .The nurse instructs the client and the mother about possible adverse effects,including: Select all that apply.

The nurse would expect to see an order for a drug that blocks H₂ receptors in a client with: Select all that apply.

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: 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: Select all that apply.

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

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

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 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?

The nurse keeps which therapeutic goals in mind when teaching a client with allergic rhinitis about prescribed medications? Select all that apply.

Quiz 45: Pharmacotherapy of Allergic Rhinitis and the Common Cold

A client asks the nurse why the physician prescribed an oral rather than an intranasal decongestant.The nurse responds: Select all that apply.

The nurse is planning care for an older adult taking fexofenadine (Allegra) for seasonal allergies.Which nursing diagnoses would take priority? Select all that apply.

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? Select all that apply.

The nurse instructing a client with allergic rhinitis would recommend which actions to decrease exposure to allergens? Select all that apply.

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?

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?

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

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

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

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? Select all that apply.

A 12-year-old with allergies has been prescribed desloratadine (Clarinex) .The nurse instructs the client and the mother about possible adverse effects,including: Select all that apply.

The nurse would expect to see an order for a drug that blocks H2 receptors in a client with: Select all that apply.

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: 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: Select all that apply.

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

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

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 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?

The nurse keeps which therapeutic goals in mind when teaching a client with allergic rhinitis about prescribed medications? Select all that apply.

The nurse would expect to see an order for a drug that blocks H₂ receptors in a client with: Select all that apply.