Deck 38: Drugs for Allergic Rhinitis and the Common Cold

Question 1

Which assessment finding,by the nurse,is a priority concern when a client receives pseudoephedrine (Sudafed)?
1)Temperature of 100° F
2)Respiratory rate of 22
3)Heart rate 82 and irregular
4)Complaints of a dry mouth

Answer 1

3

Question 2

The nurse teaches the client about the difference between oral and nasal decongestants.The nurse evaluates that learning has been effective when the client makes which statement?
1)"Oral decongestants can cause hypertension."
2)"Intranasal decongestants are safe to use for a month,if needed."
3)"Oral and nasal decongestants can cause rebound congestion."
4)"Oral decongestants are the most effective at relieving severe congestion."

Answer 2

1

Question 3

The client has allergic rhinitis and asks the nurse what causes this.How should the nurse respond? Credit will be given only if all correct choices and no incorrect choices are selected.
1)"It can occur after exposure to animal dander."
2)"Tobacco smoke causes it in some people."
3)"Exposure to pollens from weeds and grass cause an allergic response in some people."
4)"It is caused by asthma."
5)"You inherited the predisposition for this."

Answer 3

1,2,3,5

Question 4

A mother asks the nurse when she should give her child cough medicine.What is the best response by the nurse?
1)"When he is coughing up green secretions."
2)"When he has a temperature over 102°F."
3)"When he has bronchitis."
4)"When he has a dry cough and cannot rest."

Question 5

The upper respiratory tract (URT)consists of the nose,nasal cavity,pharynx,and paranasal sinuses.It undergoes a process sometimes referred to as
1)filtering.
2)warm conditioning.
3)air conditioning.
4)absorbing.

Question 6

The nursing instructor teaches the nursing students about the major functions of the upper respiratory tract.What will the best plan by the nursing instructor include? Credit will be given only if all correct choices and no incorrect choices are selected.
1)Inward airflow from the trachea branches off to the two bronchi.
2)The nose warms the air before it reaches the lungs.
3)The nasal mucosa is the first line of immunological defense.
4)Activation of the parasympathetic nervous system constricts arterioles in the nose.
5)Activation of the sympathetic nervous system constricts arterioles in the nose.

Question 7

The main classification for a prototype drug,such as fexofenadine (Allegra),is a/n
1)atypical second generation H2-receptor antagonist.
2)typical first-generation H1-receptor antagonist.
3)atypical first generation H1-receptor antagonist.
4)typical second-generation H1-receptor antagonist.

Question 8

Centrally acting antitussives,such as opioids,are used to
1)decrease nasal congestion.
2)break down mucus.
3)relieve severe cough.
4)relieve mild cough.

Question 9

Oral decongestants differ from intranasal decongestants in that oral decongestants
1)are more effective at relieving severe congestion.
2)have more systemic effects.
3)can cause rebound congestion.
4)have high efficacy.

Question 10

The client receives beclomethasone (Beconase)intranasally as treatment for allergic rhinitis.He asks the nurse if this drug is safe because it is a glucocorticoid.What is the best response by the nurse?
1)"Intranasal glucocorticoids produce almost no serious adverse effects."
2)"Intranasal glucocorticoids are safe if you do not swallow any while using them."
3)"Intranasal glucocorticoids are safe if they are not used too long."
4)"Intranasal glucocorticoids are safe only if used once a day."

Question 11

The nurse completes medication education for the client receiving antihistamines.The nurse evaluates that learning has occurred when the client makes which statement?
1)"I can still have my after-dinner drink."
2)"I need to increase fluids while taking this medication."
3)"This medication is safe because it is sold over-the-counter (OTC)."
4)"This medication could make me very sleepy."

Question 12

The client is very frustrated that pseudoephedrine is no longer stocked on pharmacy shelves.The client does not like to go the pharmacy counter to obtain the drug.What is the best response by the nurse?
1)"This is frustrating,but hopefully it will decrease the amount of methamphetamine being produced."
2)"This is frustrating,but hopefully it will decrease the amount of inhaled heroin being produced."
3)"This is frustrating,but hopefully it will decrease the amount of methylphenidate being produced."
4)"This is frustrating,but hopefully it will decrease the amount of crack cocaine being produced."

Question 13

The nursing instructor teaches the student nurses about histamine receptors and evaluates that further instruction is needed when the students make which statement?
1)"H₁-receptors are found in the stomach."
2)"H₁-receptors are responsible for allergic symptoms."
3)"H₂-receptors increase mucus secretion in the stomach."
4)"H₂-receptors are responsible for peptic ulcers."

Question 14

The client takes diphenhydramine (Benadryl),but forgets to tell the physician about this drug when a monoamine oxidase inhibitor (MAOI)drug is prescribed for depression.What will the best assessment by the nurse reveal?
1)The depression will not subside.
2)The client may develop seizures.
3)The diphenhydramine (Benadryl)will not control allergies.
4)The client may develop a hypertensive crisis.

Question 15

The elderly client receives diphenhydramine (Benadryl)for allergies.The nurse completes medication education and evaluates that learning has occurred when the client makes which statement?
1)"Drowsiness is common but should lessen within a few doses."
2)"If this medication makes my nose run,I can use a nasal spray."
3)"I need to watch my intake of sodium with this medication."
4)"I cannot take this medication with pseudoephedrine (Sudafed)."

Question 16

Antihistamines block the actions of histamine at the
1)H1 receptor site.
2)B1 receptor site.
3)B2 receptor site.
4)C1 receptor site.

Question 17

Which of the following over-the-counter (OTC)antihistamine combinations contains an analgesic property?
1)Sudafed PE Nighttime Allergy
2)Triaminic Cold/Allergy
3)Tavist Allergy 12-hour
4)Actifed Plus

Question 18

The client receives diphenhydramine (Benadryl)to control allergic symptoms.Which common symptom does the nurse teach the client to report to the physician?
1)Sedation
2)Diarrhea
3)Projectile vomiting
4)Urinary hesitancy

Question 19

The client tells the nurse that her symptoms have become worse since she has been using oxymetazoline (Afrin)for nasal congestion.What is the best assessment for the nurse to ask?
1)"How old is the bottle you are using?"
2)"May I take your temperature?"
3)"Are you using any other inhaled medications?"
4)"How long have you been using the medication?"

Question 20

The physician prescribes fluticasone (Flonase)for the client.The nurse would hold the drug and contact the physician with which assessment finding?
1)The client has diabetes mellitus.
2)The client is pregnant.
3)The client has glaucoma.
4)The client has hypertension.

Question 21

The client is prescribed a nasal decongestant spray.What information should the nurse include when educating the client about how to use this medication? Credit will be given only if all correct choices and no incorrect choices are selected.
1)"Blow your nose immediately before using the medication."
2)"Drink a full glass of water immediately before using this spray."
3)"Limit your use of this spray to no more than 5 days."
4)"Since you are using more than one type of nasal spray,be sure to wait 5-10 minutes between administrations."
5)"You should spit out any excess spray that drains into your mouth."

Question 22

A client has been prescribed the opioid combination drug Hycomine Compound for control of cough.This drug contains hydrocodone,phenylephrine,chlorpheniramine,and acetaminophen.Which instructions should the nurse provide as part of medication education? Credit will be given only if all correct choices and no incorrect choices are selected.
1)"Drink a full glass of water when taking this medication."
2)"Keep this medication at your bedside so you can take it as needed."
3)"Take this drug exactly as indicated."
4)"If you have head or body aches you may take any over-the-counter analgesic."
5)"Do not make important decisions or operate machinery while taking this drug."

Question 23

A client with chronic bronchitis is to start receiving breathing treatments with Acetylcysteine (Mucomyst).Which information should the nurse include in teaching about this medication? Credit will be given only if all correct choices and no incorrect choices are selected.
1)"Your pharmacist can order this for you to purchase as an over-the-counter drug."
2)"Stop the treatment if you start to cough."
3)"This drug has a very short shelf-life,so if it smells bad do not use it."
4)"This drug is designed to break down and thin the mucus in your lungs."
5)"You might experience nausea while using this drug."

Question 24

A client is prescribed an intranasal corticosteroid.What should the nurse include in client education about this drug? Credit will be given only if all correct choices and no incorrect choices are selected.
1)"You may feel a burning sensation when using this drug."
2)"This drug will be most effective if used only when symptoms are present."
3)"Be careful of how hard you squeeze the container as you can inadvertently give yourself too much medication for one dose."
4)"This medication may dry out your nasal passages enough to cause nosebleed."
5)"Do not eat licorice while taking this drug."