Question 1

The nurse is teaching community education about the major functions of the upper respiratory tract. What will the best plan by the nursing instructor include?

Accepted Answer

The nose warms the air before it reaches the lungs, the nasal mucosa serves as the first line of immunological defense, and activation of the sympathetic nervous system constricts arterioles in the nose.

Question 2

The nurse presenting community education about the structures of the upper respiratory tract (URT) would include which function?

Accepted Answer

The upper respiratory tract is responsible for conditioning the air, which includes warming, humidifying, and filtering the air before it reaches the lungs.

Question 3

The clinic nursing manager reviews histamine receptors with the clinic staff and evaluates that further instruction is needed when a staff member makes which statement?

Accepted Answer

A

Question 4

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?

Accepted Answer

Diphenhydramine (Benadryl) is an antihistamine that commonly causes drowsiness, especially in the elderly. This side effect often decreases with continued use.

Question 5

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 question for the nurse to ask?

Accepted Answer

Oxymetazoline is a nasal decongestant that can cause rebound congestion if used for more than 3-5 days. Asking how long the client has been using the medication helps assess for this possibility.

Question 6

The nurse completes medication education for the client receiving antihistamines. The nurse evaluates that learning has occurred when the client makes which statement?

Accepted Answer

The correct answer is D because it demonstrates the client's understanding of a potential side effect of antihistamines, which is drowsiness.

Question 7

Oral decongestants differ from intranasal decongestants in that oral decongestants

Accepted Answer

Oral decongestants have more systemic effects because they are absorbed into the bloodstream and affect the entire body, unlike intranasal decongestants which primarily act locally in the nasal passages.

Question 8

A mother asks the nurse when she should give her child cough medicine. What is the best response by the nurse?

Accepted Answer

Cough medicine is typically recommended when a child has a dry cough that is preventing them from resting, as it can help soothe the throat and reduce coughing, allowing for better sleep.

Question 9

Which assessment finding, by the nurse, is a priority concern when a client receives pseudoephedrine (Sudafed)?

Accepted Answer

Pseudoephedrine can cause cardiovascular side effects, including irregular heartbeats. An irregular heart rate is a priority concern as it may indicate a serious adverse reaction.

Question 10

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?

Accepted Answer

Oral decongestants can cause systemic side effects such as hypertension, while intranasal decongestants can cause rebound congestion if used for more than a few days.

Question 11

The client has allergic rhinitis and asks the nurse what causes this. How should the nurse respond?

Accepted Answer

Allergic rhinitis is triggered by allergens such as animal dander, tobacco smoke, and pollen. It is also influenced by genetic predisposition. Asthma does not cause allergic rhinitis, though they can coexist.

Question 12

The physician prescribes fluticasone (Flonase) for the client. The nurse would hold the drug and contact the physician with which assessment finding?

Accepted Answer

The answer of The physician prescribes fluticasone (Flonase) for the...

Question 13

A patient has been changed from a first generation H₁ receptor antagonist to a second generation H₁ receptor antagonist. The nurse evaluates that the patient understands the benefit of this change when which statement is made?

Accepted Answer

Second generation H1 receptor antagonists are less likely to cause sedation compared to first generation H1 receptor antagonists because they do not cross the blood-brain barrier as easily.

Question 14

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?

Accepted Answer

Intranasal glucocorticoids like beclomethasone are generally considered safe for treating allergic rhinitis and produce minimal systemic adverse effects due to their localized action.

Question 15

Antihistamines block the actions of histamine at the

Accepted Answer

Antihistamines work by blocking the H₁ receptor site, which is where histamine exerts its effects, leading to allergy symptoms.

Question 16

The client is very frustrated that pseudoephedrine is no longer stocked on pharmacy shelves. The client does not like to go to the pharmacy counter to obtain the drug. What is the best response by the nurse?

Accepted Answer

Pseudoephedrine is regulated because it can be used in the illegal production of methamphetamine.

Question 17

Centrally acting antitussives, such as opioids, are used to

Accepted Answer

Centrally acting antitussives, like opioids, are primarily used to relieve severe cough by suppressing the cough reflex in the brain.

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?

Accepted Answer

Urinary hesitancy is a less common but potentially serious side effect of diphenhydramine that should be reported to a physician.

Question 19

Which over-the-counter (OTC) antihistamine combination contains an analgesic property?

Accepted Answer

Actifed Plus contains both an antihistamine (chlorpheniramine) and an analgesic (acetaminophen). Sudafed PE Sinus and Allergy, Triaminic Cold/Allergy, and Tavist Allergy 12-hour do not contain an analgesic.

Question 20

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?

Accepted Answer

Diphenhydramine can interact with MAOIs, potentially leading to a hypertensive crisis due to increased levels of norepinephrine.

Quiz 39: Drugs for Allergic Rhinitis and the Common Cold

The nurse is teaching community education about the major functions of the upper respiratory tract. What will the best plan by the nursing instructor include?

The nurse presenting community education about the structures of the upper respiratory tract (URT) would include which function?

The clinic nursing manager reviews histamine receptors with the clinic staff and evaluates that further instruction is needed when a staff member makes which statement?

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?

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 question for the nurse to ask?

The nurse completes medication education for the client receiving antihistamines. The nurse evaluates that learning has occurred when the client makes which statement?

Oral decongestants differ from intranasal decongestants in that oral decongestants

A mother asks the nurse when she should give her child cough medicine. What is the best response by the nurse?

Which assessment finding, by the nurse, is a priority concern when a client receives pseudoephedrine (Sudafed) ?

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?

The client has allergic rhinitis and asks the nurse what causes this. How should the nurse respond?

The physician prescribes fluticasone (Flonase) for the client. The nurse would hold the drug and contact the physician with which assessment finding?

A patient has been changed from a first generation H₁ receptor antagonist to a second generation H₁ receptor antagonist. The nurse evaluates that the patient understands the benefit of this change when which statement is made?

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?

Antihistamines block the actions of histamine at the

The client is very frustrated that pseudoephedrine is no longer stocked on pharmacy shelves. The client does not like to go to the pharmacy counter to obtain the drug. What is the best response by the nurse?

Centrally acting antitussives, such as opioids, are used to

The client receives diphenhydramine (Benadryl) to control allergic symptoms. Which common symptom does the nurse teach the client to report to the physician?

Which over-the-counter (OTC) antihistamine combination contains an analgesic property?

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?

Quiz 39: Drugs for Allergic Rhinitis and the Common Cold

The nurse is teaching community education about the major functions of the upper respiratory tract. What will the best plan by the nursing instructor include?

The nurse presenting community education about the structures of the upper respiratory tract (URT) would include which function?

The clinic nursing manager reviews histamine receptors with the clinic staff and evaluates that further instruction is needed when a staff member makes which statement?

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?

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 question for the nurse to ask?

The nurse completes medication education for the client receiving antihistamines. The nurse evaluates that learning has occurred when the client makes which statement?

Oral decongestants differ from intranasal decongestants in that oral decongestants

A mother asks the nurse when she should give her child cough medicine. What is the best response by the nurse?

Which assessment finding, by the nurse, is a priority concern when a client receives pseudoephedrine (Sudafed) ?

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?

The client has allergic rhinitis and asks the nurse what causes this. How should the nurse respond?

The physician prescribes fluticasone (Flonase) for the client. The nurse would hold the drug and contact the physician with which assessment finding?

A patient has been changed from a first generation H1 receptor antagonist to a second generation H1 receptor antagonist. The nurse evaluates that the patient understands the benefit of this change when which statement is made?

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?

Antihistamines block the actions of histamine at the

The client is very frustrated that pseudoephedrine is no longer stocked on pharmacy shelves. The client does not like to go to the pharmacy counter to obtain the drug. What is the best response by the nurse?

Centrally acting antitussives, such as opioids, are used to

The client receives diphenhydramine (Benadryl) to control allergic symptoms. Which common symptom does the nurse teach the client to report to the physician?

Which over-the-counter (OTC) antihistamine combination contains an analgesic property?

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?

A patient has been changed from a first generation H₁ receptor antagonist to a second generation H₁ receptor antagonist. The nurse evaluates that the patient understands the benefit of this change when which statement is made?