Question 1

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

Accepted Answer

Pseudoephedrine is a sympathomimetic drug that can cause tachycardia and arrhythmias. A heart rate of 82 and irregular should be a priority concern and should prompt the nurse to assess the client's cardiac status further. While the other options are also important to monitor, they are not immediate priority concerns when administering pseudoephedrine.

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?

Accepted Answer

A

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.

Accepted Answer

Allergic rhinitis is caused by an allergic response triggered by exposure to certain allergens. Animal dander, tobacco smoke, and pollen from weeds and grass are common triggers. Additionally, genetic factors play a role in predisposing individuals to develop allergies. Asthma is a separate condition that can be triggered by allergens, but it is not the cause of allergic rhinitis.

Question 4

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 used to relieve coughing and allow someone to rest. If the child has a dry cough and cannot rest, cough medicine may be beneficial. It is not necessary to wait for green secretions or a high fever to give cough medicine. If the child has bronchitis, the underlying cause of the cough may need to be treated and cough medicine may not be effective.

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

Accepted Answer

The process undergone by the upper respiratory tract is referred to as air conditioning, which involves warming, humidifying, and filtering the inhaled air to prepare it for transfer to the lower respiratory tract.

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.

Accepted Answer

The answer of The nursing instructor teaches the nursing students...

Question 7

The main classification for a prototype drug,such as fexofenadine (Allegra),is a/n

Accepted Answer

Fexofenadine (Allegra) is a typical second-generation H1-receptor antagonist, as it is not associated with sedative effects like first-generation antihistamines such as diphenhydramine (Benadryl). Second-generation antihistamines are preferred due to their improved safety profile and fewer side effects.

Question 8

Centrally acting antitussives,such as opioids,are used to

Accepted Answer

Centrally acting antitussives, such as opioids, are used to relieve severe cough. They work by suppressing the cough reflex in the brain.

Question 9

Oral decongestants differ from intranasal decongestants in that oral decongestants

Accepted Answer

Oral decongestants are absorbed systemically and can cause side effects such as insomnia, increased heart rate, and elevated blood pressure. Intranasal decongestants work locally and have less systemic effects.

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?

Accepted Answer

Intranasal glucocorticoids are considered safe because they produce almost no serious adverse effects. They are also effective in reducing inflammation and symptoms of allergic rhinitis. However, patients should still follow the recommended dosage and precautions provided by their healthcare provider.

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?

Accepted Answer

Antihistamines are known for causing drowsiness as a side effect, so it is important for the client to understand that this medication could make them very sleepy. Choices A and C are incorrect because antihistamines should not be taken with alcohol and just because a medication is sold over-the-counter does not mean it is safe for everyone. Choice B is not specific to antihistamines and is a general recommendation for medication administration.

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?

Accepted Answer

Pseudoephedrine is a key ingredient in the production of methamphetamine. By limiting its availability over-the-counter, it makes it more difficult for people to illegally produce the drug. The nurse should explain this to the client and hopefully provide a better understanding of the reason behind the limited availability.

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?

Accepted Answer

The answer of The nursing instructor teaches the student nurses...

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?

Accepted Answer

Diphenhydramine (Benadryl) is a contraindicated drug when taking an MAOI because it can result in a hypertensive crisis, which is a potentially life-threatening condition. Symptoms of a hypertensive crisis include severe headache, tachycardia, chest pain, palpitations, and sweating. It is essential for the client to disclose all medications, including over-the-counter medications, to the physician to avoid adverse drug interactions.

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?

Accepted Answer

The statement "Drowsiness is common but should lessen within a few doses" indicates that the client has understood a common side effect of diphenhydramine and knows that it is temporary. Option B is incorrect because diphenhydramine is a medication for allergies and should relieve symptoms such as a runny nose. Option C is also incorrect because diphenhydramine is not known to affect sodium intake. Option D is incorrect because diphenhydramine and pseudoephedrine can be taken together in certain cases, but it is important to follow the dosing instructions and ask a healthcare provider before taking them together.

Question 16

Antihistamines block the actions of histamine at the

Accepted Answer

Antihistamines primarily block the actions of histamine at the H1 receptor site, which is responsible for mediating allergic responses such as itching, swelling, and bronchoconstriction. The other receptor sites listed (B1, B2, and C1) are not typically targeted by antihistamines.

Question 17

Which of the following over-the-counter (OTC)antihistamine combinations contains an analgesic property?

Accepted Answer

Actifed Plus contains both an antihistamine (chlorpheniramine maleate) and an analgesic (acetaminophen). The other options listed do not contain an analgesic property.

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

Diphenhydramine can cause urinary retention or hesitancy, so the nurse should teach the client to report any difficulties or changes in urination to the physician. Sedation is a common side effect of diphenhydramine but may not necessarily require reporting to the physician. Diarrhea and projectile vomiting are not common side effects of diphenhydramine.

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?

Accepted Answer

Asking how long the client has been using oxymetazoline will help the nurse assess if the client has been using the medication for longer than the recommended time frame, which can lead to rebound congestion and worsening of symptoms. The age of the bottle, temperature, and other inhaled medications may be relevant information but are not the best assessment to address the worsening symptoms related to oxymetazoline use.

Question 20

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 client.The...

Quiz 38: Drugs for Allergic Rhinitis and the Common Cold

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? Credit will be given only if all correct choices and no incorrect choices are selected.

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

The upper respiratory tract (URT) consists of the nose,nasal cavity,pharynx,and paranasal sinuses.It undergoes a process sometimes referred to as

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.

The main classification for a prototype drug,such as fexofenadine (Allegra) ,is a/n

Centrally acting antitussives,such as opioids,are used to

Oral decongestants differ from intranasal decongestants in that oral decongestants

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?

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

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?

The nursing instructor teaches the student nurses about histamine receptors and evaluates that further instruction is needed when the students make which statement?

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?

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?

Antihistamines block the actions of histamine at the

Which of the following over-the-counter (OTC) antihistamine combinations contains an analgesic property?

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

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?

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