NUR 206 pharm exam 3 Lilley: Pharmacology and the Nursing Process, 8th Edition Test Bank,100% CORRECT
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NUR 206
NUR 206 pharm exam 3 Lilley: Pharmacology and the Nursing Process, 8th Edition Test Bank
Chapter 36: Antihistamines, Decongestants, Antitussives, and Expectorants Lilley: Pharmacology and the Nursing Process, 8th Edition
1. When giving dextromethorphan, the nurse understands that this dru...
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NUR 206 pharm exam 3 Lilley: Pharmacology and the Nursing
Process, 8th Edition Test Bank
Chapter 36: Antihistamines, Decongestants, Antitussives, and
Expectorants Lilley: Pharmacology and the Nursing Process, 8th Edition
1. When giving dextromethorphan, the nurse understands that this drug
suppresses the cough reflex by which mechanism of action?
a.
Causing depression of the central nervous system
b.
Anesthetizing the stretch receptors
c.
Having direct action on the cough center
Decreasing the viscosity of the bronchial secretions
2. During a routine checkup, a patient states that she is unable to take the
prescribed antihistamine because of one of its most common adverse
effects. The nurse suspects that which adverse effect has been bothering
this patient?
a.
Constipation
b.
Abdominal cramps
c.
Drowsiness
d.
Decreased libido
3. A gardener needs a decongestant because of seasonal allergy problems and
asks the nurse whether he should take an oral form or a nasal spray. Which
of these is a benefit of orally administered decongestants?
a.
Immediate onset
b.
A more potent effect
c.
Lack of rebound congestion
d.
Shorter duration
4. A patient is taking guaifenesin (Humibid) as part of treatment for a sinus
infection. Which instruction will the nurse include during patient teaching?
a.
Force fluids to help loosen and liquefy secretions.
b.
Report clear-colored sputum to the prescriber.
c.
Avoid driving a car or operating heavy machinery because of the sedating
effects.
d.
Report symptoms that last longer than 2 days.
5. The nurse will instruct patients about a possible systemic effect that may
occur if excessive amounts of topically applied adrenergic nasal
decongestants are used. Which systemic effect may occur?
a.
Heartburn
b.
Bradycardia
, c.
Drowsiness
d.
Palpitations
6. A patient with a tracheostomy has difficulty removing excessive, thick mucus
from the respiratory tract. The nurse expects that which drug will be ordered
to aid in the removal of mucus?
, a.
Guaifenesin (Humibid)
b.
Benzonatate (Tessalon Perles)
c.
Diphenhydramine (Benadryl)
d.
Dextromethorphan (Robitussin DM)
7. A patient has been advised to add a nasal spray (an adrenergic decongestant)
to treat a cold. The nurse will include which instruction?
a.
“You won’t see effects for at least 1 week.”
b.
“Limit use of this spray to 3 to 5 days.”
c.
“Continue the spray until nasal stuffiness has resolved.”
d.
“Avoid use of this spray if a fever develops.”
8. A patient asks the nurse about the uses of echinacea. Which use will the
nurse include in the response?
a.
Memory enhancement
b.
Boosting the immune system
c.
Improving mood
d.
Promoting relaxation
ANS: B
Common uses of echinacea include stimulation of the immune system,
antisepsis, treatment of viral infections and influenza-like respiratory tract
infections, and promotion of the healing of wounds and chronic ulcerations.
The other options are incorrect.
DIF: COGNITIVE LEVEL: Understanding (Comprehension)
REF: p. 566 TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
MULTIPLE RESPONSE
1. When teaching a patient who will be receiving antihistamines, the nurse will
include which instructions? (Select all that apply.)
a.
“Antihistamines are generally safe to take with over-the-counter
medications.”
b.
“Take the medication on an empty stomach to maximize absorption of the
drug.”
c.
“Take the medication with food to minimize gastrointestinal distress.”
d.
“Drink extra fluids if possible.”
e.
“Antihistamines may cause restlessness and disturbed sleep.”
f.
“Avoid activities that require alertness until you know how
adverse effects are tolerated.”
2. A patient tells the nurse that she wants to start taking the herbal product
goldenseal to improve her health. The nurse will assess for which potential
cautions or contraindications to goldenseal? (Select all that apply.)
a.
Taking a proton-pump inhibitor
, b.
Nasal congestion
c.
Hypothyroidism
d.
Hypertension
e.
Sinus infections
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