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Chapter 35 Upper Respiratory Disorders Questions &Exam (elaborations) answers 100% satisfaction guarantee
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Chapter 35 Upper Respiratory Disorders Questions &Exam (elaborations) answers 100% satisfaction guarantee

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  • August 11, 2024
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  • 2024/2025
  • Exam (elaborations)
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  • chapter 35 upper respiratory disorders

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STUVIA 2024/2025
Chapter 35: Upper Respiratory Disorders
A patient arrives in the emergency department after developing a rash, runny nose, and sneezing
after eating strawberries. What action will the nurse expect to take first?
a. Administer diphenhydramine.
b. Administer epinephrine.
c. Assess for urinary retention.
d. Assess heart rate, respiratory rate, and lung sounds. - ✔✔ANS: D

The patient probably has a food allergy, since eating strawberries is the precipitating event. The nurse
should assess cardiac and respiratory status to determine whether the patient is developing an
anaphylactic reaction. Diphenhydramine will be given for mild allergic symptoms of rash, runny nose,
and sneezing, but epinephrine must be given for anaphylaxis. Urinary retention is a side effect of
diphenhydramine and will be assessed if diphenhydramine is given.

A patient asks the nurse about using dextromethorphan for cough. Which of the following is FALSE
regarding dextromethorphan?
a. Psychosis, tachycardia and seizures are potential adverse reactions
b. It should be used with caution in patients with asthma or bronchitis
c. Dextromethorphan is administered orally
%


d. It is classified as an antihistamine - ✔✔ANS: D

Dextromethorphan is classified as an expectorant, not an antihistamine.

A patient is admitted to the hospital after developing pneumonia. During the admission assessment,
the patient reports having used a topical nasal decongestant spray for the past few weeks but thinks
the nasal congestion is getting worse. The nurse will:
a. request an order for a systemic decongestant medication.
b. request an order so the patient can continue to use the decongestant spray.
c. tell the patient the congestion will eventually clear up after stopping the spray.
d. tell the patient to increase oral fluid intake. - ✔✔ANS: C

Use of nasal decongestants longer than 3 days can cause rebound congestion. This will eventually
clear up when the decongestant spray is discontinued for several days or weeks. A systemic
decongestant is not indicated. Continuing the spray will increase the congestion. Increasing fluid
intake is not recommended.

A patient who has a nonproductive cough will begin taking guaifenesin to help with secretions. When
teaching this patient about the medication, the nurse will provide which instruction?
a. "Avoid driving or using heavy machinery."


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