Pharmacology Respiratory NCLEX Questions (Ch 40 - 41, 47 - 50) | Complete Solutions A client tells the nurse that he has started to take an OTC antihistamine, diphenhydramine. In teaching him about side effects, what is most important for the nurse to tell the client? a. Do not to take this drug ...
A client tells the nurse that he has started to take an OTC antihistamine,
diphenhydramine. In teaching him about side effects, what is most important for the
nurse to tell the client?
a. Do not to take this drug at bedtime to avoid insomnia.
b. Avoid driving a motor vehicle until stabilized on the drug.
c. Nightmares and nervousness are more likely in an adult.
d. Limit use to 1 to 2 puffs/sprays 4 to 6 times per day to avoid rebound congestion.
The client complains of a sore throat and has been told it is due to beta-hemolytic
streptococcal infection. The nurse realizes this condition is called what?
a. Acute rhinitis.
b. Acute sinusitis.
c. Acute pharyngitis.
d. Acute rhinorrhea.
A client is prescribed the decongestant oxymetazoline (Afrin) nasal spray. What should
the nurse teach the client?
a. Take this drug at bedtime as a sleep aid.
b. Directly spray away from the nasal septum and gently sniff.
c. This drug may be used in maintenance treatment for asthma.
d. Limit the drug to 5 days of use to prevent rebound nasal congestion.
A client has been prescribed guaifenesin (Robitussin). The nurse realizes that the
purpose of the drug is to accomplish what?
a. To treat allergic rhinitis and prevent motion sickness
b. To loosen bronchial secretions so they can be eliminated by coughing
c. To compete with histamine for receptor sites, thus preventing a histamine response
d. To stimulate alpha-adrenergic receptors, thus producing vascular constriction of
capillaries in nasal mucosa
Beclomethasone (Beconase) has been prescribed for a client with allergic rhinitis. The
nurse teaches the client that which is the most common side effect from continuous
use?
,a. Dizziness
b. Rhinorrhea
c. Hallucinations
d. Dry nasal mucosa
The nurse is teaching a client about diphenhydramine (Benadryl). Which are topics to
include? (Select all that apply.)
a. Take medication with food to decrease gastric distress.
b. Avoid alcohol and other central nervous system depressants.
c. Notify the health care provider if confusion or hypotension occurs.
d. Take sugarless candy, gum, or ice chips for temporary relief of dry mouth.
e. Avoid handling dangerous equipment or performing dangerous activities until
stabilized on the drug.
The nurse is caring for a client who is taking a first-generation antihistamine. What is the
most important fact for the nurse to teach the client?
a. "Do not drive after taking this medication."
b. "Make sure you drink a lot of liquids while on this medication."
c. "Take this medication on an empty stomach."
d. "Do not take this medication for more than 2 days."
The nurse is caring for a client in the clinic who states that he is afraid of taking
antihistamines because he is a truck driver. What is the best information for the nurse to
give this client?
a. "Take the medication only when you are not driving."
b. "Take a lower dose than normal when you have to drive."
c. "You are correct, you should not take antihistamines."
d. "You may be able to safely take a second-generation antihistamine."
The client tells the nurse that she has a bad cold, is coughing, and feels like she has
"stuff" in her lungs. What should the nurse do?
a. Administer dextromethorphan.
b. Administer guaifenesin.
c. Encourage the client to drink fluids hourly.
d. Administer fluticasone (Flonase).
What is the most important thing for the nurse to teach a client who is switching allergy
medications from diphenhydramine (Benadryl) to loratadine (Claritin)?
a. This medication can potentially cause dysrhythmias.
b. This medication has fewer sedative effects.
, c. This medication has increased bronchodilating effects.
d. This medication causes less gastrointestinal upset.
A client complains of worsening nasal congestion despite the use of oxymetazoline
(Afrin) nasal spray every 2 hours. What is the nurse's best response?
a. "Oxymetazoline is not an effective nasal decongestant."
b. "Overuse of nasal decongestants results in rebound congestion."
c. "Oxymetazoline should be administered every hour for severe congestion."
d. "You are probably displaying an idiosyncratic reaction to oxymetazoline."
Which statement indicates that the client understands the teaching about
beclomethasone diproprionate (Beconase)?
a. "I will need to taper off the medication to prevent acute adrenal crisis."
b. "This medication will help prevent the inflammatory response of my allergies."
c. "I will need to monitor my blood sugar more closely because it may increase."
d. "I need to take this medication only when my symptoms get bad."
A client is prescribed an antitussive medication. What is the most important thing for the
nurse to teach the client?
a. "This medication may cause drowsiness and dizziness."
b. "Watch out for diarrhea and abdominal cramping."
c. "This may cause tremors and anxiety."
d. "Headache and hypertension are common side effects."
Which is the best instruction for the nurse to include when teaching a client about the
use of expectorants?
a. Restrict fluids in order to decrease mucus production.
b. Take the medication once a day only, at bedtime.
c. Increase fluid intake in order to decrease viscosity of secretions.
d. Increase fiber and fluid intake to prevent constipation.
A client is diagnosed with a pulmonary disorder that causes COPD. Lungs tissue
changes are normally reversible with this condition. The nurse understands that which is
the client's most likely diagnosis?
a. Asthma
b. Emphysema
c. Bronchiectasis
d. Chronic bronchitis
A client with COPD has an acute bronchospasm. The nurse knows that which is the
best medication for this emergency situation?
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