Upper Respiratory System Drugs
When describing the actions of upper respiratory system drugs, a nursing instructor explains that which of the following exerts its effect by increasing the production of secretions, thereby decreasing the viscosity? Select all that apply.
Benzonatate
Dextromethorphan
Guaifenesin
Codeine
Potassium iodide
Before administering an antitussive to a client, which of the following would the nurse assess? Select all that apply.
Temperature
Sputum presence
Type of cough
Bowel sounds
Heart sounds
After administering an antitussive, the nurse would continue to assess which of the following? Select all that apply.
Lung sounds
Frequency of cough
Therapeutic effect
Heart sounds
Pain assessment
A client is prescribed an antitussive for home use. Which of the following should a nurse include in the client's teaching plan? Select all that apply.
Decreasing fluid intake during treatment with an antitussive
Encouraging the use of sedatives during treatment
Drinking fluids at least 30 minutes after taking a lozenge form
Swallowing oral antitussive capsules whole
Avoiding respiratory irritants during antitussive treatment
Assessment of a client reveals that he is taking phenelzine (Nardil), a monoamine oxidase inhibitor, for depression. The client reports that he just started using dextromethorphan over the counter without consulting his primary health care provider. The nurse would be alert for which of the following? Select all that apply.
Fever
Shortness of breath
Hypertension
Coma
Constipation
The nurse understands that codeine-containing antitussives should be used cautiously in clients with which of the following conditions? Select all that apply.
Pregnancy
Convulsive disorders
Prostatic hypertrophy
Hyperlipidemia
Type 2 diabetes
Eucalyptus is an herbal product that can be used as a decongestant and expectorant. In which of the following client populations would the nurse identify a contraindication for its use? Select all that apply.
Pregnant females
Children younger than 2 years of age
Lactating females
Postmenopausal females
Men
A client has a nursing diagnosis of Ineffective Airway Clearance. Which of the following would the nurse include in the client's plan of care? Select all that apply.
Encouraging increased fluid intake
Assisting the client in taking deep, diaphragmatic breaths
Discouraging client movement
Instructing the client to avoid coughing
Encouraging the client to change positions
After teaching a client about his upper respiratory drug therapy, the nurse determines that additional teaching is needed when the client identifies which of the following as a reason to notify his primary health care provider?
Cough changes from nonproductive to productive.
Sputum appears clear.
Sputum increases.
Shortness of breath occurs.
A nurse is assigned to care for a client with a nonproductive cough. The client has been prescribed codeine sulfate. The nurse understands that this drug is contraindicated in which client?
Client with head injury
Client with COPD
Premature infant
Clients with asthma
A nurse is assigned to care for a client with bronchial irritation. The client is prescribed diphenhydramine. Before administering the drug, which of the following would the nurse do?
Document color and amount of any sputum present.
Record the previous prescriptions.
Take vital signs every 4 hours.
Assess the client's cardiovascular status.
A nurse is caring for a client with thick sputum who is having difficulty bringing up mucus. Which nursing diagnosis would the nurse most likely identify?
Ineffective Airway Clearance
Acute Pain
Risk for Injury
Impaired Oral Mucous Membranes
A client with a nonproductive cough has been prescribed dextromethorphan HBr LiquiCaps. What instructions should the nurse provide the client to promote an optimal response to therapy?
Take the drug with a glass of milk.
Swallow the whole tablet and do not chew it.
Dissolve the tablet in water and take the drug.
Take the drug on an empty stomach.
The nurse understands that an expectorant is administered cautiously to a client with which condition?
Renal impairment
Persistent headache
Persistent cough
Seizure disorder
A client suffers from motion sickness. Which of the following would the nurse anticipate the primary health care provider to prescribe? Select all that apply.
Promethazine (Phenergan)
Diphenhydramine (Benadryl)
Levocetirizine (Xyzal)
Azelastine (Astelin)
Pseudoephedrine (Sudafed)
The nurse is preparing to administer a drug that acts by reducing the swelling in the nasal passages by vasoconstriction. Which of the following might the nurse be administering? Select all that apply.
Loratadine
Guaifenesin
Dextromethorphan
Phenylephrine
Oxymetazoline
Before administering an antihistamine to a client, which of the following would the nurse include in the preadministration assessment? Select all that apply.
Asking about symptoms
Checking visual acuity
Asking about prescription medications
Auscultating bowel sounds
Auscultating heart sounds
After administering a decongestant, which of the following would the nurse include in the ongoing assessment? Select all that apply.
Heart sounds
Blood pressure
Level of congestion
Therapeutic effect
Pain assessment
When teaching a client about using a decongestant in a nasal spray form, which instruction would the nurse include? Select all that apply.
�Recline on a bed and hang your head over the edge.”
�Sniff hard for a few minutes after administration.”
�Make sure the tip of the container is touching the nasal mucosa.”
�Do not share the container with anyone except family members.”
�Know that nasal burning or stinging may occur.”
The nurse would be especially alert for the development of which of the following when administering an antihistamine to an older adult? Select all that apply.
Hypotension
Hypertension
Dry mouth
Insomnia
Sedation
A nursing instructor is describing the advantages of using a second-generation antihistamine over a first-generation antihistamine. Which of the following would the instructor most likely include? Select all that apply.
Less sedation
Fewer anticholinergic effects
Less nausea
Can be used during pregnancy
Can be used during lactation
When assessing an older client who is receiving an antihistamine, the nurse integrates knowledge of which of the following as contributing to the client's higher risk of injury? Select all that apply.
Hearing loss
Steady gait
Visual impairment
Hypertension
Diabetes
Based on the nurse's understanding of decongestants, the nurse would expect to administer this drug cautiously to a client with which of the following?
Diabetes
Glaucoma
Hypotension
Hypothyroidism
Arthiritis
After teaching a group of nursing students about antihistamines, the instructor determines that the teaching was successful when the students identify which of the following as less sedating? Select all that apply.
Loratadine (Claritin)
Fexofenadine (Allegra)
Cetirizine (Zyrtec)
Brompheniramine (Lodrane)
Clemastine (Tavist)
A client taking metoprolol (Lopressor) 50 mg one tablet twice daily begins taking over-the-counter pseudoephedrine. The nurse would assess for which of the following? Select all that apply.
Hyperglycemic episode
Hypertensive episode
Rebound congestion
Hypoglycemic episode
Bradycardic episode
A client is suffering from rebound congestion. Which of the following would the nurse expect to do to help the client experience relief from rebound congestion? Select all that apply.
Suggest the client switch from a topical decongestant to an oral product.
Recommend the client switch from an oral decongestant to a topical product.
Tell the client to abruptly discontinue the decongestant product.
Advise the client to gradually discontinue the decongestant product.
Suggest a saline irrigation of the nasal passages in place of the decongestant.
A client complains of increased sedation after the initiation of chlorpheniramine to treat her allergies. Which of the following would the nurse suggest to the client to treat her allergy symptoms that would result in less sedation? Select all that apply.
Diphenhydramine (Benadryl)
Clemastine (Tavist)
Loratadine (Claritin)
Cetirizine (Zyrtec)
Phenylephrine (Neo-Synephrine)
A client with vasomotor rhinitis has been prescribed an antihistamine. The client is eager to know whether the prescribed antihistamine may cause excessive sedation. Which antihistamine would the nurse identify as having very little sedative effect?
Brompheniramine
Clemastine
Chlorpheniramine
Azelastine
A client has been prescribed a decongestant drug for congestion associated with rhinitis. When teaching the client about this drug, which of the following would the nurse include as a possible adverse reaction?
Decreased pulse rate
Blurred vision
Drowsiness
Dryness of throat
A client with allergic rhinitis is prescribed an antihistamine. The nurse instructs the client to suck on sugarless hard candy to address which of the following?
Drowsiness and sedation
Thickening of bronchial secretions
Altered sensation of taste
Dryness of the oral mucosa and the throat
A 21-year-old client complains of a mild stinging sensation on using a nasal spray decongestant. Which response by the nurse would be most appropriate?
�You need to stop the medication immediately.”
�The dose is probably too strong and needs to be reduced.”
�This sensation is common and usually disappears with continued use.”
�We better contact your primary health care provider right away.”
A client has been prescribed a nasal decongestant for nasal stuffiness due to a common cold. The client is also taking an antidepressant that is a monoamine oxidase inhibitor. The nurse would warn the client about which of the following?
Hypotension
Severe headache
Sedation
Bradycardia
An 82 year old client is prescribed an antihistamine for the relief of allergic rhinitis.Which would the nurse most likely assess in the client?
Sedation
Dry throat
Hypertension
Confusion
Bradycardia
A patient is prescribed oxymetazoline.Which of the following would indicate the drug is effective?
Urine output is at least 30mL/hour
Breathing pattern is regular and without difficulty
Skin is effectively hydrated
Heart rate is maintained at a regular rate and rhythm
A nurse is reviewing the medical record of a client who is prescribed an antihistamine.The nurse would administer the drug cautiously if which condition was noted.Select all that apply.
Narrow-angle glaucoma
Rheumatoid arthiritis
Osteoarthritis
Hypertension
Hyperthyroidism
Before administering a mucolytic drug to a client with an upper respiratory infection, which of the following would the nurse need to assess?
Degree of dyspnes
Frequency of cough
Evidence of productive cough
Therapeutic effectiveness
A nurse is assigned to care for a patient who is prescribed dextromethorphan. The client's history reveals that he is also taking a monoamine oxidase inhibitor for depression. The nurse would assess the client for which of the following?
Hypokalemia
Additive antidepressant effects
Cardiac arrhythmias
Jerking leg motions
A nurse is describing the action of a prescribed antihistamine to a client. The nurse is describing which of the following by explaining that the drug elicits its antihistamine effects by non selectively binding to central and peripheral H1 receptors?
Diphenhydramine
Loratadine
Cetirizine
Fexofenadine
Before the nurse administers an antitussive agent, the nurse would document assessment of which of the following? Select all that apply/
Presence of sputum
Type of cough
Vital signs
Color and amount of sputum
Home remedies used to treat the cough
When describing the action of decongestants, a nurse integrates knowledge of this class of drugs, identifying which of the following as the mechanism?
Nonselectively binding to central and peripheral H1 receptors
Selectively binding to peripheral H1 receptors
Vasoconstriction of small blood vessels of the nasal membranes
Anesthetizing stretch receptors in the respiratory passages
A nursing student is researching which antihistamine drug that elicits its antihistamine effects by selectively binding to peripheral H1 receptors?
Clemastine
Desoloratadine
Brompheiramine
Diphendydramine
A 40 year old client is prescribed diphenhydramine for allergic rhinitis. When gathering the patient's medical history, the nurse learns that patient is on beta-blocker therapy for hypertension. The nurse would assess the client for which of the following that would result from the interaction of these two drugs?
Increased CNS depressant action of the antihistamine drug
Increased effects of the antihistamine drug
Increased cardiovascular effects of the beta blocker
Increased absorption of the antihistamine drug
After teaching a group of nursing students about the use of acetylcysteine, the instructor determines the teaching was successful when the students identify which of the following? Select all that apply.
Atelectasis due to mucous obstruction
Pulmonary complications of cystic fibrosis
Tracheostomy care
Posttraumatic chest conditions
Ibuprofen overdosage
A client taking levothyroxine 150 mcg daily for hypothyroidism. Based on the nurse's understanding of drug interactions, the nurse would ensure that the client does not receive which drug?
Dextromethorphan
Potassium iodide
Guaifenesin
Codeine
A client is prescribed an antihistamine. The nurse determines that the drug would be contraindicated if the client had which condition? Select all that apply/
Cardiovascular shock
Nausea and vomitting
Allergic conjunctivitis
Anaphylactic shock
Angle-closure glaucoma
After administering a decongestant to a client, the nurse would assess the client for which of the following as a possible adverse reaction? Select all that apply.
Nausea
Sedation
Bradycardia
Nervousness
Blurred vision
A client is receiving an antitussive. Which of the following would the nurse include in the client's plan of care to help prevent pooling of secretions in the client's lungs? Select all that apply.
Change positions frequently
Limit fluid intake
Increase fluid intake
Maintain the same position as much as possible
Refrain from trying to cough
Decongestants should be used cautiously in patients with which of the following medical conditions? Select all that apply.
Hypertension
Glaucoma
Diabetes
Thyroid disease
Asthma
A group of nursing students are reviewing information about expectorants. The students demonstrate understanding when they identify which of the following as an example?
Guaifenesin (Robitussin)
Benzonatate (Tessalon Perles)
Acetylcysteine (Mucomyst)
Dextromethorphan (Delsym)
A nurse is preparing to administer an antihistamine to a client. The nurse integrates knowledge about this class of drugs, identifying which of the following as a possible use? Select all that apply.
Nausea
Allergic rhinitis
Parkinsonism
Dry mouth
Reversal of sedation
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