Chapter 35: Upper Respiratory Disorders

An informative and engaging scene of a nurse and patient discussing upper respiratory disorders with various over-the-counter medications displayed, in a clinical setting.

Upper Respiratory Disorders Quiz

Test your knowledge on upper respiratory disorders with our comprehensive quiz! This quiz includes 11 multiple-choice questions that cover various medications, treatments, and nursing assessments related to upper respiratory conditions.

Whether you are a student or a healthcare professional, this quiz will help reinforce your understanding of:

Nasal decongestants
Antihistamines
Cough medications
Allergy treatments
Special considerations for different patient populations

11 Questions3 MinutesCreated by HelpfulNurse27

1. A patient who has narrow-angle glaucoma asks the nurse to recommend a medication to alleviate cold symptoms such as nasal congestion and runny nose. The nurse will suggest the patient talk to the provider about which medication that is available as a nasal spray?

A. Azelastine (Astelin)

B. Cetirizine (Zyrtec)

C. Chlorpheniramine maleate (Chlor-Trimeton)

D. Diphenhydramine (Benadryl)

2. The nurse is caring for a patient who is receiving diphenhydramine. The nurse notes that the patient has not voided for 12 hours. What action will the nurse take?

A. Encourage the patient to drink more fluids.

B. Evaluate the bladder to check for distension.

C. Request an order for an intravenous fluid bolus.

D. Request an order for urinary catheterization.

3. 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.

4. A patient who has seasonal allergies with a runny nose during the daytime reports increasing nighttime symptoms of coughing and sneezing that are interfering with sleep. The provider recommends diphenhydramine (Benadryl) at bedtime. What information will the nurse include when teaching the patient about this medication?

A. “Avoid fluids at bedtime to prevent urinary retention.”

B. “This will help clear your daytime symptoms, too.”

C. “You should be able to sleep better when you take this medication.”

D. “You should take this medication on an empty stomach.”

5. The parents of a 3-year-old child tell the nurse that they are planning to give their child diphenhydramine (Benadryl) on a flight to visit the child’s grandparents to help the child sleep during the flight. What will the nurse tell the parents about giving this drug?

A. Administer 25 mg of diphenhydramine when using to induce sleep.

B. Diphenhydramine may have the opposite effect and could cause agitation.

C. Give the diphenhydramine about 5 minutes prior to takeoff.

D. Loratadine should be used instead of diphenhydramine to minimize side effects.

6. The nurse is caring for a patient who is hospitalized for an asthma exacerbation. The patient reports taking diphenhydramine at home at night to help with symptoms of allergic rhinitis and cough. The nurse will contact the patient’s provider to request an order for which medication?

A. Benzonatate (Tessalon Perles)

B. Cetirizine (Zyrtec)

C. Dextromethorphan hydrobromide (Benylin DM)

D. Diphenhydramine (Benadryl)

7. 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.

8. The patient who has nasal congestion asks the nurse to recommend a decongestant medication. The nurse performs a medication history and learns that the patient takes a beta blocker to treat hypertension. Which of the over-the-counter products below would be most appropriate to recommend?

A. Diphenhydramine (Benadryl)

B. Ephedrine HCl (Pretz-D)

C. Phenylephrine nasal (Neo-Synephrine Nasal)

D. Loratadine (Claritin)

9. 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

10. A patient with a persistent nonproductive cough asks about a medication that will help with her cough but not cause sedation. The nurse will encourage the patient to discuss which medication with the provider?

A. Benzonatate HCl (Tessalon Perles)

B. Diphenhydramine (Benadryl)

C. Guaifenesin and codeine

D. Promethazine with dextromethorphan

11. 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.”

B. “Drink extra water while taking the medication.”

C. “Monitor urine output closely.”

D. “Take with an oral antihistamine for better effects.”

Chapter 35: Upper Respiratory Disorders

Upper Respiratory Disorders Quiz

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