Chapter 14-Antihistimines ect.

Question 1

An inflammatory response of the nasal mucosa resulting in the release of histamine and other chemical agents, and causing increased secretion of mucus as well as congestion and sneezing, is called:

Answer 1

allergic rhinitis

Allergic rhinitis occurs when allergens initiate the immunological response.

Question 2

The nurse understands that histamine, a naturally occurring substance in the body that is released in response to tissue damage, causes all the following symptoms EXCEPT:

Answer 2

gastrointestinal upset.

Question 3

Which of the following local corticosteroids is administered as a nasal vapor?

Answer 3

fluticasone propionate

Question 4

When instructing an adult client about the administration of nose drops, the nurse tells the client to assume what position?

Answer 4

in supine position with the neck hyperextended to 90 degrees

Question 5

What is the most instructive advice a nurse can give a client sensitive to aspirin who is about to purchase an over-the-counter (OTC) cold remedy?

Answer 5

“Read the contents on the label, and buy one without aspirin.”

Question 6

The nurse understands which of the following drugs should NOT be used to treat nasal congestion in a 5-year-old client?

Answer 6

meclizine HCl

Question 7

The nurse should caution which of the following clients about the use of antihistamines?

Answer 7

an adolescent with asthma

Question 8

A woman is planning to drive about 500 miles from home to see her grandchildren and is concerned about motion sickness. Which of the following statements would answer her concerns?

Answer 8

“Meclizine HCl, also called Antivert, will help prevent and relieve your motion sickness.”

Question 9

The nurse instructs the client on proper use of a nasal spray. Which of the following comments by the client indicates correct understanding of the instructions?

Answer 9

“I may stand or sit to administer the medication, and I must sniff as I spray.”

Question 10

A client has profuse sinus drainage when reclining and is planning to take an over-the-counter (OTC) decongestant. The nurse should recommend that the client:

Answer 10

take the decongestant before bedtime. Taking the decongestant before bedtime will help decrease the sinus drainage occurring when the client reclines.

Question 11

The client asked the nurse why fexofenadine and pseudoephedrine are useful for treating many allergic conditions. The nurse’s best response would be:

Answer 11

“Because it contains an antihistamine and a decongestant.”

Fexofenadine is an antihistamine, and pseudoephedrine is a decongestant.

Question 12

When teaching the client about over-the-counter (OTC) oxymetazoline hydrochloride (Afrin), the nurse should stress to take as directed because overuse could result in

Answer 12

rebound congestion

Question 13

The nurse should teach the hypertensive client planning to use an oral nasal decongestant such as pseudoephedrine (Sudafed) to:

Answer 13

contact her health care provider before using the product.
Because many decongestants including pseudoephedrine increase blood pressure, the client should consult with her health care provider first.

Question 14

When teaching clients taking decongestants and antihistamines, the nurse should instruct the clients to:

Answer 14

drink at least 3 liters of fluids per day.

Question 15

The nurse is teaching a client with blocked nasal passages who uses intranasal steroid products. The client should be advised to:

Answer 15

use a decongestant shortly before administration of the steroid product.

Question 16

Persons using nasal sprays are advised to limit the use of the spray container to one person and one episode of illness because:

Answer 16

viruses may colonize the tip of the container, thus spreading infection.

Question 17

When prescribed to facilitate ease in breathing during sucking, topical nasal decongestants should be administered to an infant:

Answer 17

20 minutes before eating.

Question 18

The nurse is teaching a client about how to choose an appropriate over-the-counter (OTC) medication. In doing so, the nurse cautions the client:

Answer 18

not to take additional acetaminophen if the cold product contains the drug.

Question 19

When teaching a client how to use a nasal inhaler, the nurse should include instructing the client to:

Answer 19

shake the inhaler well before using.

Question 20

The mother of a 7-year-old child with a temperature of 102 degrees Fahrenheit asks the nurse what over-the-counter (OTC) decongestant she should get for her child. The nurse advises the mother to:

Answer 20

see her child’s pediatrician before using any OTC decongestant.

Question 21

When teaching clients using nose drops, the nurse should instruct them to:

Answer 21

expectorate medication running down the throat rather than swallow it. This will help prevent systemic absorption of the topical medication.

Question 22

For a client prescribed diphenhydramine HCl or codeine sulfate, the nurse should monitor the client for:

Answer 22

sedation

Question 23

A priority nursing diagnosis for a client with thick, copious, tenacious secretions is

Answer 23

ineffective airway clearance related to respiratory secretions.

Question 24

The nurse is teaching a client about home use of a humidifier. The nurse should state that:

Answer 24

nonultrasonic humidifiers may be a source of infection.

Question 25

In planning care for clients receiving expectorants, a nurse should consider which priority factor?

Answer 25

Clients need to understand how to properly dispose of secretions.

Question 26

In caring for someone receiving a narcotic cough suppressant, the nurse carefully observes the client for:

Answer 26

impairment of physical or mental abilities.

Question 27

Diphenhydramine (Benadryl) is an antitussive that is also classified as a(n):

Answer 27

antihistamine.

Question 28

Clients using codeine-containing cough suppressant products should be monitored for:

Answer 28

constipation.

Question 29

Clients should NOT be given SSKI if they have:

Answer 29

hyperthyroidism

Question 30

.A client is prescribed potassium iodide for his cough. The nurse should instruct the client to:

Answer 30

mix the medication in fruit juice.

Question 31

When teaching a mother of a young child with cystic fibrosis, the nurse should instruct the mother to:

Answer 31

offer fluids slowly. to prevent coughing spasms and aspiration of the fluid.

Question 32

When teaching a client prescribed potassium iodide, the nurse should instruct the client to:

Answer 32

drink with a straw This will prevent the burning sensation in the mouth and staining of the teeth.

Question 33

The client who is taking an expectorant is consuming 3,000 mL of fluid every day. The nurse should:

Answer 33

assess the client’s vital signs and breath sounds.

Question 34

Which of the following statements would be true concerning the medication Xyzal?

Answer 34

The client should avoid engaging in hazardous activities that require mental alertness.

Question 35

Which of the following statements are true of guaifenesin? Select all that apply.

Answer 35

a. It is an expectorant.
b. It is an ingredient in many commercial cough preparations.
d. It rarely causes stomach upset or nausea.
f. It inhibits platelet adhesiveness, resulting in an increased risk of bleeding if used concurrently with gingko biloba.

Question 36

The client is receiving SSKI. The nurse would monitor the client for which of the following? Select all that apply

Answer 36

b. nausea and vomiting.
c. complaint of metallic taste.
e. anorexia.
f. acne.

Question 37

Which of the following statements by the nurse recruit are correct concerning expectorants and antitussives? Select all that apply.

Answer 37

a. SSKI is measured in drops.
c. A client with a cough persisting more than 1 week should be referred to a health care provider.
e. Productive coughs should not be suppressed.
f. SSKI should not be administered to clients who are allergic to iodine.