quiz 5 - respiratory

Question 1

What is the most common adverse effect for antihistamines?

Answer 1

Dry mouth, difficulty urinating, constipation, changes in vision, drowsiness (mild drowsiness to deep sleep)

Question 2

How does codeine suppress the cough reflex?

Answer 2

Suppresses the cough reflex by direction action on the cough center in the medulla

Question 3

seasonal allergy problems and the patient whether he should take an oral form or a nasal spray? Which one is more effective?

Answer 3

Oral form because no rebound congestion
It prolonged decongestant effects, but delayed onset. Effects is less potent than topical

Question 4

What should be included in the patient teaching for a patient taking guaifenesin (Mucinex) as part of the treatment for influenza?

Answer 4

Patient taking expectorants should receive more fluids, if permitted, to help loosen and liquefy secretions

Question 5

What is the best type of cough should antitussive drug be administered?

Answer 5

Nonproductive coughs (dry coughs)

Question 6

How long should an over the counted nasal spray be used

Answer 6

3-5 days

Question 7

What respiratory medication will be used in acute asthma attack?

Answer 7

Short acting beta2 agonist such as albuterol (Proventil)

Question 8

What therapeutic response will you see if albuterol for a severe exacerbation of chronic obstructive pulmonary disease is being administered?

Answer 8

Increased ease of breathing,

Question 9

Review singulair and its effectiveness and patient teaching?

Answer 9

Singulair (montelukast) is a Leukotriene Receptor Antagonists
It blocks the inflammatory process in asthma. They prevent smooth muscle contraction of the bronchial airways, decrease mucus secretion, and reduce vascular permeability (reduces edema)
Adverse effects: headache, nausea and diarrheaThis medication needs to be taken every day on a continuous schedule, even if symptoms improve. Taken only orally
It can be used in children 1 year of age and older

Question 10

Which inhaler would you take first the bronchodilator or corticosteroids?

Answer 10

Bronchodilator should be used several minutes before the corticosteroid

Question 11

What are possible adverse side effects of inhaled corticosteroids,?

Answer 11

Pharyngeal irritation, coughing, dry mouth, oral fungal infections (thrush) another word for it oral candidiasis
systemic effects are rare because low dose are used for inhalation therapy

Question 12

What would you do if a patient is using a metered dose inhaler, the nurse notes that the patient is unable to coordinate the activation of the inhaler with her breathing?

Answer 12

Obtain an order for a spacer device

Question 13

Should OTC drugs be used with kids under than 2?

Answer 13

No, FDA recommended that OTC cough and cold products not to be given to children younger than 2 years of age.

Question 14

Do Antihistamines treat the cause of the common cold.?

Answer 14

No, antihistamines is commonly used to treat symptoms of allergies

Question 15

Expectorants are indicated for which type of cough?

Answer 15

Expectorants are for productive cough only

Question 16

f a patient is taking an OTC and there cough is getting worse what does this mean?

Answer 16

Patient is treating symptoms and not the infection life bacterial or viral, which means the infection needs to be treated in order to alleviate the symptoms