What are benefit(s) of second generation antihistamines?
A.
Non-sedating
B.
Ok to use with narrow angle glaucoma
C.
Peripherally longer DOA
D.
More potent
3.
Action of Nasal Decongestants
A.
bronchodilation
B.
vasodilation and bronchodilation
C.
nasal vasoconstriction and shrinking of mucous membranes
D.
loosens secretions and vasodilates
4.
Which class of medications causes jitters and nervousness?
A.
Antihistamine
B.
Glucocorticoid
C.
Expectorant
D.
Nasal Decongestant
5.
When will maximum benefit be seen for a Glucocorticoid?
A.
30 days
B.
3 weeks
C.
1 month
D.
1 week
6.
When are Antitussives used?
A.
Productive Cough
B.
When Coughing is Harmful
C.
Bacterial Infection
D.
Frequent Coughing
7.
A patient is receiving dextromethorphan (Benylin). The nurse knows the drug is exerting its therapeutic effect when the patient experiences
A.
relief of nasal congestion
B.
bronchodilation
C.
thinning of secretions
D.
decreased coughing
8.
What is the most important thing for the nurse to teach a patient who is switching allergy medications from diphenhydramine (Benadryl) to loratadine (Claritin)?
A.
Loratadine can potentially cause dysrhythmias.
B.
Loratadine has fewer sedative effects.
C.
Loratadine has increased bronchodilating effects.
D.
Loratadine causes less gastrointestinal upset
9.
A patient is prescribed an antitussive medication. What is the most important instruction for the nurse to include in the patient teaching?
A.
This medication may cause drowsiness and dizziness
B.
Watch for diarrhea and abdominal cramping.
C.
This medication may cause tremors and anxiety
D.
Headache and hypertension are common side effects
10.
The nurse is teaching a patient about the use of an expectorant. What is the most important instruction for the nurse to include in the patient teaching?
A.
Restrict your fluids in order to decrease mucus production.
B.
Take the medication once a day only, at bedtime
C.
Increase your fluid intake in order to decrease viscosity of secretions
D.
Increase your fiber and fluid intake to prevent constipation
11.
When should mucomyst be administered?
A.
10 mins after bronchodilator
B.
10 mins before bronchodilator
C.
5 mins before bronchodilator
D.
5 mins after bronchodilator
12.
What medications cause dryness, nosebleeds, sore throat, and headache ?
A.
Nasal Decongestants
B.
Antitussives
C.
Intranasal Glucocorticoids
D.
Mucomyst
13.
In discharge teaching, the nurse will emphasize to a patient receiving a beta-agonist bronchodilator the importance of reporting which side effect?
A.
Hypoglycemia
B.
Nonproductive cough
C.
Sedation
D.
Tachycardia
14.
What over-the-counter product will the nurse instruct the patient to avoid when taking montelukast (Singulair)?
A.
Acetaminophen
B.
Echinacea
C.
Diphenhydramine
D.
St. John’s wort
15.
A patient taking an oral theophylline drug is due for her next dose and has a blood pressure of 100/50 mm Hg and a heart rate of 110 bpm. The patient is irritable. What is the nurse’s best action?
A.
Continue to monitor the patient
B.
Call the health care provider.
C.
Hold the next dose of theophylline.
D.
Administer oxygen 2 L per minute via nasal cannula.
