Question |
Answer |
Wrong Answers |
Mucolytics protype drug (INFO) |
Acetylcysteine (Acetadote, Mucomyst) | | 86.7% |
|
A preschool child recently diagnosed with cystic fibrosis has a new prescription for acetylcysteine (Mucomyst). The nurse teaches the pt and her family that the purpose of the medication is? |
Loosen secretions | | 86.7% |
Minimize nasal congestion | | 0% |
Decrease pain | | 0% |
Suppress cough | | 0% |
|
Opioid Antitussives protype (INFO) |
codeine | | 86.7% |
|
Expectorants pro-type drug (INFO) |
Gufaifenesin (Robitussin) | | 86.7% |
|
A common mucolytic used to liquefy mucus in the respiratory tract is> |
acetlcysteine (mucomyst) | | 73.3% |
ipratropium (Atrovent) | | 6.7% |
dextromethorphan | | 0% |
pseudoephidrine (Sudafed) | | 13.3% |
|
In caring for a pt wih nasal congestion, the nurse knows that adrenergic drugs are used as nasal decongestant to relieve symptoms by? |
constricting arterioles and reducing blood flow to nasal mucosa | | 73.3% |
stimulating air movement in the lungs | | 6.7% |
stabilizing mast cells | | 6.7% |
initiating the cough reflex | | 0% |
|
A nurse is caring for a client who states she has been taking phenylephrine (Neo-Syneprhrine) nasal drops for the past 10 days for her upper respiratory symptoms. For which of the following adverse effects should the nurse assess? |
Nasal Congestion | | 66.7% |
Sedation | | 6.7% |
Productive Cough | | 6.7% |
Constipation | | 6.7% |
|
Expectorants adverse effects include all of the following EXCEPT? (INFO) |
PICK ME | | 66.7% |
skin rash | | 13.3% |
headache | | 6.7% |
nausea, and vomiting | | 0% |
|
agent used to prevent cough by depressing the cough center in the medulla oblongata |
Antitussive | | 66.7% |
Expectorant | | 6.7% |
Mycolytic | | 0% |
Nasa decongestant | | 6.7% |
|
An adult is taking diphenhydramine (Benadryl) for symptoms of allergic rhinitis. For which of the following adverse reactions should the nurse teach |
Dry mouth, urinary hesitation | | 66.7% |
Skin rash, puritis | | 13.3% |
Diarrhea, vomiting | | 6.7% |
Nonproductive cough | | 0% |
|
Codeine adverse effects include all of the following EXCEPT? |
Alterness | | 66.7% |
respiratory depression | | 13.3% |
Dizziness | | 0% |
Nausea Vomiting | | 6.7% |
|
Mucomyst actions is to Liquefy mucus in respiratory tract; administered by ______ |
Inhalation | | 60% |
|
Codeine suppress cough through it’s actions on the ______ |
CNS | | 60% |
PNS | | 13.3% |
trachea | | 0% |
lungs | | 6.7% |
|
Non-opiod Antitussives pro-type drug |
dextromethorphan (Benylin) | | 53.3% |
benzoatate (Tessalon) | | 0% |
Hydrocodone bitartrate (Hycodan) | | 26.7% |
|
Cold remedies listed as nondrowsy or labeled as daytime formulas do not contain? |
first-generation antihistamine | | 53.3% |
pain reliever | | 0% |
nasal decongestant | | 6.7% |
any of the above | | 33.3% |
|
dextromethorphan (Benylin) actions include all of the following EXCEPT? |
Suppress ability to cough | | 53.3% |
Suppress cough center in the medulla oblongata | | 6.7% |
Suppress cough receptors in throat, trachea, lungs | | 13.3% |
Suppress dry, hacking, nonproductive cough | | 13.3% |
|
When taking cold remedies it is important to teach pts all of the following EXCEPT? |
Teach that these medications are harmless and that is why they are OTC | | 53.3% |
Increase fluid intake helps to losden up secretions | | 13.3% |
Milk will make secretions thicker. | | 6.7% |
Teach that OTC medications have acetaminophen, and not to overdose | | 6.7% |
|
Nasal decongestant pro-type |
Pseudoephedrine (Sudafed) | | 53.3% |
Naphazoline (Privine) | | 0% |
Oxymetazoline (Afin) | | 6.7% |
Phenylephrine (Neo-syephrine) | | 20% |
|
Nasal decongestant action is to act on adrenergic receptors causing _______ resulting in lessening of nasal congestion. |
vasoconstriction | | 53.3% |
|
Psuedoephedrine (Sudafed, Dimetapp) adverse effects include all of the following EXCEPT? |
vasodilation | | 46.7% |
dysrhythmias | | 0% |
CNS: excitability & nervousness | | 13.3% |
urinary difficulty & retention | | 20% |
|
Expectorants action is to liquefy respiratory secretions, allowing for easier removal by irritating gastric _____ receptors |
vagal | | 40% |
beta | | 13.3% |
pain | | 0% |
cough | | 26.7% |
|
Which of th efollowing herbal preparations appears to paly a role in the defense mechanisms of the respiratory system in adults? |
vitamin C | | 40% |
echinacea | | 13.3% |
zinc gluconate have been commonly though to improve cold symptoms | | 26.7% |
valerian | | 6.7% |
|
A nurse is evaluating a pts understanding of the teaching about the use of fluticasone (Flonase) to treat perennial rhinitis. Which of the following statements by the client indicate understanding? |
It may take as long as 3 weeks before the medicaiton takes a maximun effect | | 40% |
I should use the spray every 4 hours while I am awake | | 20% |
This medicaiton can also be sued to treat motion sickness | | 6.7% |
I can use thi smedicaiton when my nasal passages are blocked | | 20% |
|
A nurse is teaching a client to self-administer nasal drops for allergic rhinitis symptoms. The nurse should teach the client to lie in which of the following positions to obtain the best effect of the medication? |
Lateral with the head in low position | | 33.3% |
Supine with head flexed | | 20% |
Sitting with head in neutral position | | 26.7% |
Prone with head extended | | 6.7% |
|
Non-opiod Antitussives** dextromethorphan (Benylin) have few adverse effects but include all of the following EXCEPT? |
alertness | | 33.3% |
nausea | | 0% |
rash | | 20% |
difficulty breathing | | 26.7% |
|
A pt with nasal congestion who is using the OTC decongestant oxymetazoline (Afin), the nurse counsels the pt that this medication should be used only for the time recommended on the package and no longer because excessive use may produce? |
srevound nasal congestion | | 33.3% |
suppressed cough reflex | | 0% |
ringing in the ears | | 6.7% |
copious lower respiratory tract secretions | | 46.7% |
|
Codeine is usually mixed with ____ |
expectorant | | 26.7% |
mucolytic | | 0% |
decongestant | | 53.3% |
|
Psuedoephedrine (Sudafed, Dimetapp) adverse effects include all of the following EXCEPT? |
hypotension | | 26.7% |
rebound congestion | | 6.7% |
insomnia | | 20% |
chest pain | | 26.7% |
|
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