Pharm Chapter 14

How does guaifenesin work?
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Terms in this set (28)
Which drug causes vasoconstriction by stimulating alpha-1 receptors on capillaries in the nasal mucosa?Pseudoephedrine oxymetazoline phenylephrineHow does diphenhydramine work?act on the cough center in the medulla is an active ingredient in Robitussin DM and Mucinex DM treat allergic rhinitis by blocking histamine at the H-1 receptors on peripheral blood vessel, also a seditiveThe nurse is instructing a client prescribed diphenhydramine for treatment of allergic rhinitis. Which statement should be included in the instruction?Do Not drive, operate machinery, drink alcohol, or take with other CNS depressants, drink water, use sugarless gum, oral rinseA client in the clinic states that he is afraid of taking antihistamines because he is a truck driver.Which antihistamine may be safe for the client to take?non-sedating fexofenadine, loratidineDrugs like phenylephrine and oxymetazoline are contraindicated for which client?heart disease, Hypertension, diabetes, and benign prostatic hypertrophy (enlarge prostate)A client prescribed dextromethorphan wants to know how the drug works.Which nursing response is correct?Suppress the cough center of the medulla in syrup form, should be GIVEN LAST if other medications are being taken meant to be used with dry coughThe nurse is preparing to administer pseudoephedrine to a client with nasal and sinus congestion. The client vital signs are BP 142/80 pulse 76min respirations 16min temperature 97.5 oxygen saturation 97%. What is the most important nursing action?Hypertension, cardiac arrhythmia, insomnia, restlessness, irritability, and nervousnessA client receives an expectorant in syrup form. The nurse instructs the client not to eat or drink fluids for how long?30 min DO NOT follow immediately by food or water for 30minThe nurse is preparing to administer a client 9:00 am medications. The medications consist of codeine cough syrup and five tablets: nifedipine, furosemide, vitamin C, iron, and sertraline. When should the nurse administer the client's codeine cough syrup?Last after all the othersThe nurse is reinforcing discharge teaching for a client prescribed codeine cough syrup. Which of the following should be included in the teaching?Constipation, CNS depression dependence do not take with other CNS do not take for wet cough, see Dr if cough last longer than 1 week, may cause dependency, drink lots of water 2-3L daily do not operate machineryA client is prescribed a first generation antihistamine. The nurse monitors the client for which anticholinergic effect of the drug?thicken mucous, drowsiness, dry mouth, constipation, urinary retentionWhich of the following medications is a topical decongestant?phenylephrine, oxymetazolineWhich of the following medications is an oral decongestant?pseudoephedrine, phenylephrineWhich of the following medications is an intranasal corticosteroid?fluticasone propionate,triamcinolone acetonideWhat advantage do topical decongestants have over oral decogestants?topical work fast straight to the sourceWhat advantage do oral decongestant have over topical decongestants?less risk to get reboundWhich class of medication is the most potent at treating allergic rhinitis?intranasal corticosteroidsIntranasal corticosteroids are ablate treat which of the following symptoms of allergic rhinitis?sneezing, itching, rhinorrhea, and nasal congestion