Quiz 3

When giving dextromethorphan, the nurse understands that this drug suppresses the cough reflex by which mechanism of action?

a. Causing depression of the central nervous system
b. Anesthetizing the stretch receptors
c. Having direct action on the cough center
d. Decreasing the viscosity of the bronchial secretions
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When giving dextromethorphan, the nurse understands that this drug suppresses the cough reflex by which mechanism of action?

a. Causing depression of the central nervous system
b. Anesthetizing the stretch receptors
c. Having direct action on the cough center
d. Decreasing the viscosity of the bronchial secretions
c. Having direct action on the cough center
During a routine checkup, a patient states that she is unable to take the prescribed antihistamine because of one of its most common adverse effects. The nurse suspects that which adverse effect has been bothering this patient?

a. Constipation
b. Abdominal cramps
c. Drowsiness
d. Decreased libido
c. Drowsiness
A gardener needs a decongestant because of seasonal allergy problems and asks the nurse
whether he should take an oral form or a nasal spray. Which of these is a benefit of orally
administered decongestants?

a. Immediate onset
b. A more potent effect
c. Lack of rebound congestion
d. Shorter duration
c. Lack of rebound congestion
A patient is taking guaifenesin (Humibid) as part of treatment for a sinus infection. Which instruction will the nurse include during patient teaching?

a. Force fluids to help loosen and liquefy secretions.
b. Report clear-colored sputum to the prescriber.
c. Avoid driving a car or operating heavy machinery because of the sedating effects.
d. Report symptoms that last longer than 2 days.
a. Force fluids to help loosen and liquefy secretions.
The nurse will instruct patients about a possible systemic effect that may occur if excessive
amounts of topically applied adrenergic nasal decongestants are used. Which systemic effect
may occur?

a. Heartburn
b. Bradycardia
c. Drowsiness
d. Palpitations
d. Palpitations
A patient with a tracheostomy has difficulty removing excessive, thick mucus from the respiratory tract. The nurse expects that which drug will be ordered to aid in the removal of mucus?

a. Guaifenesin (Humibid)
b. Benzonatate (Tessalon Perles)
c. Diphenhydramine (Benadryl)
d. Dextromethorphan (Robitussin DM)
a. Guaifenesin (Humibid)
A patient has been advised to add a nasal spray (an adrenergic decongestant) to treat a cold. The
nurse will include which instruction?

a. "You won't see effects for at least 1 week."
b. "Limit use of this spray to 3 to 5 days."
c. "Continue the spray until nasal stuffiness has resolved."
d. "Avoid use of this spray if a fever develops."
b. "Limit use of this spray to 3 to 5 days."
A patient asks the nurse about the uses of echinacea. Which use will the nurse include in the response?

a. Memory enhancement
b. Boosting the immune system
c. Improving mood
d. Promoting relaxation
b. Boosting the immune system
A patient is taking intravenous aminophylline for a severe exacerbation of chronic obstructive
pulmonary disease. The nurse will assess for which therapeutic response?

a. Increased sputum production
b. Increased heart rate
c. Increased respiratory rate
d. Increased ease of breathing
d. Increased ease of breathing
A patient is taking a xanthine derivative as part of treatment for chronic obstructive pulmonary
disease. The nurse will monitor for which adverse effects associated with the use of xanthine derivatives?

a. Diarrhea
b. Palpitations
c. Bradycardia
d. Drowsiness
b. Palpitations
A patient is in an urgent care center with an acute asthma attack. The nurse expects that which medication will be used for initial treatment? a. An anticholinergic such as ipratropium (Atrovent) b. A short-acting beta2 agonist such as albuterol (Proventil) c. A long-acting beta2 agonist such as salmeterol (Serevent) d. A corticosteroid such as fluticasone (Flovent)b. A short-acting beta2 agonist such as albuterol (Proventil)The prescriber has changed the patient's medication regimen to include the leukotriene receptor antagonist (LTRA) montelukast (Singulair) to treat asthma. The nurse will emphasize which point about this medication? a. The proper technique for inhalation must be followed. b. The patient needs to keep it close by at all times to treat acute asthma attacks. c. It needs to be taken every day on a continuous schedule, even if symptoms improve. d. When the asthma symptoms improve, the dosage schedule can be tapered and eventually discontinued.c. It needs to be taken every day on a continuous schedule, even if symptoms improve.After receiving a nebulizer treatment with a beta agonist, the patient complains of feeling slightly nervous and wonders if her asthma is getting worse. What is the nurse's best response? a. "This is an expected adverse effect. Let me take your pulse." b. "The next scheduled nebulizer treatment will be skipped." c. "I will notify the physician about this adverse effect." d. "We will hold the treatment for 24 hours."a. "This is an expected adverse effect. Let me take your pulse."A patient has prescriptions for two inhalers. One inhaler is a bronchodilator, and the other is a corticosteroid. Which instruction regarding these inhalers will the nurse give to the patient? a. "Take the corticosteroid inhaler first." b. "Take the bronchodilator inhaler first." c. "Take these two drugs at least 2 hours apart." d. "It does not matter which inhaler you use first."b. "Take the bronchodilator inhaler first."When educating a patient recently placed on inhaled corticosteroids, the nurse will discuss which potential adverse effects? a. Fatigue and depression b. Anxiety and palpitations c. Headache and rapid heart rate d. Oral candidiasis and dry mouthd. Oral candidiasis and dry mouthThe nurse is monitoring drug levels for a patient who is receiving theophylline. The most recent theophylline level was 22 mcg/mL, and the nurse evaluates this level to be: a. below the therapeutic level. b. at a therapeutic level. c. above the therapeutic level. d. at a toxic level.c. above the therapeutic level.When evaluating a patient's use of a metered-dose inhaler (MDI), the nurse notes that the patient is unable to coordinate the activation of the inhaler with her breathing. What intervention is most appropriate at this time? a. Notify the doctor that the patient is unable to use the MDI. b. Obtain an order for a peak flow meter. c. Obtain an order for a spacer device. d. Ask the prescriber if the medication can be given orally.c. Obtain an order for a spacer device.The nurse is providing instructions about the Advair inhaler (fluticasone propionate and salmeterol). Which statement about this inhaler is accurate? a. It is indicated for the treatment of acute bronchospasms. b. It needs to be used with a spacer for best results. c. Patients need to avoid drinking water for 1 hour after taking this drug. d. It is used for the prevention of bronchospasms.d. It is used for the prevention of bronchospasms.The nurse is reviewing medications for the treatment of asthma. Which drugs are used for acute asthma attacks? (Select all that apply.) a. Salmeterol (Serevent) inhaler b. Albuterol (Proventil) nebulizer solution c. Epinephrine d. Montelukast (Singulair) e. Fluticasone (Flovent) Rotadisk inhalerb. Albuterol (Proventil) nebulizer solution c. EpinephrineThe nurse is providing instructions to a patient who has a new prescription for a corticosteroid metered-dose inhaler. Which statement by the patient indicates that further instruction is needed? (Select all that apply.) a. "I will rinse my mouth with water after using the inhaler and then spit out the water." b. "I will gargle after using the inhaler and then swallow." c. "I will clean the plastic inhaler casing weekly by removing the canister and then washing the casing in warm soapy water. I will then let it dry before reassembling." d. "I will use this inhaler for asthma attacks." e. "I will continue to use this inhaler, even if I am feeling better." f. "I will use a peak flow meter to measure my response to therapy."b. "I will gargle after using the inhaler and then swallow." d. "I will use this inhaler for asthma attacks."When teaching a patient who will be receiving antihistamines, the nurse will include which instructions? (Select all that apply.) a. "Antihistamines are generally safe to take with over-the-counter medications." b. "Take the medication on an empty stomach to maximize absorption of the drug." c. "Take the medication with food to minimize gastrointestinal distress." d. "Drink extra fluids if possible." e. "Antihistamines may cause restlessness and disturbed sleep." f. "Avoid activities that require alertness until you know how adverse effects are tolerated."c. "Take the medication with food to minimize gastrointestinal distress." d. "Drink extra fluids if possible." f. "Avoid activities that require alertness until you know how adverse effects are tolerated."A patient tells the nurse that she wants to start taking the herbal product goldenseal to improve her health. The nurse will assess for which potential cautions or contraindications to goldenseal? (Select all that apply.) a. Taking a proton-pump inhibitor b. Nasal congestion c. Hypothyroidism d. Hypertension e. Sinus infections f. Pregnancya. Taking a proton-pump inhibitor d. Hypertension f. Pregnancy