2
NURS 1141 questions exam 4 with precise solutions and
|| || || || || || || || ||
rationales
What body system will the nurse assess for known common adverse effects of traditional
|| || || || || || || || || || || || || ||
antihistamines?
a. respiratory
||
b. cardiovascular
||
c. CNS
||
d. GI - ✔✔c. CNS
|| || || ||
The most common adverse effect of antihistamines is drowsiness, but the sedative effects
|| || || || || || || || || || || || ||
vary among the antihistamine drug class
|| || || || ||
What advantage does loratadine (Claritin) have compared with traditional antihistamines
|| || || || || || || || || ||
such as diphenhydramine (Benadryl)?
|| || ||
a. less sedative effect
|| || ||
b. increase in bronchodilation
|| || ||
c. minimal GI upset
|| || ||
d. decreased risk of cardiac dysrhythmias - ✔✔a. less sedative effect
|| || || || || || || || || ||
Loratadine is a nonsedating antihistamine and it does not readily distribute into the CNS,
|| || || || || || || || || || || || || ||
which diminishes the sedative effects assoc. w/ traditional antihistamines
|| || || || || || || ||
,2
A pt complains of worsening nasal congestion despite the use of oxymetazoline (Afrin)
|| || || || || || || || || || || || ||
nasal spray every 2-4 hrs for the past 5 days. The nurse's response is based on the knowledge
|| || || || || || || || || || || || || || || || ||
that:
||
a. oxymetazoline is not an effective nasal decongestant
|| || || || || || ||
b. sustained use of nasal decongestants over several days may result in rebound congestion
|| || || || || || || || || || || || ||
c. oxymetazoline should be administered in an hourly reginmen for severe congestion
|| || || || || || || || || || ||
d. the patient is probably displaying an idiosyncratic reaction to oxymetazoline - ✔✔b.
|| || || || || || || || || || || || ||
sustained use of nasal decongestants over several days may result in rebound congestion
|| || || || || || || || || || || ||
Oxymetazoline is an effective nasal decongestant, but overuse results in worsening or || || || || || || || || || || || ||
"rebound" congestion. It should not be used more than every 4 hrs. || || || || || || || || || || ||
Which statement by the client demonstrates an understanding about beclomethasone
|| || || || || || || || || ||
diproprionate (Beconase) mechanism of action? || || || ||
a. I only need to take this medication when my symptoms get bad
|| || || || || || || || || || || ||
b. I will need to taper off the medication to prevent acute adrenal crisis
|| || || || || || || || || || || || ||
c. This medication will help prevent the inflammatory response of my allergies
|| || || || || || || || || || ||
d. I will monitor my blood sugar b/c I may develop drug-induced diabetes - ✔✔c. This
|| || || || || || || || || || || || || || || ||
medication will help prevent the inflammatory response of my allergies || || || || || || || || ||
Beclamethason diproprionate is a steroid spray administered nasally. It is used to prevent || || || || || || || || || || || || ||
and treat allergy symptoms. Its effect is localized, and therefore the client does not have
|| || || || || || || || || || || || || || ||
systemic adverse effects with the recommended does. There is no need to taper off gradually
|| || || || || || || || || || || || || ||
as with oral corticosteroids
|| || || ||
The nurse is discussing use of antitussive medications with a client. What common adverse
|| || || || || || || || || || || || || ||
effect does the nurse include in the client teaching?
|| || || || || || || ||
, 2
a. tremors and palpitations
|| || ||
b. drowsiness and dizziness
|| || ||
c. diarrhea and abdominal cramping
|| || || ||
d. flushing and decreased heart rate - ✔✔b. drowsiness and dizziness
|| || || || || || || || || ||
Antitussive medications suppress cough through its action on the CNS, thus causing
|| || || || || || || || || || || ||
drowsiness and dizziness || ||
Which instruction should the nurse include when teaching a client who is prescribed an
|| || || || || || || || || || || || || ||
expectorant?
a. take the medication once a day at bedtime
|| || || || || || || ||
b. restrict fluids to decrease mucus production
|| || || || || ||
c. increase fluid intake to decrease viscosity of secretions
|| || || || || || || ||
d. take the drug with oral codeine when cough worsens - ✔✔c. increase fluid intake to
|| || || || || || || || || || || || || || || ||
decrease viscosity of secretions
|| || ||
Expectorant drugs are used to decrease viscosity of secretions and allow them to be more
|| || || || || || || || || || || || || || ||
easily expectorated. Increasing fluid intake helps this action
|| || || || || || ||
The nurse would question a prescription for pseudoephedrine (Sudafed) in a client with a
|| || || || || || || || || || || || || ||
history of which condition?
|| || ||
||
a. Pneumonia
||
b. Osteoporosis
||
c. Hypertension
|| ||
d. Peptic ulcer disease - ✔✔c. HTN
|| || || || || ||
NURS 1141 questions exam 4 with precise solutions and
|| || || || || || || || ||
rationales
What body system will the nurse assess for known common adverse effects of traditional
|| || || || || || || || || || || || || ||
antihistamines?
a. respiratory
||
b. cardiovascular
||
c. CNS
||
d. GI - ✔✔c. CNS
|| || || ||
The most common adverse effect of antihistamines is drowsiness, but the sedative effects
|| || || || || || || || || || || || ||
vary among the antihistamine drug class
|| || || || ||
What advantage does loratadine (Claritin) have compared with traditional antihistamines
|| || || || || || || || || ||
such as diphenhydramine (Benadryl)?
|| || ||
a. less sedative effect
|| || ||
b. increase in bronchodilation
|| || ||
c. minimal GI upset
|| || ||
d. decreased risk of cardiac dysrhythmias - ✔✔a. less sedative effect
|| || || || || || || || || ||
Loratadine is a nonsedating antihistamine and it does not readily distribute into the CNS,
|| || || || || || || || || || || || || ||
which diminishes the sedative effects assoc. w/ traditional antihistamines
|| || || || || || || ||
,2
A pt complains of worsening nasal congestion despite the use of oxymetazoline (Afrin)
|| || || || || || || || || || || || ||
nasal spray every 2-4 hrs for the past 5 days. The nurse's response is based on the knowledge
|| || || || || || || || || || || || || || || || ||
that:
||
a. oxymetazoline is not an effective nasal decongestant
|| || || || || || ||
b. sustained use of nasal decongestants over several days may result in rebound congestion
|| || || || || || || || || || || || ||
c. oxymetazoline should be administered in an hourly reginmen for severe congestion
|| || || || || || || || || || ||
d. the patient is probably displaying an idiosyncratic reaction to oxymetazoline - ✔✔b.
|| || || || || || || || || || || || ||
sustained use of nasal decongestants over several days may result in rebound congestion
|| || || || || || || || || || || ||
Oxymetazoline is an effective nasal decongestant, but overuse results in worsening or || || || || || || || || || || || ||
"rebound" congestion. It should not be used more than every 4 hrs. || || || || || || || || || || ||
Which statement by the client demonstrates an understanding about beclomethasone
|| || || || || || || || || ||
diproprionate (Beconase) mechanism of action? || || || ||
a. I only need to take this medication when my symptoms get bad
|| || || || || || || || || || || ||
b. I will need to taper off the medication to prevent acute adrenal crisis
|| || || || || || || || || || || || ||
c. This medication will help prevent the inflammatory response of my allergies
|| || || || || || || || || || ||
d. I will monitor my blood sugar b/c I may develop drug-induced diabetes - ✔✔c. This
|| || || || || || || || || || || || || || || ||
medication will help prevent the inflammatory response of my allergies || || || || || || || || ||
Beclamethason diproprionate is a steroid spray administered nasally. It is used to prevent || || || || || || || || || || || || ||
and treat allergy symptoms. Its effect is localized, and therefore the client does not have
|| || || || || || || || || || || || || || ||
systemic adverse effects with the recommended does. There is no need to taper off gradually
|| || || || || || || || || || || || || ||
as with oral corticosteroids
|| || || ||
The nurse is discussing use of antitussive medications with a client. What common adverse
|| || || || || || || || || || || || || ||
effect does the nurse include in the client teaching?
|| || || || || || || ||
, 2
a. tremors and palpitations
|| || ||
b. drowsiness and dizziness
|| || ||
c. diarrhea and abdominal cramping
|| || || ||
d. flushing and decreased heart rate - ✔✔b. drowsiness and dizziness
|| || || || || || || || || ||
Antitussive medications suppress cough through its action on the CNS, thus causing
|| || || || || || || || || || || ||
drowsiness and dizziness || ||
Which instruction should the nurse include when teaching a client who is prescribed an
|| || || || || || || || || || || || || ||
expectorant?
a. take the medication once a day at bedtime
|| || || || || || || ||
b. restrict fluids to decrease mucus production
|| || || || || ||
c. increase fluid intake to decrease viscosity of secretions
|| || || || || || || ||
d. take the drug with oral codeine when cough worsens - ✔✔c. increase fluid intake to
|| || || || || || || || || || || || || || || ||
decrease viscosity of secretions
|| || ||
Expectorant drugs are used to decrease viscosity of secretions and allow them to be more
|| || || || || || || || || || || || || || ||
easily expectorated. Increasing fluid intake helps this action
|| || || || || || ||
The nurse would question a prescription for pseudoephedrine (Sudafed) in a client with a
|| || || || || || || || || || || || || ||
history of which condition?
|| || ||
||
a. Pneumonia
||
b. Osteoporosis
||
c. Hypertension
|| ||
d. Peptic ulcer disease - ✔✔c. HTN
|| || || || || ||
