What is the role of the nurse in educating a patient about antihistamines? - Answers Patients should
avoid any alcoholic drinks and operating heavy machinery
What information does the nurse need to ask the patient who states that her symptoms have become
worse since she has been using oxymetazoline (Afrin) for nasal congestion? - Answers How long have
you been using the medication?
(It can cause rebound congestion if used for too long)
What education tips does the nurse need to educate the patient about the use of a metered-dose
inhaler (MDI) Spiriva? - Answers They should not hear a whistling sound- this denotes that the patient
may not know how to appropriately use the inhaler. Teaching will be required- educate patient to
hold their breath for at least 10 seconds to allow the medication to deposit in the lungs
Which information should the nurse teach the client regarding the medication hydrocodone? -
Answers Patients should monitor bowel movements for constipation
(Hydrocodone is an opioid- may cause constipation)
Which assessment findings would the nurse anticipate for a patient taking pseudoephedrine
(Sudafed)? - Answers It is a combination drug that can lead to an increase in heart rate & blood
pressure which can also lead to dysrhythmias
Which discharge instructions should the nurse provide regarding the client's Prednisone, a
glucocorticoid? - Answers Patients should be notified to never stop the medication abruptly and
should be tapered down instead (This goes for any glucocorticosteroids)
The nurse is preparing to administer medications on a pulmonary unit. Which medication classes
should the nurse anticipate administering? - Answers One of the first nurses intervention should be to
administer O2 if the patients O2 sats are dropping
The client receiving theophylline (Theodur). What is the normal lab range for this medication? -
Answers Theophyline (theodur) belongs to the class of drugs known as methylxanthines. This class has
a very narrow range of safety that varies from 5-20 mg/dl. The nurse should question administration
of medication if the levels are higher than 20- that can lead the patient to develop adverse effects
such as seizures
What is the MOA for a non-narcotic antitussive medication? - Answers They work by suppressing the
cough reflex in the medulla in the brain
The client with an acute exacerbation of asthma is being treated. Which assessment data indicates
the medication is effective? - Answers If your patient is receiving asthma medications, you will know
that the medication is working if you hear the patient's lung sounds and they are clear
The nurse is teaching community education about the major functions of the upper respiratory tract.
What would the nurse include in the teaching? - Answers The nose warms the air before it reaches
the lungs.
The nasal mucosa is the first line of immunological defense.
Activation of the sympathetic nervous system constricts arterioles in the nose
What education should the nurse include for the patient and the MOA of beclomethasone (Beconase)
intranasally as treatment for allergic rhinitis. - Answers Intranasal glucocorticoids produce almost no
serious adverse effects
The physician prescribes fluticasone (Flonase) for a patient that is pregnant. Why should the nurse
hold the drug and contact the physician? - Answers It is a class C drug so effects on pregnancy are
unknown. Patients that are pregnant should avoid taking this medication
Is the MOA for albuterol (Proventil) via inhaler faster acting then the oral dose of the same
medication? - Answers Delivering respiratory medications via inhaler is the best route of
administration. The respiratory system offers a rapid and efficient mechanism for delivering drugs.
The enormous surface area of the bronchioles and alveoli, and the rich blood supply to these areas,
results in an almost instantaneous onset of action for inhaled substances
The nurse teaches a medication class on the MOA of bronchodilators for clients with asthma. What
information should the nurse include in the teaching plan? - Answers The inhalers will widen the
airway due to activation of the flight or fight response, or the B2 adrenergic receptors of the
sympathetic nervous system. This activation causes smooth muscle to relax and bronchodilation to
occur
The nurse teaches a medication treatment for clients with asthma. What information should the
nurse include in the teaching plan. - Answers Inhalers used to continue treatment and prophylaxis of