Pharm Prep U Chapter 31 Upper Respiratory System Drugs

Pharm Prep U Chapter 31 Upper Respiratory System Drugs
Question 1
Your client has a history of post-transfusion reactions. Her medical provider has ordered
medication to prevent this. Which of the following medications would you anticipate
being ordered for this client?
●
Benadryl

Question 2
A client asks, "What is the difference between antitussive medications and
expectorants?" What information should the nurse’s response be based upon?
●
Antitussives suppress coughing while expectorants loosen bronchial secretions.

Question 3
Prior to administering a mucolytic to a client what must the nurse document. (Select all
that apply)
●
Lung sounds
●
Amount of dyspnea
●
Consistency of sputum

Question 4
When describing the action of decongestants, a nurse integrates knowledge of this
class of drugs, identifying which mechanism?
●
Vasoconstriction of small blood vessels of the nasal membranes

Question 5
Which condition would contraindicate the use of or oxymetazoline?
●
hypertension

Question 6
The nurse is listening to the respiratory therapist teaching a client about the proper use
of respiratory equipment for administration of drugs such as expectorants and
mucolytics when they are discharged home. The nurse knows the therapist will inform
the client that the best position to do this is which?

, ●
sitting or in high Fowler's position

Question 7
A client asks the nurse how long to use oxymetazoline (Afrin) nasal spray for nasal
congestion. What is the nurse’s best response?
●
"Consult with your primary care provider."

Question 8
Which second-generation H1 receptor antagonist antihistamine is formulated as a nasal
spray for topical use by children aged 5 years and older?
●
azelastine

Question 9
A client, having an allergic reaction to mold, describes chest tightness and difficulty
breathing. Which body effect is occurring?
●
contraction of smooth muscle in the bronchi

Question 10
When providing health education to an adult who is taking an over-the-counter (OTC)
combination cold and cough remedy, the nurse should encourage the client to
implement what intervention to best assure medication safety?
●
Carefully read the label and adhere to the guidelines for use.

Question 1
A client comes to the clinic with what appears to be a cold. What group of upper
respiratory drugs cause local vasoconstriction, which decreases blood flow and shrinks
swollen membranes to improve air flow?
●
Decongestants

Question 2
What would be the nurse's best response if a client calls the clinic and reports a
persistent cough for 2 weeks and then asks the nurse for a recommendation for a cough
medicine?
●
“You should come to the clinic to be evaluated. A cough that lasts that long might
be an indication of an underlying medical problem.”