C HAPTER 29: D RUGS U SED TO T REAT U PPER
R ESPIRATORY D ISEASE
Willihnganz: Clayton’s Basic Pharmacology for Nurses, 19th Edition
MULTIPLE CHOICE
1. Which reaction occurs in the nasal structures when cholinergic fibres are
stimulated?
a. Dryness of mucous membranes in the nostrils
b. Bleeding in the mucous membranes in the nostrils
c. Production of serous and mucous secretions in the nostrils
d. Enhanced olfactory perception in the mucous membranes of the
nostrils
ANS: C
The cholinergic fibres innervate the secretory glands; when stimulated, they
produce serous and mucous secretions within the nostrils. Nasal dryness is
the result of treatment with anticholinergic medications. Bleeding may be a
result of overtreatment with anticholinergic medications, as a result of
dryness of the nasal mucous membranes. Medications tend to dull olfactory
function rather than enhance it.
DIF: Cognitive Level: Comprehension REF: p. 469 OBJ: 2
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Assessment CON: Clinical Judgment
2. Which process in the antigen -antibody reaction causes the symptoms of
allergies?
, a. Release of antihistamines
b. Production of antibodies
c. Suppression of histamine
d. Release of histamine
ANS: D
One of the major causes of symptoms associated with an allergy is the release
of histamine during the antigen-antibody reaction. Antihistamines suppress
the s ymptoms of allergic reactions. Antibodies are not responsible for the
allergic symptoms. Suppressing histamine diminishes the symptoms of
allergies.
DIF: Cognitive Level: Comprehension REF: p. 471 OBJ: 2
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Assessment
CON: Clinical Judgment | Immunit y
3. Which instruction will the nurse include when teaching a patient wi th
seasonal rhinitis and blocked nasal passages about intranasal corticosteroid
therapy?
a. “Clear your nasal passage after administration. ”
b. “Anticipate a therapeutic benefit within 24 hours. ”
c. “Use a decongestant prior to administration. ”
d. “Report nasal burni ng to your healthcare provider. ”
ANS: C
Use of a decongestant just before intranasal corticosteroid administration
ensures adequate penetration. the patient should clear the nasal passages
before, not after, administration. the therapeutic benefit occurs after 24
hours. Nasal burning tends to resolve with continued therapy.
R ESPIRATORY D ISEASE
Willihnganz: Clayton’s Basic Pharmacology for Nurses, 19th Edition
MULTIPLE CHOICE
1. Which reaction occurs in the nasal structures when cholinergic fibres are
stimulated?
a. Dryness of mucous membranes in the nostrils
b. Bleeding in the mucous membranes in the nostrils
c. Production of serous and mucous secretions in the nostrils
d. Enhanced olfactory perception in the mucous membranes of the
nostrils
ANS: C
The cholinergic fibres innervate the secretory glands; when stimulated, they
produce serous and mucous secretions within the nostrils. Nasal dryness is
the result of treatment with anticholinergic medications. Bleeding may be a
result of overtreatment with anticholinergic medications, as a result of
dryness of the nasal mucous membranes. Medications tend to dull olfactory
function rather than enhance it.
DIF: Cognitive Level: Comprehension REF: p. 469 OBJ: 2
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Assessment CON: Clinical Judgment
2. Which process in the antigen -antibody reaction causes the symptoms of
allergies?
, a. Release of antihistamines
b. Production of antibodies
c. Suppression of histamine
d. Release of histamine
ANS: D
One of the major causes of symptoms associated with an allergy is the release
of histamine during the antigen-antibody reaction. Antihistamines suppress
the s ymptoms of allergic reactions. Antibodies are not responsible for the
allergic symptoms. Suppressing histamine diminishes the symptoms of
allergies.
DIF: Cognitive Level: Comprehension REF: p. 471 OBJ: 2
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Assessment
CON: Clinical Judgment | Immunit y
3. Which instruction will the nurse include when teaching a patient wi th
seasonal rhinitis and blocked nasal passages about intranasal corticosteroid
therapy?
a. “Clear your nasal passage after administration. ”
b. “Anticipate a therapeutic benefit within 24 hours. ”
c. “Use a decongestant prior to administration. ”
d. “Report nasal burni ng to your healthcare provider. ”
ANS: C
Use of a decongestant just before intranasal corticosteroid administration
ensures adequate penetration. the patient should clear the nasal passages
before, not after, administration. the therapeutic benefit occurs after 24
hours. Nasal burning tends to resolve with continued therapy.
