Nursing 807 Exam 2 – Questions & Accurate Answers
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
Selectively binding to peripheral H1 receptors Nonselectively binding to
central and peripheral H1 receptors
Anesthetizing stretch receptors in the respiratory passages Right Ans -
Vasoconstriction of small blood vessels of the nasal membranes
What should the client be told about nasal spray? (Select all that apply.)
Recline on a bed and hang your head over the edge.
Sniff hard for a few minutes after administration.
Make sure the tip of the container is touching the nasal mucosa.
Do not share the container with anyone except family members.
Nasal burning or stinging may occur with the use of topical decongestants.
Right Ans - Sniff hard for a few minutes after administration.
Nasal burning or stinging may occur with the use of topical decongestants.
The nursing instructor is discussing over-the-counter cold remedies.
According to the instructor, these products typically combine
an antihistamine, a stimulant, and a decongestant.
a stimulant, a decongestant, and an antitussive.
a decongestant, an analgesic, and an antihistamine.
an analgesic, an antitussive, and an antiviral. Right Ans - a decongestant, an
analgesic, and an antihistamine.
Which is classified as a decongestant?
Oxymetazoline (Afrin)
Levocetirizine (Xyzal)
Dextromethorphan (Delsym)
Azelastine (Astelin) Right Ans - Oxymetazoline (Afrin)
Which statement by the client leads the nurse to believe that the client needs
additional instruction regarding the nasal decongestant?
, "I will blow my nose before instilling the nasal spray."
"I will report any dizziness, drowsiness, or rapid pulse."
"I will drink 2,000 to 3,000 mL of fluid daily."
"I will use it only when I have nasal discharge." Right Ans - "I will use it
only when I have nasal discharge."
A nurse is caring for a patient who has been prescribed a nasal decongestant.
Which of the following factors should the nurse assess before administering
the drug?
Motor coordination
Blood pressure
Vision
Auditory tests Right Ans - BP
A female client presents at the clinic with a dry, nonproductive cough. The
client is diagnosed with bronchitis, and it is determined that she will need
help thinning sputum so that the cough can become productive. What does the
nurse expect will be prescribed for the client?
Codeine
Guaifenesin
Dextromethophan
Aspirin Right Ans - Guaifenesin
A 71-year-old man with a history of heart disease and diabetes has had an
antihistamine prescribed. The nurse is concerned with this prescription
because of the risk for:
Cardiac arrhythmias
Increased salivation and choking
Severe constipation
Insomnia Right Ans - Cardiac arrhythmias
When the use of antihistamines result in dryness of the mouth, the nurse
should recommend which to relieve the dryness? Select all that apply.
Suck on sugarless hard candy.
, Administer intravenous fluid bolus.
Offer ice chips.
Take frequent sips of water.
Use a dehumidifier in the home. Right Ans - Suck on sugarless hard candy
Offer ice chips.
Take frequent sips of water.
A 76-year-old client has been prescribed an oral antihistamine. What adverse
effect presents a priority safety concern for older adult clients?
Drowsiness
Dry mouth
Nasal burning
Nonproductive cough Right Ans - dry mouth
What causes the inflammation of nasal mucosa that is seen in allergic rhinitis?
Right Ans - Type I hypersensitivity reaction to Inhaled allergens
A client has been prescribed an antihistamine for the treatment of seasonal
allergies. What dietary guidelines should the nurse provide to the client?
Avoid drinking alcohol while taking antihistamines
Avoid grapefruit juice until at least 48 hours after treatment is complete
Increase intake of foods that are high in vitamin C
Eat several small meals instead of three larger meals in case of GI upset
Right Ans - Avoid drinking alcohol while taking antihistamines
A client's report of nasal congestion, itching, sneezing, and watery drainage,
including itching of the throat, eyes, and ears are consistent with what
situation?
a sinus infection
allergic rhinitis
anaphylaxis
a histamine reaction Right Ans - allergic rhinitis
A client reports a hacking cough. The client asks if taking an antihistamine
would be helpful. The nurse's best response is:
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
Selectively binding to peripheral H1 receptors Nonselectively binding to
central and peripheral H1 receptors
Anesthetizing stretch receptors in the respiratory passages Right Ans -
Vasoconstriction of small blood vessels of the nasal membranes
What should the client be told about nasal spray? (Select all that apply.)
Recline on a bed and hang your head over the edge.
Sniff hard for a few minutes after administration.
Make sure the tip of the container is touching the nasal mucosa.
Do not share the container with anyone except family members.
Nasal burning or stinging may occur with the use of topical decongestants.
Right Ans - Sniff hard for a few minutes after administration.
Nasal burning or stinging may occur with the use of topical decongestants.
The nursing instructor is discussing over-the-counter cold remedies.
According to the instructor, these products typically combine
an antihistamine, a stimulant, and a decongestant.
a stimulant, a decongestant, and an antitussive.
a decongestant, an analgesic, and an antihistamine.
an analgesic, an antitussive, and an antiviral. Right Ans - a decongestant, an
analgesic, and an antihistamine.
Which is classified as a decongestant?
Oxymetazoline (Afrin)
Levocetirizine (Xyzal)
Dextromethorphan (Delsym)
Azelastine (Astelin) Right Ans - Oxymetazoline (Afrin)
Which statement by the client leads the nurse to believe that the client needs
additional instruction regarding the nasal decongestant?
, "I will blow my nose before instilling the nasal spray."
"I will report any dizziness, drowsiness, or rapid pulse."
"I will drink 2,000 to 3,000 mL of fluid daily."
"I will use it only when I have nasal discharge." Right Ans - "I will use it
only when I have nasal discharge."
A nurse is caring for a patient who has been prescribed a nasal decongestant.
Which of the following factors should the nurse assess before administering
the drug?
Motor coordination
Blood pressure
Vision
Auditory tests Right Ans - BP
A female client presents at the clinic with a dry, nonproductive cough. The
client is diagnosed with bronchitis, and it is determined that she will need
help thinning sputum so that the cough can become productive. What does the
nurse expect will be prescribed for the client?
Codeine
Guaifenesin
Dextromethophan
Aspirin Right Ans - Guaifenesin
A 71-year-old man with a history of heart disease and diabetes has had an
antihistamine prescribed. The nurse is concerned with this prescription
because of the risk for:
Cardiac arrhythmias
Increased salivation and choking
Severe constipation
Insomnia Right Ans - Cardiac arrhythmias
When the use of antihistamines result in dryness of the mouth, the nurse
should recommend which to relieve the dryness? Select all that apply.
Suck on sugarless hard candy.
, Administer intravenous fluid bolus.
Offer ice chips.
Take frequent sips of water.
Use a dehumidifier in the home. Right Ans - Suck on sugarless hard candy
Offer ice chips.
Take frequent sips of water.
A 76-year-old client has been prescribed an oral antihistamine. What adverse
effect presents a priority safety concern for older adult clients?
Drowsiness
Dry mouth
Nasal burning
Nonproductive cough Right Ans - dry mouth
What causes the inflammation of nasal mucosa that is seen in allergic rhinitis?
Right Ans - Type I hypersensitivity reaction to Inhaled allergens
A client has been prescribed an antihistamine for the treatment of seasonal
allergies. What dietary guidelines should the nurse provide to the client?
Avoid drinking alcohol while taking antihistamines
Avoid grapefruit juice until at least 48 hours after treatment is complete
Increase intake of foods that are high in vitamin C
Eat several small meals instead of three larger meals in case of GI upset
Right Ans - Avoid drinking alcohol while taking antihistamines
A client's report of nasal congestion, itching, sneezing, and watery drainage,
including itching of the throat, eyes, and ears are consistent with what
situation?
a sinus infection
allergic rhinitis
anaphylaxis
a histamine reaction Right Ans - allergic rhinitis
A client reports a hacking cough. The client asks if taking an antihistamine
would be helpful. The nurse's best response is:
