Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 4/E Chapter 38

Question 1 Type: MCSA The client tells the nurse that her symptoms have become worse since she has been using oxymetazoline (Afrin) for nasal congestion. hat is the best assessment !uestion for the nurse to as"# 1. $%ow ol& is the bottle you are using#$ 2. $May ' ta"e your temperature#$ 3. $Are you using any other inhale& me&ications#$ 4. $%ow long have you been using the me&ication#$ Correct Answer: ( ationa!e 1) hile it is possible that the client is using out&ate& me&ication* this is not the best !uestion.

ationa!e 2) As"ing to ta"e the client+s temperature is not the best !uestion. ationa!e 3) The use of other inhale& me&ications will not cause or prevent reboun& congestion* so this !uestion is unnecessary. ationa!e 4) ,xymetazoline (Afrin) can cause reboun& congestion if use& for too long* so length of treatment is the best assessment !uestion. "!o#a! ationa!e: Co$niti%e &e%e!: Analyzing C!ient 'eed: -hysiological 'ntegrity C!ient 'eed (u#: -harmacological an& -arenteral Therapies 'ursin$/)nte$rated Concepts: .ursing -rocess) Assessment &earnin$ *utcome: /01( Question 2 Type: MCSA hich assessment fin&ing* by the nurse* is a priority concern when a client receives pseu&oephe&rine (Su&afe&)# 1. Temperature of 2334 5 2. 6espiratory rate of 77
A&ams, Pharmacology for Nurse: A Pathophysiologic Approach, (89 Copyright 732( by -earson 9&ucation* 'nc.

3. %eart rate 07 an& irregular 4. Complaints of a &ry mouth Correct Answer: / ationa!e 1) A temperature is possible with pseu&oephe&rine * but is not the primary concern. ationa!e 2) A respiratory rate of 77 is possible with pseu&oephe&rine* but is not the primary concern. ationa!e 3) -seu&oephe&rine may cause &ysrhythmias. ationa!e 4) A &ry mouth is possible with pseu&oephe&rine but is not the primary concern. "!o#a! ationa!e: Co$niti%e &e%e!: Analyzing C!ient 'eed: -hysiological 'ntegrity C!ient 'eed (u#: -harmacological an& -arenteral Therapies 'ursin$/)nte$rated Concepts: .ursing -rocess) Assessment &earnin$ *utcome: /01( Question 3 Type: MCSA The el&erly client receives &iphenhy&ramine (:ena&ryl) for allergies. The nurse completes me&ication e&ucation an& evaluates that learning has occurre& when the client ma"es which statement# 1. $;rowsiness is common but shoul& lessen within a few &oses.$ 2. $'f this me&ication ma"es my nose run* ' can use a nasal spray.$ 3. $' nee& to watch my inta"e of so&ium with this me&ication.$ 4. $' cannot ta"e this me&ication with pseu&oephe&rine (Su&afe&).$ Correct Answer: 2 ationa!e 1) ;rowsiness is a common a&verse effect of antihistamines. The client shoul& &evelop a tolerance to this effect within a few &oses. ationa!e 2) Antihistamines woul& &ry the nasal secretions* not increase them. ationa!e 3) So&ium inta"e is not relate& to antihistamines. ationa!e 4) -seu&oephe&rine (Su&afe&) is commonly use& with antihistamines.
A&ams, Pharmacology for Nurse: A Pathophysiologic Approach, (89 Copyright 732( by -earson 9&ucation* 'nc.

"!o#a! ationa!e: Co$niti%e &e%e!: Analyzing C!ient 'eed: -hysiological 'ntegrity C!ient 'eed (u#: -harmacological an& -arenteral Therapies 'ursin$/)nte$rated Concepts: .ursing -rocess) 9valuation &earnin$ *utcome: /01< Question 4 Type: MCSA The nurse completes me&ication e&ucation for the client receiving antihistamines. The nurse evaluates that learning has occurre& when the client ma"es which statement# 1. $' can still have my after1&inner &rin".$ 2. $' nee& to increase flui&s while ta"ing this me&ication.$ 3. $This me&ication is safe because it is sol& over1the1counter (,TC).$ 4. $This me&ication coul& ma"e me very sleepy.$ Correct Answer: ( ationa!e 1) Alcohol will increase the se&ative effects of antihistamines* so the client shoul& not &rin" while ta"ing antihistamines. ationa!e 2) There is no nee& to increase flui&s when ta"ing antihistamines. ationa!e 3) =ust because a me&icine is sol& over1the1counter (,TC)* &oes not mean it is safe. ationa!e 4) Se&ation is a common si&e effect of antihistamines. "!o#a! ationa!e: Co$niti%e &e%e!: Analyzing C!ient 'eed: -hysiological 'ntegrity C!ient 'eed (u#: -harmacological an& -arenteral Therapies 'ursin$/)nte$rated Concepts: .ursing -rocess) 9valuation &earnin$ *utcome: /01/ Question + Type: MCMA The nursing instructor teaches the nursing stu&ents about the ma>or functions of the upper respiratory tract. will the best plan by the nursing instructor inclu&e#
A&ams, Pharmacology for Nurse: A Pathophysiologic Approach, (89 Copyright 732( by -earson 9&ucation* 'nc.

hat

Note: Credit will be given only if all correct choices and no incorrect choices are selected. (tandard Te,t: Select all that apply. 1. 'nwar& airflow from the trachea branches off to the two bronchi. 2. The nose warms the air before it reaches the lungs. 3. The nasal mucosa is the first line of immunological &efense. 4. Activation of the parasympathetic nervous system constricts arterioles in the nose. +. Activation of the sympathetic nervous system constricts arterioles in the nose. Correct Answer: 7*/*? ationa!e 1) The trachea an& bronchi are part of the lower respiratory tract. ationa!e 2) The nose warms the air before it reaches the lungs. ationa!e 3) The nasal mucosa is the first line of immunological &efense. ationa!e 4) Activation of the sympathetic nervous system* not the parasympathetic nervous system* constricts arterioles in the nose. ationa!e +) Activation of the sympathetic nervous system constricts arterioles in the nose. "!o#a! ationa!e: Co$niti%e &e%e!: Applying C!ient 'eed: -hysiological 'ntegrity C!ient 'eed (u#: -hysiological A&aptation 'ursin$/)nte$rated Concepts: .ursing -rocess) -lanning &earnin$ *utcome: /012 Question Type: MCMA The client has allergic rhinitis an& as"s the nurse what causes this. %ow shoul& the nurse respon&# Note: Credit will be given only if all correct choices and no incorrect choices are selected. (tandard Te,t: Select all that apply. 1. @'t can occur after exposure to animal &an&er.A 2. ATobacco smo"e causes it in some people.A
A&ams, Pharmacology for Nurse: A Pathophysiologic Approach, (89 Copyright 732( by -earson 9&ucation* 'nc.

3. A9xposure to pollens from wee&s an& grass cause an allergic response in some people.A 4. $'t is cause& by asthma.$ +. $Bou inherite& the pre&isposition for this.$ Correct Answer: 2*7*/*? ationa!e 1) ,ne of the causative factors for allergic rhinitis is animal &an&er. ationa!e 2) Tobacco smo"e causes the allergic rhinitis reaction in some people. ationa!e 3) Allergic response to pollen can cause allergic rhinitis in some people. ationa!e 4) Although associate& with asthma* allergic rhinitis is not cause& by asthma. ationa!e +) There is a strong genetic pre&isposition for allergic rhinitis. "!o#a! ationa!e: Co$niti%e &e%e!: Applying C!ient 'eed: -hysiological 'ntegrity C!ient 'eed (u#: -hysiological A&aptation 'ursin$/)nte$rated Concepts: .ursing -rocess) 'mplementation &earnin$ *utcome: /017 Question . Type: MCSA The nursing instructor teaches the stu&ent nurses about histamine receptors an& evaluates that further instruction is nee&e& when the stu&ents ma"e which statement# 1. $%21receptors are foun& in the stomach.$ 2. $%21receptors are responsible for allergic symptoms.$ 3. $%71receptors increase mucus secretion in the stomach.$ 4. $%71receptors are responsible for peptic ulcers.$ Correct Answer: 2 ationa!e 1) %71receptors are foun& in the stomach. ationa!e 2) The histamine receptors responsible for allergic symptoms are calle& %2 receptors. ationa!e 3) %71receptors increase mucus secretion in the stomach.
A&ams, Pharmacology for Nurse: A Pathophysiologic Approach, (89 Copyright 732( by -earson 9&ucation* 'nc.

ationa!e 4) %71receptors are responsible for peptic ulcers. "!o#a! ationa!e: Co$niti%e &e%e!: Applying C!ient 'eed: -hysiological 'ntegrity C!ient 'eed (u#: -hysiological A&aptation 'ursin$/)nte$rated Concepts: .ursing -rocess) 9valuation &earnin$ *utcome: /01/ Question 8 Type: MCSA The client receives &iphenhy&ramine (:ena&ryl) to control allergic symptoms. nurse teach the client to report to the physician# 1. Se&ation 2. ;iarrhea 3. -ro>ectile vomiting 4. Crinary hesitancy Correct Answer: ( ationa!e 1) Se&ation is a common si&e effect* but &oes not nee& to be reporte&. ationa!e 2) ;iarrhea is not a common si&e effect. ationa!e 3) -ro>ectile vomiting is not a common si&e effect. ationa!e 4) Crinary hesitancy is an anticholinergic effect of &iphenhy&ramine (:ena&ryl) an& shoul& be reporte& to the physician. "!o#a! ationa!e: Co$niti%e &e%e!: Analyzing C!ient 'eed: -hysiological 'ntegrity C!ient 'eed (u#: -harmacological an& -arenteral Therapies 'ursin$/)nte$rated Concepts: .ursing -rocess) 'mplementation &earnin$ *utcome: /01< Question / Type: MCSA hich common symptom &oes the

A&ams, Pharmacology for Nurse: A Pathophysiologic Approach, (89 Copyright 732( by -earson 9&ucation* 'nc.

The client receives beclomethasone (:econase) intranasally as treatment for allergic rhinitis. %e as"s the nurse if this &rug is safe because it is a glucocorticoi&. hat is the best response by the nurse# 1. $'ntranasal glucocorticoi&s pro&uce almost no serious a&verse effects.$ 2. $'ntranasal glucocorticoi&s are safe if you &o not swallow any while using them.$ 3. $'ntranasal glucocorticoi&s are safe if they are not use& too long.$ 4. $'ntranasal glucocorticoi&s are safe only if use& once a &ay.$ Correct Answer: 2 ationa!e 1) 'ntranasal glucocorticoi&s pro&uce almost no serious a&verse effects. ationa!e 2) Swallowing glucocorticoi&s use& for intranasal application coul& potentially cause reactions* but large amounts woul& nee& to be swallowe&. This option states they are &angerous if swallowe& in any !uantity. ationa!e 3) There is no time frame for the use of intranasal glucocorticoi&sD they pro&uce almost no serious a&verse effects. ationa!e 4) 'ntranasal glucocorticoi&s may be use& more than once a &ayD they pro&uce almost no serious a&verse effects. "!o#a! ationa!e: Co$niti%e &e%e!: Applying C!ient 'eed: -hysiological 'ntegrity C!ient 'eed (u#: -harmacological an& -arenteral Therapies 'ursin$/)nte$rated Concepts: .ursing -rocess) 'mplementation &earnin$ *utcome: /010 Question 10 Type: MCSA The nurse teaches the client about the &ifference between oral an& nasal &econgestants. The nurse evaluates that learning has been effective when the client ma"es which statement# 1. $,ral &econgestants can cause hypertension.$ 2. $'ntranasal &econgestants are safe to use for a month* if nee&e&.$ 3. $,ral an& nasal &econgestants can cause reboun& congestion.$ 4. $,ral &econgestants are the most effective at relieving severe congestion.$ Correct Answer: 2
A&ams, Pharmacology for Nurse: A Pathophysiologic Approach, (89 Copyright 732( by -earson 9&ucation* 'nc.

ationa!e 1) ,ne of the si&e effects of oral &econgestants is hypertension. ationa!e 2) 'ntranasal &econgestants shoul& not be use& for longer than / to ? &ays. ationa!e 3) ,ral &econgestants &o not cause reboun& congestionD nasal &econgestants can cause reboun& congestion. ationa!e 4) 'ntranasal* not oral* &econgestants are the most effective at relieving severe congestion. "!o#a! ationa!e: Co$niti%e &e%e!: Analyzing C!ient 'eed: -hysiological 'ntegrity C!ient 'eed (u#: -harmacological an& -arenteral Therapies 'ursin$/)nte$rated Concepts: .ursing -rocess) 9valuation &earnin$ *utcome: /01( Question 11 Type: MCSA A mother as"s the nurse when she shoul& give her chil& cough me&icine. 1. $ hen he is coughing up green secretions.$ 2. $ hen he has a temperature over 23745.$ 3. $ hen he has bronchitis.$ 4. $ hen he has a &ry cough an& cannot rest.$ Correct Answer: ( ationa!e 1) 'f the client is coughing up green secretions* he nee&s to receive an antibiotic* not cough me&icine. The chil& nee&s to clear these secretions so a cough suppressant woul& not be use&. ationa!e 2) 'f a client is febrile* he nee&s an assessment prior to receiving cough me&ication. ationa!e 3) 't is not &esirable to suppress the cough reflex in a client with bronchitisD the chil& shoul& not receive cough me&icine. ationa!e 4) ;ry* hac"ing* an& nonpro&uctive cough is irritating to the membranes of the throat an& &eprives the client of much nee&e& rest* so a cough me&icine woul& be warrante& in this case. "!o#a! ationa!e: Co$niti%e &e%e!: Analyzing C!ient 'eed: -hysiological 'ntegrity C!ient 'eed (u#: -harmacological an& -arenteral Therapies
A&ams, Pharmacology for Nurse: A Pathophysiologic Approach, (89 Copyright 732( by -earson 9&ucation* 'nc.

hat is the best response by the nurse#

'ursin$/)nte$rated Concepts: .ursing -rocess) 'mplementation &earnin$ *utcome: /01? Question 12 Type: MCSA The physician prescribes fluticasone (5lonase) for the client. The nurse woul& hol& the &rug an& contact the physician with which assessment fin&ing# 1. The client has &iabetes mellitus. 2. The client is pregnant. 3. The client has glaucoma. 4. The client has hypertension. Correct Answer: 7 ationa!e 1) There is no contrain&ication for use of this &rug in a client who has &iabetes mellitus. ationa!e 2) This is a class C &rug so effects on pregnancy are not "nownD the client shoul& not receive this &rug. ationa!e 3) There is no contrain&ication for use of this &rug in a client &iagnose& with glaucoma. ationa!e 4) There is no in&ication that use of this &rug is contrain&icate& in the client who is hypertensive. "!o#a! ationa!e: Co$niti%e &e%e!: Analyzing C!ient 'eed: -hysiological 'ntegrity C!ient 'eed (u#: -harmacological an& -arenteral Therapies 'ursin$/)nte$rated Concepts: .ursing -rocess) 'mplementation &earnin$ *utcome: /01< Question 13 Type: MCSA The client is very frustrate& that pseu&oephe&rine is no longer stoc"e& on pharmacy shelves. The client &oes not li"e to go the pharmacy counter to obtain the &rug. hat is the best response by the nurse# 1. $This is frustrating* but hopefully it will &ecrease the amount of methamphetamine being pro&uce&.$ 2. $This is frustrating* but hopefully it will &ecrease the amount of inhale& heroin being pro&uce&.$ 3. $This is frustrating* but hopefully it will &ecrease the amount of methylpheni&ate being pro&uce&.$
A&ams, Pharmacology for Nurse: A Pathophysiologic Approach, (89 Copyright 732( by -earson 9&ucation* 'nc.

4. $This is frustrating* but hopefully it will &ecrease the amount of crac" cocaine being pro&uce&.$ Correct Answer: 2 ationa!e 1) -seu&oephe&rine (Su&afe&) is a ma>or ingre&ient in the pro&uction of methamphetamine. ationa!e 2) -seu&oephe&rine (Su&afe&) is a ma>or ingre&ient in the pro&uction of methamphetamine* not heroin. ationa!e 3) -seu&oephe&rine (Su&afe&) is a ma>or ingre&ient in the pro&uction of methamphetamine* not methylpheni&ate. ationa!e 4) -seu&oephe&rine (Su&afe&) is a ma>or ingre&ient in the pro&uction of methamphetamine* not crac" cocaine. "!o#a! ationa!e: Co$niti%e &e%e!: Applying C!ient 'eed: -hysiological 'ntegrity C!ient 'eed (u#: -harmacological an& -arenteral Therapies 'ursin$/)nte$rated Concepts: .ursing -rocess) 'mplementation &earnin$ *utcome: /010 Question 14 Type: MCSA The client ta"es &iphenhy&ramine (:ena&ryl)* but forgets to tell the physician about this &rug when a monoamine oxi&ase inhibitor (MA,') &rug is prescribe& for &epression. hat will the best assessment by the nurse reveal# 1. The &epression will not subsi&e. 2. The client may &evelop seizures. 3. The &iphenhy&ramine (:ena&ryl) will not control allergies. 4. The client may &evelop a hypertensive crisis. Correct Answer: ( ationa!e 1) ;epression is not the concern with this combination. ationa!e 2) Seizures are not the concern with this combination. ationa!e 3) Control of allergies is not the concern with this combination. ationa!e 4) The combination of &iphenhy&ramine (:ena&ryl) an& a monoamine oxi&ase inhibitor (MA,') &rug can result in a hypertensive crisis.
A&ams, Pharmacology for Nurse: A Pathophysiologic Approach, (89 Copyright 732( by -earson 9&ucation* 'nc.

"!o#a! ationa!e: Co$niti%e &e%e!: Analyzing C!ient 'eed: -hysiological 'ntegrity C!ient 'eed (u#: -harmacological an& -arenteral Therapies 'ursin$/)nte$rated Concepts: .ursing -rocess) Assessment &earnin$ *utcome: /01< Question 1+ Type: MCSA The upper respiratory tract (C6T) consists of the nose* nasal cavity* pharynx* an& paranasal sinuses. 't un&ergoes a process sometimes referre& to as 1. filtering. 2. warm con&itioning. 3. air con&itioning. 4. absorbing. Correct Answer: / ationa!e 1) 5iltering &oes not occur in this process. ationa!e 2) 't &oes not warm con&ition in this process. ationa!e 3) 't &oes un&ergo a process referre& to as $air con&itioning.$ ationa!e 4) Absorbing &oes not occur in this process. "!o#a! ationa!e: Co$niti%e &e%e!: 6emembering C!ient 'eed: -hysiological 'ntegrity C!ient 'eed (u#: -hysiological A&aptation 'ursin$/)nte$rated Concepts: .ursing -rocess) Assessment &earnin$ *utcome: /012 Question 1Type: MCSA Antihistamines bloc" the actions of histamine at the 1. %2 receptor site.
A&ams, Pharmacology for Nurse: A Pathophysiologic Approach, (89 Copyright 732( by -earson 9&ucation* 'nc.

2. :2 receptor site. 3. :7 receptor site. 4. C2 receptor site. Correct Answer: 2 ationa!e 1) The %2 receptor site is the site for bloc"ing histamine with the use of antihistamines. ationa!e 2) The :2 receptor site &oes not play a role in bloc"ing histamine. ationa!e 3) The :7 receptor site &oes not play a role in bloc"ing histamine. ationa!e 4) C2 is not a site of histamine release. "!o#a! ationa!e: Co$niti%e &e%e!: 6emembering C!ient 'eed: -hysiological 'ntegrity C!ient 'eed (u#: -hysiological A&aptation 'ursin$/)nte$rated Concepts: .ursing -rocess) Assessment &earnin$ *utcome: /01/ Question 1. Type: MCSA ,ral &econgestants &iffer from intranasal &econgestants in that oral &econgestants 1. are more effective at relieving severe congestion. 2. have more systemic effects. 3. can cause reboun& congestion. 4. have high efficacy. Correct Answer: 7 ationa!e 1) ,ral &econgestants are less effective at relieving severe congestion. ationa!e 2) ,ral &econgestants can have more systemic effects. ationa!e 3) 'ntranasal &econgestants can cause reboun& congestion after more than ? &ays of use. ationa!e 4) 'ntranasal &econgestants are higher in efficacy. "!o#a! ationa!e:
A&ams, Pharmacology for Nurse: A Pathophysiologic Approach, (89 Copyright 732( by -earson 9&ucation* 'nc.

Co$niti%e &e%e!: Cn&erstan&ing C!ient 'eed: -hysiological 'ntegrity C!ient 'eed (u#: -harmacological an& -arenteral Therapies 'ursin$/)nte$rated Concepts: .ursing -rocess) -lanning &earnin$ *utcome: /01( Question 18 Type: MCSA hich of the following over1the1counter (,TC) antihistamine combinations contains an analgesic property# 1. Su&afe& -9 .ighttime Allergy 2. Triaminic Col&8Allergy 3. Tavist Allergy 271hour 4. Actife& -lus Correct Answer: ( ationa!e 1) Su&afe& -9 .ighttime Allergy contains &iphenhy&ramine an& phenylephrine. ationa!e 2) Triaminic Col&8Allergy contains chlorpheniramine an& phenylephrine. ationa!e 3) Tavist Allergy 271hour contains clemastine. ationa!e 4) Actife& -lus contains acetaminophen. "!o#a! ationa!e: Co$niti%e &e%e!: 6emembering C!ient 'eed: -hysiological 'ntegrity C!ient 'eed (u#: -harmacological an& -arenteral Therapies 'ursin$/)nte$rated Concepts: .ursing -rocess) -lanning &earnin$ *utcome: /01< Question 1/ Type: MCSA Centrally acting antitussives* such as opioi&s* are use& to 1. &ecrease nasal congestion. 2. brea" &own mucus.
A&ams, Pharmacology for Nurse: A Pathophysiologic Approach, (89 Copyright 732( by -earson 9&ucation* 'nc.

3. relieve severe cough. 4. relieve mil& cough. Correct Answer: / ationa!e 1) ;econgestants &ecrease congestion. ationa!e 2) 9xpectorants brea" &own mucus. ationa!e 3) ,pioi&s relieve severe cough. ationa!e 4) .on1opioi& antitussives relieve mil& cough. "!o#a! ationa!e: Co$niti%e &e%e!: 6emembering C!ient 'eed: -hysiological 'ntegrity C!ient 'eed (u#: -harmacological an& -arenteral Therapies 'ursin$/)nte$rated Concepts: .ursing -rocess) -lanning &earnin$ *utcome: /01 ? Question 20 Type: MCSA The main classification for a prototype &rug* such as fexofena&ine (Allegra)* is a8n 1. atypical secon& generation %71receptor antagonist. 2. typical first1generation %21receptor antagonist. 3. atypical first generation %21receptor antagonist. 4. typical secon&1generation %21receptor antagonist. Correct Answer: ( ationa!e 1) 5exofena&ine (Allegra) is not an atypical %71receptor antagonist. ationa!e 2) 5exofena&ine (Allegra) is not a typical first1generation %21receptor. ationa!e 3) 5exofena&ine (Allegra) is not an atypical %21receptor antagonist. ationa!e 4) 5exofena&ine (Allegra) is a typical secon&1generation %21receptor antagonist. "!o#a! ationa!e: Co$niti%e &e%e!: 6emembering
A&ams, Pharmacology for Nurse: A Pathophysiologic Approach, (89 Copyright 732( by -earson 9&ucation* 'nc.

C!ient 'eed: -hysiological 'ntegrity C!ient 'eed (u#: -harmacological an& -arenteral Therapies 'ursin$/)nte$rated Concepts: .ursing -rocess) -lanning &earnin$ *utcome: /01< Question 21 Type: MCMA A client calls the nurse help1line an& says* @My frien& an& ' have been swimming an& &rin"ing beer all &ay an& he too" a couple of swigs of 6obitussin ;M (&extromethorphan) about 2? minutes ago. .ow he is acting funny an& seeing things.A hat shoul& the nurse consi&er when formulating a response# Note: Credit will be given only if all correct choices and no incorrect choices are selected. (tandard Te,t: Select all that apply. Correct Answer: "!o#a! ationa!e: Co$niti%e &e%e!: Analyzing C!ient 'eed: -hysiological 'ntegrity C!ient 'eed (u#: -harmacological an& -arenteral Therapies 'ursin$/)nte$rated Concepts: .ursing -rocess) -lanning &earnin$ *utcome: /0.E Question 22 Type: MCMA A client with chronic bronchitis is to start receiving breathing treatments with Acetylcysteine (Mucomyst). information shoul& the nurse inclu&e in teaching about this me&ication# Note: Credit will be given only if all correct choices and no incorrect choices are selected. (tandard Te,t: Select all that apply. 1. @Bour pharmacist can or&er this for you to purchase as an over1the1counter &rug.A 2. @Stop the treatment if you start to cough.A 3. @This &rug has a very short shelf1life* so if it smells ba& &o not use it.A 4. @This &rug is &esigne& to brea" &own an& thin the mucus in your lungs.A +. @Bou might experience nausea while using this &rug.A Correct Answer: (*?
A&ams, Pharmacology for Nurse: A Pathophysiologic Approach, (89 Copyright 732( by -earson 9&ucation* 'nc.

hich

ationa!e 1) This &rug is by prescription only. ationa!e 2) This me&ication is &esigne& to thin mucus to ma"e it easier to remove by coughing. Coughing is a &esire& effect. ationa!e 3) Acetylcysteine has the o&or of rotten eggs. This is not an in&ication that it is past the recommen&e& use &ate or that it has gone ba&. ationa!e 4) This &rug is a mucolytic an& is &esigne& to thin mucus by brea"ing &own the chemical structure. ationa!e +) ,ne of the a&verse effects of acetylcysteine is nausea. "!o#a! ationa!e: Co$niti%e &e%e!: Analyzing C!ient 'eed: -hysiological 'ntegrity C!ient 'eed (u#: -harmacological an& -arenteral Therapies 'ursin$/)nte$rated Concepts: .ursing -rocess) 'mplementation &earnin$ *utcome: /0.E Question 23 Type: MCMA A client has been prescribe& the opioi& combination &rug %ycomine Compoun& for control of cough. This &rug contains hy&roco&one* phenylephrine* chlorpheniramine* an& acetaminophen. hich instructions shoul& the nurse provi&e as part of me&ication e&ucation# Note: Credit will be given only if all correct choices and no incorrect choices are selected. (tandard Te,t: Select all that apply. 1. @;rin" a full glass of water when ta"ing this me&ication.A 2. @Feep this me&ication at your be&si&e so you can ta"e it as nee&e&.A 3. @Ta"e this &rug exactly as in&icate&.A 4. @'f you have hea& or bo&y aches you may ta"e any over1the1counter analgesic.A +. @;o not ma"e important &ecisions or operate machinery while ta"ing this &rug.A Correct Answer: /*? ationa!e 1) The me&ication shoul& be ta"en without water an& the client shoul& not &rin" anything for /3GE3 minutes.

A&ams, Pharmacology for Nurse: A Pathophysiologic Approach, (89 Copyright 732( by -earson 9&ucation* 'nc.

ationa!e 2) %y&roco&one is an opioi& with the a&verse effect of &rowsiness. The client may ina&vertently over&ose if ta"ing as nee&e& or if ta"ing &oses while &rowsy. ationa!e 3) Ta"ing too much of this &rug can cause overse&ation. 't also contains acetaminophen which shoul& be ta"en only as &irecte&. ationa!e 4) The client shoul& not ta"e any other preparation that contains acetaminophen to avoi& over&ose. ationa!e +) The hy&roco&one component of this &rug will ma"e the client &rowsy an& may impact the ability to ma"e &ecisions. "!o#a! ationa!e: Co$niti%e &e%e!: Analyzing C!ient 'eed: -hysiological 'ntegrity C!ient 'eed (u#: -harmacological an& -arenteral Therapies 'ursin$/)nte$rated Concepts: .ursing -rocess) 'mplementation &earnin$ *utcome: /0.0 Question 24 Type: MCMA The client is prescribe& a nasal &econgestant spray. the client about how to use this me&ication# hat information shoul& the nurse inclu&e when e&ucating

Note: Credit will be given only if all correct choices and no incorrect choices are selected. (tandard Te,t: Select all that apply. 1. @:low your nose imme&iately before using the me&ication.A 2. @;rin" a full glass of water imme&iately before using this spray.A 3. @Himit your use of this spray to no more than ? &ays.A 4. @Since you are using more than one type of nasal spray* be sure to wait ?G23 minutes between a&ministrations.A +. @Bou shoul& spit out any excess spray that &rains into your mouth.A Correct Answer: 2*/*(*? ationa!e 1) The nasal passages shoul& be cleare& by blowing the nose imme&iately before the me&ication is a&ministere&. ationa!e 2) 5lui&s shoul& be increase&* but it is not necessary to &rin" a glass of water imme&iately before using the spray.
A&ams, Pharmacology for Nurse: A Pathophysiologic Approach, (89 Copyright 732( by -earson 9&ucation* 'nc.

ationa!e 3) .asal &econgestant sprays shoul& not be use& for more that /G? &ays. ationa!e 4) The client shoul& wait ?G23 minutes between a&ministering &ifferent nasal sprays to allow the first me&ication some time to wor" before the secon& one is use&. ationa!e +) 9xcess spray shoul& not be swallowe& as systemic effects may occur. "!o#a! ationa!e: Co$niti%e &e%e!: Analyzing C!ient 'eed: -hysiological 'ntegrity C!ient 'eed (u#: -harmacological an& -arenteral Therapies 'ursin$/)nte$rated Concepts: .ursing -rocess) 'mplementation &earnin$ *utcome: /0.0 Question 2+ Type: MCMA A client is prescribe& an intranasal corticosteroi&. &rug# hat shoul& the nurse inclu&e in client e&ucation about this

Note: Credit will be given only if all correct choices and no incorrect choices are selected. (tandard Te,t: Select all that apply. 1. @Bou may feel a burning sensation when using this &rug.A 2. @This &rug will be most effective if use& only when symptoms are present.A 3. @:e careful of how har& you s!ueeze the container as you can ina&vertently give yourself too much me&ication for one &ose.A 4. @This me&ication may &ry out your nasal passages enough to cause noseblee&.A +. @;o not eat licorice while ta"ing this &rug.A Correct Answer: 2*(*? ationa!e 1) The most fre!uently reporte& a&verse effect of this &rug is an intense burning sensation in the nose occurring imme&iately after spraying. ationa!e 2) The &rug often ta"es 2 to / wee"s to achieve pea" response an& shoul& be starte& in a&vance of expecte& nee&. ationa!e 3) The me&ications are provi&e& in metere&1spray &evices. ationa!e 4) 9xcessive &rying of the nasal mucosa may occur* which lea&s to epistaxis.
A&ams, Pharmacology for Nurse: A Pathophysiologic Approach, (89 Copyright 732( by -earson 9&ucation* 'nc.

ationa!e +) Hicorice may potentiate the effects of corticosteroi&s. "!o#a! ationa!e: Co$niti%e &e%e!: Analyzing C!ient 'eed: -hysiological 'ntegrity C!ient 'eed (u#: -harmacological an& -arenteral Therapies 'ursin$/)nte$rated Concepts: .ursing -rocess) 'mplementation &earnin$ *utcome: /0.(

A&ams, Pharmacology for Nurse: A Pathophysiologic Approach, (89 Copyright 732( by -earson 9&ucation* 'nc.