Antihistamines, Decongestants, Antitussives, Expectorants & Respiratory Drugs

B. the medications only treat the symptoms.

The common cold is treated with empiric therapy, which means:
A. the medications cure the cold.
B. the medications only treat the symptoms.
c. herbal medications are useful to eliminate symptoms.
D. it is prevented with careful use of medications.

C. Urinary retention

Prior to administering an antihistamine to a patient, it is most important for the nurse to assess the patient for a history of which condition?
A. Chronic urticaria
B. Motion sickness
C. Urinary retention
D. Insomnia

B. dextromethorphan (Robitussin-DM) oral solution

A 94-year-old patient has a severe dry cough. He has coughed so hard that the muscles in his chest are hurting. He is unsteady on his feet and slightly confused. Which drug would be the best choice for this patient's cough?
A. benzonatate (Tessalon Perles

D. guaifenesin (Mucinex)

A patient with a tracheostomy developed pneumonia. It is very difficult for the patient to cough up the thick, dry secretions he has developed. The nurse identifies which drug as being most effective in helping this patient?
A. benzonatate (Tessalon Perle

A. glaucoma

When assessing a patient who is to receive a decongestant, the nurse will recognize that a potential contraindication to this drug would be which condition?
A. glaucoma
B. fever
C. peptic ulcer disease
D. allergic rhinitis

C. hypertension

When giving decongestants, the nurse must remember that these drugs have alpha-adrenergic stimulating effects that may result in which effect?
A. fever
B. bradycardia
C. hypertension
D. CNS depression

B. an expectorant

The nurse is reviewing a patient's medication orders for PRN medications that can be given to a patient who has bronchitis with a productive cough. Which drug will the nurse choose?
A. an antitussive
B. an expectorant
C. an antihistamine
D. a decongestant

C. a patient who has had recent abdominal surgery

The nurse knows that an antitussive cough medication would be the best choice for which patient?
A. a patient with a productive cough
B. a patient with chronic paranasal sinusitis
C. a patient who has had recent abdominal surgery
D. a patient who has infl

D. heart palpitations

A patient is taking a decongestant to help reduce symptoms of a cold. The nurse will instruct the patient to observe for which possible symptoms, which may indicate an adverse effect of this drug?
A. increased cough
B. dry mouth
C. slower heart rate
D. he

B. dizziness
C. "hangover" effect
D. drowsiness
F. dry mouth

The nurse is giving an antihistamine and will observe the patient for which side effects? Select all that apply....
A. hypertension
B. dizziness
C. "hangover" effect
D. drowsiness
E. tachycardia
F. dry mouth

B. Neurologic status

What system assessment will the nurse monitor in a patient due to a known common side effect of traditional antihistamines?
A. Cardiac status
B. Neurologic status
C. Respiratory status
D. Gastrointestinal status

B. less sedative effect.

Loratadine (Claritin) has an advantage over traditional antihistamines such as diphenhydramine (Benadryl) in that loratadine has
A. less risk of cardiac arrhythmias.
B. less sedative effect.
C. increased bronchodilating effects.
D. less gastrointestinal u

B. sustained use of nasal decongestants over several days may result in rebound congestion.

A patient complains of worsening nasal congestion despite the use of oxymetazoline (Afrin) nasal spray every 2 to 4 hours for the past 5 days. The nurse's response is based on knowledge that
A. oxymetazoline is not an effective nasal decongestant.
B. sust

B. "This medication will help prevent the inflammatory response of my allergies.

Which statement by the patient demonstrates understanding of action or use of beclomethasone diproprionate (Beconase)?
A. "I will need to taper off the medication to prevent acute adrenal crisis."
B. "This medication will help prevent the inflammatory res

A. Drowsiness and dizziness

The nurse is discussing use of antitussive medications with a patient. What common side effect does the nurse include in the patient teaching?
A. Drowsiness and dizziness
B. Diarrhea and abdominal cramping
C. Tremors and anxiety
D. Bradycardia and increas

C. Increase fluid intake to decrease viscosity of secretions.

Patient teaching regarding expectorants should instruct the patient to perform which action?
A. Restrict fluids to decrease mucus production.
B. Take the medication once a day only, usually at bedtime.
C. Increase fluid intake to decrease viscosity of sec

C. Atrial fibrillation

The nurse would question an order for pseudoephedrine in a patient with a history of which condition?
A. Pneumonia
B. Osteoporosis
C. Atrial fibrillation
D. Peptic ulcer disease

B. Do not use in patients younger than 2 years of age, unless prescribed.

When providing general education on use of over-the-counter medications for allergies, which is the highest priority for the nurse to include?
A. Discontinue use 4 days before allergy testing.
B. Do not use in patients younger than 2 years of age, unless

A. Antihistamines

A patient is making an appointment for allergy testing. The nurse instructs the patient not take what class of medications at least 4 days before allergy testing?
A. Antihistamines
B. Decongestants
C. Bronchodilators
D. Antitussives

C. intranasal steroids

The nurse is providing education to a patient with a history of chronic nasal congestion secondary to allergic rhinitis. Which class of medications would the nurse anticipate the provider would recommend for the patient to use on a long-term basis?
A. Ani

A. Antihistamines
B. Nasal decongestants
C. Antitussives
D. Expectorants

The nurse is discussing management of symptoms of an upper respiratory tract infection. Which classes of medications are often used in treating the symptoms of upper respiratory tract infections? (Select all that apply.)
A. Antihistamines
B. Nasal deconge

C. fexofenadine (Allegra)
D. loratadine (Claritin)
E. cetirizine (Zyrtec)

The nurse is discussing use of antihistamines for allergic rhinitis. Which medications would be included in the list of H1 antagonists used in the treatment of allergic rhinitis? (Select all that apply.)
A. ranitidine (Zantac)
B. nizatidine (Axid)
C. fexo

A. antihistamines are best tolerated when taken with meals
B. the patient can chew gum if he or she experiences dry mouth
C. drowsiness is a frequent side effect of antihistamines
E.the patient should avoid drinking alcoholic beverages while on these drug

The nurse is providing patient teaching about antihistamine use. Will include which information?
select all that apply......
A. antihistamines are best tolerated when taken with meals
B. the patient can chew gum if he or she experiences dry mouth
C. drows

A. loratadine (claritin)

A patient asks the nurse about the newer antihistamines. He wants one that doesn't cause drowsiness. Which of these is appropriate?
A. loratadine (claritin)
B. diphenhydramine (bendadryl)
C. dimenhydrinate ( drammamine)
D. meclizine (antivert)

B. decongestants (naphazoline)
E. inhaled corticosteroids (beclomethasone)

Which drugs are considered first line drugs for the treatment of nasal congestion? select all that apply...
A. antihistamine (diphenhydramine)
B. decongestants (naphazoline)
C. antitussives (dextromethorphan)
D. expectorants (guaifenesin)
E. inhaled corti

C. stop cough reflex- non productive

When giving an antitussive, the nurse remembers that they are used primarily for?
A. relieve nasal congestion
B. thin secretions
C. stop cough reflex- non productive
D. suppress productive and non productive coughs

B. drink extra fluid, unless contraindicated, to aid in expectoration of sputum

The nurse is administering an expectorant and will provide which teaching?
A. avoid fluids for 30-45 min after the dose
B. drink extra fluid, unless contraindicated, to aid in expectoration of sputum
C. avoid driving or operating heavy machinery while tak

D. This drug often causes a "hangover"effect

A patient has been self-medicating with diphenydramine (Bendadryl) to help her sleep. She calls the nurse to ask "why do I feel so tired during the day after I take this pill?" Which statement by the nurse is correct?
A. You are probably getting too much

D. narrow-angle glaucoma
E. asthma

A patient is asking about taking an antihistamine for springtime allergies. The nurse assesses for contraindications to antihistamine therapy. Which of these conditions if present, would be contraindicated? select all that apply....
A. type 2 DM

B. increased heart rate
D. nausea
E. nervousness
F. tremors

The nurse is teaching a group of patient about the use of bronchodilators. It is important to remind them that using bronchodilators too frequently may cause which adverse effect? select all that apply..
A. blurred vision
B. increased heart rate
C. decrea

D. improvement should be seen within a week of use

For patients taking a leukotriene receptor antagonist, the nurse should include which information in the patient teaching?
A. if a dose is missed, the patient may take a double dose to maintain blood levels
B. the patient should gargle or rinse the mouth

B. montelukast (singulair)

Which drug acts by blocking leukotrines, thus reducing inflammation in the lungs?
A. cromolyn (Intal)
B. montelukast (singulair)
C. theophylline (elixophyllin)
D. albuterol (proventil)

A. epinephrine

A patient is experiencing status asthmacticus. Th nurse will prepare to administer which drug first?
A. epinephrine
B. methylprednisolone ( soul-medrol)
C. cromolyn (Intal)
D. montelukast (singulair)

C. tachycardia

When a patient is taking parenteral xanthine derivatives such as aminophylline, the nurse should monitor for which adverse effect?
A. decreased respirations
B. hypotension
C. tachycardia
D. hypoglycemia

A. corticosteroid

A patient who has asthma may be prescribed which type of inhaled drug for its antiinflammatory effects?
A. corticosteroid
B. anticholinergic
C. xanthine derivative
D. beta adrenergic

A. allergy to soy lecithin
B. allergy to peanuts

A patient is to receive a new prescription for an ipratropium (atrovent) inhaler. The nurse will assess for which potential contraindications? select all that apply...
A. allergy to soy lecithin
B. allergy to peanuts
C. allergy to iodine products
D. hyper

A. a beta agonist (albuterol)

A patient who has a history of asthma is experiencing acute episode of SOB and needs to take medication for immediate relief. The nurse will choose which medication that is appropriate for this situation?
A. a beta agonist (albuterol)
B. an leukotriene re

A. expected adverse effect of this medication

After a nebulizer treatment with the beta agonist, albuterol, the patient complains of feeling a little shaky with slight hand tremors. The patient's heart rate is 98 BPM increased from the pretreatment rate of 88BPM. The nurse knows that this reaction is

B. sinus tachyardia

A patient has been receiving aminophylline (xanthine derivative) infusion for 24 hours. The nurse will assess for which adverse effect when assessing the patient during the infusion?
A. CNS depression
B. sinus tachyardia
C. increased appetite
D. temporary

C. reduces inflammation in the airway

During a teaching session for a patient who will be receiving a new prescription for the LTRA montelukast (singulair), the nurse will tell the patient that the drug has which therapeutic effects
A. improves respiratory drive
B. loosens and removes thicken

B. rinse out the mouth with water

After the patient takes a dose of an inhaled corticosteroid, such as fluticasone (flovent), what is the most important action the patient needs to do next?
A. hold the breath for 60 seconds
B. rinse out the mouth with water
C. follow the corticosteroid wi

A. I will rinse my mouth with water after each dose
C. This medication is taken twice a day, every 12 hour
E. I will call my doctor if I notice white patches inside my mouth

The nurse is teaching a patient about the inhaler Advair. Which statements by the patient indicate a correct understanding of this medication? Select all that apply....
A. I will rinse my mouth with water after each dose
B. I need to use this inhaler when

B. Therapeutic

The nurse receives lab values for a patient with a theophylline level of 14 mcg/mL. How does the nurse interpret this theophylline level?
A. Subtherapeutic
B. Therapeutic
C. Toxic
D. Life-threatening

A. Tachycardia

Discharge teaching to a patient receiving a beta-agonist bronchodilator should emphasize reporting which side effect?
A. Tachycardia
B. Nonproductive cough
C. Hypoglycemia
D. Sedation

C. St. John's wort

Which over-the-counter/herbal product, when taken with theophylline, can decrease theophylline's serum drug levels?
A. Caffeine
B. Diphenhydramine
C. St. John's wort
D. Echinacea

A. Coronary artery disease

The nurse is providing care to a patient prescribed a nonselective adrenergic agonist bronchodilator. Which medical diagnosis on this patient's chart would alert the nurse to question this order?
A. Coronary artery disease
B. Chronic obstructive pulmonary

D. Longer duration of action

A nurse is providing education to a patient taking two different medications. The nurse identifies which characteristic as the advantage of salmeterol (Serevent) over other beta2 agonists such as albuterol (Proventil)?
A. Shorter onset of action
B. Better

C. "This medication works by preventing the inflammation that causes your asthma attack.

Patient teaching regarding the use of antileukotriene drugs such as zafirlukast (Accolate) would include which statement?
A. "Take the medication as soon as you begin wheezing."
B. "It will take about 3 weeks before you notice a therapeutic effect."
C. "T

D. They decrease inflammation.

What is the role of corticosteroids in the treatment of acute respiratory disorders?
A. They stimulate the immune system.
B. They directly dilate the bronchi.
C. They increase gas exchange in the alveoli.
D. They decrease inflammation.

B. "I will rinse my mouth with water after each use.

Which statement by a patient best demonstrates an understanding of the teaching on flunisolide (AeroBid)?
A. "I will take two puffs to treat an acute asthma attack."
B. "I will rinse my mouth with water after each use."
C. "I will immediately stop taking

C. Allergens

Mast cell stabilizers are most effective in treating bronchoconstriction associated with which condition?
A. Emphysema
B. Exposure to cold
C. Allergens
D. Infection

C. "Wait 1 to 2 minutes before you take a second puff of the same drug.

Which statement would be included when teaching a patient about the proper use of metered-dose inhalers?
A. "After you inhale the medication once, repeat until you obtain relief."
B. "Make sure that you puff out air repeatedly after you inhale the medicat

D. "This inhaler is not to be used alone to treat an acute asthma attack.

What statement by the patient, who is using the anticholinergic inhaler ipratropium bromide (Atrovent), indicates to the nurse that teaching has been successful?
A. "I will increase my intake of caffeine."
B. "I may gain weight as a result of taking this

A. Liver enzymes

Which laboratory value would the nurse assess before administering zafirlukast (Accolate) to a patient?
A. Liver enzymes
B. Cardiac enzymes
C. Renal function tests
D. Complete blood count

C. Cellulose

Before administering an antileukotriene medication, the nurse would assess the patient for allergies to which substance? (Select all that apply.)
A. Lactose
B. Povidone
C. Cellulose
D. Chlorhexedine

1st- C. albuterol
2nd- B. ipratropium
3rd- A. beclamethasone

The physician orders ipratropium bromide (Atrovent), albuterol (Proventil), and beclomethasone (Beclovent) inhalers for your patient. Put the drugs in the correct order in which they will be administered, using the choices A through C listed below.
A. bec

A. albuterol (Ventolin)

Which medication will the nurse teach a patient with asthma to use when experiencing an acute asthma attack?
A. albuterol (Ventolin)
B. salmeterol (Serevent)
C. theophylline (Theo-Dur)
D. montelukast (Singulair)

B. The nurse should ask the patient to come to the office for an evaluation of his respiratory status.

A patient with chronic bronchitis calls the office for a refill of his albuterol inhaler. He just had the prescription filled 2 weeks ago, but he says it is empty. When asked, he tells the nurse, "I use it whenever I need it, but now when I use it I feel

B. Five minutes

A patient is prescribed two different types of inhaled medications for treatment of chronic obstructive pulmonary disease (COPD). After administering the first medication, how long should the nurse wait to administer the second medication?
A. One minute

A. "If I develop a puffy face, I will stop taking methylprednisolone (Medrol) immediately.

The nurse is providing teaching to a group of individuals with chronic obstructive pulmonary disease (COPD) at a community center. Which statement by one of the attendees indicates that further teaching is needed?
A. "If I develop a puffy face, I will sto

B. albuterol (Proventil)

One of the attendees expresses concern regarding her granddaughter's asthma. The attendee tells the nurse that she is afraid that she will not know which of her granddaughter's medications to give first in case of an asthma attack. Which medication should

A. Step 1

One of the attendees tells the nurse that he has asthma and is being treated with a short-acting inhaled beta2 agonist. The nurse identifies this treatment as which step of the stepwise therapy for the treatment of asthma?
A. Step 1
B. Step 2
C. Step 3