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44 Cards in this Set
- Front
- Back
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T/F: Drugs that block the cough reflex are called antihistamines. |
False: Antitussives |
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T/F: Dopamine is a chemical released during the inflammatory process. |
False: Histamine |
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T/F: Drugs that block the effects of histamine are called ANTIHISTAMINES |
True |
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T/F: ANTITUSSIVES are drugs that decrease the overproduction of respiratory secretions. |
F: Dcongestants |
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T/F: The SINUSES are in constant motion, moving the mucus and any trapped substance toward the throat. |
F: CILLIA |
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T/F: BRONCHODILATORS increase a prodctive cough to clear the airways. |
F: Expectorants |
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T/F: INFLUENZA is a viral infection that starts in the upper respiratory tract. |
F: COMMON COLD |
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T/F: LARYNGITIS is an inflammation or infection of the throat. |
F: PHARYNGITIS |
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T/F: Sinusitis occurs when the epithelial lining of the ORAL cavities become inflamed.
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F: SINUS |
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T/F: INFLUENZA is an infection caused by any of several strains of myxoviruses. |
TRUE |
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T/F: Inflammation of the nose is known as rhinitis. |
True |
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T/F: An inflammation of the voice box is called PHARYNGITIS |
FALSE: LARYNGITIS |
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T/F: REBOUND CONGESTION occurs when drug effect wears off and the body compensates by vasodilating the same nasal arterioles that the drug constricted. |
TRUE |
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T/F: Swelling of the face is called URTICARIA |
F: ANGIODEMIA |
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T/F: An ENANTIOMER is a "mirror image" of a chemical structure. |
TRUE |
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T/F: Hives are also known as ANGIODEMIA. |
False: Urticaria |
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Dextromethorphan (Benylin) works by: a.) inhibition of the cough center in the medulla b.) inhibition of respiratory tract secretions c.) stimulation of opiate receptors d.) bronchodilation |
A |
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Which if the following statements concerning the adverse effects dextromethorphan is correct? a.) there are many adverse effects, but few are serious. b.) there are many adverse effects, and many are serious. c.) there are a few minor adverse effects d.) There are only a few adverse effects, but all of them are serious. |
C |
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Pseudoephedrine (sudafed) works by: a.) mimicking the action of the parasympathetic nervous system b.) mimicking the action of the sympathetic nervous system c.) blocking the action of the parasympathetic nervous system d.) blocking the action of the sympathetic nervous system |
B |
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Pseudoephedrine (sudafed) is indicated for the treatment of which of the following? a.) viral upper respiratory infection b.) asthma c.) bronchitis d.) cerebral palsy |
A |
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Which of the following adverse effects may occur during pseudoephedrine therapy? a.) urinary retention b.) bradycardia c.) tachycardia d.) hunger |
C |
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How do oxymetazoline differ from pseudoephedrine? a.) Route and decreased incidence of adverse effects b.) contraindications and increased dosing frequency c.) route and increased adverse effects d.) contraindications and decreased dosing frequency |
A |
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Which of the following nasal sprays is a steroidal anti-inflammatory drug? a.) Oxymetazoline (Afrin) b.) Phenylephrine (Neo-Synephrine) c.) Ephedrine (Kondons Nasal) d.) Dexamethasone sodium phosphate (Turbinaire) |
D |
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Antihistamines, such as fexofenadine (allegra), are the treatment of choice for: a.) viral upper respiratory infections b.) allergic rhinitis c.) influenza d.) asthma |
B |
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Fexofenadine (Allegra) a second generation antihistamine, differs from first generation antihistamines such as diphenhydramine (benadryl) by: a.) increased adverse effect profile b.) decreased sedation c.) decreased incidence of allergy d.) increased anticholinergic effect. |
B |
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An expectorant drug, such as guaifenesin (robitussin) is used to relieve: a.) a dry hacking cough b.) nasal congestion c.) chest congestion d.) sinus congestion |
A |
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Which of the following statements concerning durg-drug interactions of guaifenesin (robitussin) is accurate? a.) There are no known drug-drug interactions b.) there are a few drug-drug interactions, but they are minor c.) there are a few drug-drug interactions, and they are serious d.) there are many drug-drug interactions, and they are serious. |
A |
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Cromolyn sodium (NasalCrom) works by: a.) vasoconstriction of nasal vesseks b.) depressing medulla c.) preventing the breakdown of mast cells d.) antagonizing the effects of histamine |
C |
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Your patient has viral upper respiratory infection, and dextromethorphan (benylin) is prescribed every 4 hours. You note that the patient us taking fluoxetine, a SSRI. You would advise this patient to: a.) refuse to take the dextromethorphan at all b.) take the dextromethorphan every other day c.) skip the 6 pm dose and double the bed time dose d.) call if the symptoms such as a fever, nausea, or hallucinations occur |
D |
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For the hospitalized patient, a priority nursing diagnosis for the patient receiving hydrocodone bitartrate is: a.) Risk for ineffective airway clearance b.) risk for ineffective gas exchange c.) risk for injury d.) risk for constipation |
C |
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When assessing a patient taking pseudoephedrine (sudafed), a nurse should caution the patient about potential adverse effects which include: a.) hypotension b.) bradycardia c.) cough d.) anxiety |
D |
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Which of following statements would be appropriate for patient teaching regarding pseudoephedrine therapy? a.) you can take this medication for 30 days b.) this medication does not have any major drug interactions c.) this medication can make you really drowsy d.) in addition to this medication, you should use a humidifier and drink at least 10 glasses of water a day |
D |
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Which of the following patients should refrain from fexofenadine (allegra) therapy? a.) Marilyn, who is breast feeding b.) Heather, who has parkinson disease c.) evelyn, who has PVD d.) Charlene, who has diabetes mellitus. |
A |
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Your 5-year old son patient has allergic rhinitis. Which of the following drugs would be the best for this? a.) Cetirizine (Zyrtec) b.) Fexofenadine (Allegra) c.) Desloratadine (Clarinex) d.) Diphenhydramine (Benadryl) |
A |
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Your 46 y.o. patient calls the clinic to speak with the advice nurse. The patient reports having a cough for the past 4 weeks and says she has been self-treating with guaifenesin (robitussin) from the local drug store. The pt. states "This is barely helping me. I need something else" Which of the following statements is most appropriate? a.) this medication will work better if you stop smoking b.) have you been drinking lots of water with this medication? c.) Because your cough has been with you for so long, it's best if you come to the clinic for a checkup d.) as long as you do not have a fever, i would just double the dose. |
C |
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Patient teaching for the patient receiving dextromethorphan should include which of the following? a.) do not dirve until you see how this drug affects you b.) do not eat or drink any dairy products with this drug c.) take the drug only at bedtime d.) do not take this drug within 2 hours of your vitamin tablets |
A |
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Patient teaching for the patient receiving pseudoephedrine should include which of the following? a.) do not take this drug for more than 30 days b.) do not take any OTC medications without asking your doctor or pharmacist c.) be sure to drink milk at least once a day to decrease GI effects d.) this drug may make you very tired |
B |
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Patient teaching for the patient taking fexofenadine should include which of the following? a.) Limit your intake of water while you are taking this drug b.) you should not take this drug for more than 3 days c.) this drug may give you insomnia d.) try sugarless gum or candy if your mouth is dry. |
A |
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Which of these finding, if identified in a climent who being treated with dextromethorphan would indicate that the drug is having the desired effect? a.) the respiratory secretions are no longer thick b.) the nasal congestion is resolved c.) the cough has subsided d.) the temperature |
c |
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A patient is seen in the outpatient center for a chronic cough and receives a prescription for dextromethorphan, an antitussive. Which of the following should the nurse include in patient education? a.) do not drive until the effects of the drug on you are known b.) do not drink alcohol while taking this drug c.) keep this medicine out of the reach of children d.) all of the above e.) none of the above |
D |
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What recommendations would you give a patient to maximize the therapeutic effect of pseudoephedrine, a nasal decongestant? a.) eat a diet high in fiber b.) drink plenty of liquids c.) avoid taking hot, steamy showers d.) do not take for more than 14 days |
B |
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You are the nurse working a telephone hot line to answer questions about health problems. A patient calls and tells you that he has been taking fexofenadine, an antihistamine, for seasonal allergies. The drug is effective, but the patient reports having upset stomach after taking it and wonders if he must stop taking the drug. What advice should you give? a.) stop taking the drug immediately b.) take half of the prescribed dose c.) take the drug with food d.) take another antihihistamine in addition to the fexofenadine |
C |
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Your next call, as the telephone advice nurse, is from a patient who reports having a chronic nonproductive cough. The patient states, "would it be better to take robitussin or benylin for my cough?" Which of the questions would you include in your assessment to give him the best answer? a.) Do you have chronic asthma or emphysema? b.) Do you smoke? c.) What other medications do you take? d.) All of the above e.) none of the above |
D |
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You are caring for a 14 y.o. pt. the mother tells you that she is concerned that her child might be smoking because she is constantly asking to buy robitussin for a cough. What further information would you need from the mother? a.) can you smell cigarette smoke when she comes home? b.) have you noticed any unusual or agitated behavior c.) does anyone in your family smoke? d.) Has she been recently ill or running a temperature |
B |
