Question 1

Which drug is most likely to be chosen to aid in the removal of excessive mucus in the respiratory tract?

Accepted Answer

A) guaifenesin 
B) benzonatate 
C) codeine 
D) dextromethorphan 
A) guaifenesin 
B) benzonatate 
C) codeine 
D) dextromethorphan A

Question 2

A gardener needs a decongestant because of seasonal allergy problems.Which is a benefit of orally administered decongestants?

Accepted Answer

A) Onset is immediate. 
B) The effect is more potent. 
C) Rebound congestion is almost nonexistent. 
D) The adverse effects of restlessness and nervousness are reduced. 
A) Onset is immediate. 
B) The effect is more potent. 
C) Rebound congestion is almost nonexistent. 
D) The adverse effects of restlessness and nervousness are reduced. C

Question 3

Because of many reported adverse events,which groups of children should not be given cough and cold medications?

Accepted Answer

A) Children younger than 2 years of age 
B) Children younger than 4 years of age 
C) Children younger than 6 years of age 
D) Children younger than 8 years of age 
A) Children younger than 2 years of age 
B) Children younger than 4 years of age 
C) Children younger than 6 years of age 
D) Children younger than 8 years of age C

Question 4

A patient is taking guaifenesin (Balminil)as part of treatment of influenza.What should the nurse also instruct the patient to do?

Accepted Answer

A) Force fluids to help loosen and liquefy secretions. 
B) Report a fever to the doctor if body temperature is above 38.3°C. 
C) Avoid driving a car or operating heavy machinery, because of the drug's sedating effects. 
D) To retain the effects of the medication for a longer period, avoid coughing. 
A) Force fluids to help loosen and liquefy secretions. 
B) Report a fever to the doctor if body temperature is above 38.3°C. 
C) Avoid driving a car or operating heavy machinery, because of the drug's sedating effects. 
D) To retain the effects of the medication for a longer period, avoid coughing.

Question 5

The nurse knows that an antitussive drug is most appropriate for which patient?

Accepted Answer

A) A patient with pneumonia who has a productive cough 
B) A patient who has a tracheostomy and thick mucus secretions 
C) A patient who has had a productive cough for 2 weeks 
D) A patient who has developed bronchitis 2 days after hernia repair surgery 
A) A patient with pneumonia who has a productive cough 
B) A patient who has a tracheostomy and thick mucus secretions 
C) A patient who has had a productive cough for 2 weeks 
D) A patient who has developed bronchitis 2 days after hernia repair surgery

Question 6

What systemic effect may occur with the administration of a topically applied adrenergic nasal decongestant?

Accepted Answer

A) Heartburn 
B) Bradycardia 
C) Hypotension 
D) Nervousness 
A) Heartburn 
B) Bradycardia 
C) Hypotension 
D) Nervousness

Question 7

Which antihistamine is commonly used in the treatment of motion sickness?

Accepted Answer

A) cyproheptadine hydrochloride 
B) diphenhydramine (Benadryl) 
C) cetirizine hydrochloride 
D) promethazine 
A) cyproheptadine hydrochloride 
B) diphenhydramine (Benadryl) 
C) cetirizine hydrochloride 
D) promethazine

Question 8

A patient has been advised to add a nasal spray (an adrenergic decongestant)to treat a cold.What should the nurse tell the patient in regard to the nasal spray?

Accepted Answer

A) Expect the spray's effects to be delayed for at least 1 week. 
B) Limit the use of the spray to 3 to 5 days. 
C) Continue using the spray until the nasal stuffiness has resolved. 
D) Avoid using the spray if a fever develops. 
A) Expect the spray's effects to be delayed for at least 1 week. 
B) Limit the use of the spray to 3 to 5 days. 
C) Continue using the spray until the nasal stuffiness has resolved. 
D) Avoid using the spray if a fever develops.

Question 9

How does the antitussive dextromethorphan (Benylin DM-E)work to suppress the cough reflex?

Accepted Answer

A) By causing central nervous system (CNS) depression 
B) By anaesthetizing the stretch receptors 
C) Through a direct action on the cough centre 
D) By decreasing the viscosity of the bronchial secretions 
A) By causing central nervous system (CNS) depression 
B) By anaesthetizing the stretch receptors 
C) Through a direct action on the cough centre 
D) By decreasing the viscosity of the bronchial secretions

Question 10

During a routine checkup,the patient reports an inability to take the prescribed antihistamine because of one of its most common adverse effects.The physician prescribes another antihistamine,loratadine (Claritin).What adverse effect has probably been bothering this patient?

Accepted Answer

A) Diarrhea 
B) Urticaria 
C) Drowsiness 
D) Decreased libido 
A) Diarrhea 
B) Urticaria 
C) Drowsiness 
D) Decreased libido

Question 11

Which instruction is correct for a patient taking an antihistamine?

Accepted Answer

A) Eat chocolate bars to ease the discomfort of dry mouth. 
B) Antihistamines are generally safe to take with over-the-counter (OT
C)  medications. 
C) Take the medication on an empty stomach to maximize absorption of the drug. 
D) Take the medication with food, even though doing so may slightly reduce the absorption of the drug. 
A) Eat chocolate bars to ease the discomfort of dry mouth. 
B) Antihistamines are generally safe to take with over-the-counter (OT
C)  medications. 
C) Take the medication on an empty stomach to maximize absorption of the drug. 
D) Take the medication with food, even though doing so may slightly reduce the absorption of the drug.

Exam 37: Antihistamines,Decongestants,Antitussives,and Expectorants

Which drug is most likely to be chosen to aid in the removal of excessive mucus in the respiratory tract?

A gardener needs a decongestant because of seasonal allergy problems.Which is a benefit of orally administered decongestants?

Because of many reported adverse events,which groups of children should not be given cough and cold medications?

A patient is taking guaifenesin (Balminil)as part of treatment of influenza.What should the nurse also instruct the patient to do?

The nurse knows that an antitussive drug is most appropriate for which patient?

What systemic effect may occur with the administration of a topically applied adrenergic nasal decongestant?

Which antihistamine is commonly used in the treatment of motion sickness?

A patient has been advised to add a nasal spray (an adrenergic decongestant)to treat a cold.What should the nurse tell the patient in regard to the nasal spray?

How does the antitussive dextromethorphan (Benylin DM-E)work to suppress the cough reflex?

During a routine checkup,the patient reports an inability to take the prescribed antihistamine because of one of its most common adverse effects.The physician prescribes another antihistamine,loratadine (Claritin).What adverse effect has probably been bothering this patient?

Which instruction is correct for a patient taking an antihistamine?

Nursing Practice in Canada and Drug Therapy

Pharmacological Principles

Legal and Ethical Considerations

Patient Focused Considerations

Gene Therapy and Pharmacogenomics

Medication Errors: Preventing and Responding

Patient Education and Drug Therapy

Over-the-Counter Drugs and Natural Health Products

Vitamins and Minerals

Principles of Drug Administration

Analgesic Drugs

General and Local Anaesthetics

Central Nervous System Depressants and Muscle Relaxants

Central Nervous System Stimulants and Related Drugs

Antiepileptic Drugs

Antiparkinsonian Drugs

Psychotherapeutic Drugs

Substance Misuse

Adrenergic Drugs

Adrenergic-Blocking Drugs

Cholinergic Drugs

Cholinergic-Blocking Drugs

Antihypertensive Drugs

Antianginal Drugs

Heart Failure Drugs

Antidysrhythmic Drugs

Coagulation Modifier Drugs

Antilipemic Drugs

Diuretic Drugs

Fluids and Electrolytes

Pituitary Drugs

Thyroid and Antithyroid Drugs

Antidiabetic Drugs

Adrenal Drugs

Women’s Health Drugs

Men’s Health Drugs

Respiratory Drugs

Acid-Controlling Drugs

Antidiarrheal Drugs and Laxatives

Antiemetic and Anti-nausea Drugs

Nutritional Supplements

Antibiotics, Part 1: Sulfonamides, Penicillins, Cephalosporins, Macrolides, and Tetracyclines

Antibiotics Part 2: Aminoglycosides, Fluoroquinolones, and Other Drugs

Antiviral Drugs

Antitubercular Drugs

Antifungal Drugs

Antimalarial, Antiprotozoal, and Anthelmintic Drugs

Anti-Inflammatory and Antigout Drugs

Immunosuppressant Drugs

Immunizing Drugs and Pandemic Preparedness

Antineoplastic Drugs Part 1: Cancer Overview and Cell Cycle–Specific Drugs

Antineoplastic Drugs Part 2: Cell Cycle–Nonspecific and Miscellaneous Drugs

Biological Response–Modifying Drugs

Anemia Drugs

Dermatological Drugs

Ophthalmic Drugs

Otic Drugs

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