Question

PN 200 Fundamentals of Nursing II Upper & Lower Respiratory Drugs Multiple Choice Identit the choice that best completes the statement or swers the question 1. A patient has purchased a nasal decongestant for all members of the household to use. Which of the following instructions is a priority for the nurse to educate the patient about the drug? a. Topical decongestants can sting or burn when used. b. Rebound congestion can occur with topical decongestants c. Do not allow the tip to touch the nasal mucosa. d. Refrain from sharing the drug container with multiple users 2. A nurse is caring for a patient who as been using eucalyptus product for the treatment of nasal congestion. What assessment question should the nurse ask about the use of this herbal medicine? a. Is the medication taken on an empty stomach? b. Is the patient pregnant? c. is the drug used in a humidifier d. is the patient warming the medicine before use? 3. A patient experiencing a cough takes on OTC cough medicine. Under which condition should the patient consult the primary care physician a Cough lasts more than 10 days b. Cough is accompanied by dizziness c. Frequency of coughing is 20 minutes d. Cough is accompanied by vomiting 4. A patient with cystic fibrosis may use which medication to reduce the viscosity of respiratory secretions a. Mucolytic b. Antitussive c. Expectorant d. Antihistamine 5. A patient is taking levothyroxine 150 meg daily for hypothyroidism. Which of the following medications should be avoided in this client? a. Potassium iodide b. Dextromethorphan c. Codeine d. Benzonate 6. Expectorants elicit their effect by which of the following mechanisms? a Thinning secretions b. Breaking down thick mucus in the lower lungs c. Depressing the cough center in the brain d. Anesthetizing stretch receptors in the respiratory passages

Answer 1

1, d,Refrain from sharing the drug container with multiple users.
Sharing the drug container with multiple users causes cross-infection when it used for long periods it cause rebound congestion, the tip of the container touching the mucosa contaminates the container. when we use topical decongestants it causes burn on the site.
2, c, Is the drug used in a humidifier
Essential oils like eucalyptus should be used with boiling water for steam inhalation. It will safeguard pregnant women with natural oil use. there is no instruction to be followed before using this product. medicine needs to be added with hot water before use.
3, b, cough is accompanied by dizziness
Dizziness and vertigo when coughing accompanied with anxiety indicate swelling of the vestibular nerve, it should be informed to doctor immediately.
the cough will extend for 10 days is normal, but if it extends for more than 3 weeks we should consult the doctor. Cough accompanied by vomiting is normal when the mucous production creates gagging and vomiting, nausea.
4, a, mucolytic
Mucolytic medications are used in respiratory conditions like asthma and cystic fibrosis to improve mucous function that reduces the mucus viscosity. It reduces the viscosity of mucus by decreasing mucin polymers, DNA or F-actin in respiratory secretion...anti-tissue therapy not effective in cystic fibrosis it suitable for chronic bronchitis. expectorants increase the volume of airway with effective cough, it will not reduce the viscosity. antihistamine relieves allergy symptoms.