NUR 521 Exam 1 |82 Accurate Questions and
Answers
List the main Bronchodilators. - -B-Beta2 agonists
A-Anticholinergic agents
M-Methylxanthine Derivatives
-List the main Anti-Inflammatories - -S-Sys. Glucocorticoids/Corticosteriods
L-Leukotriene Modifiers
M-Mast Cell Stabilizers
-List the categories of Upper Resp. drugs - -D-Decongestants
A-Antitussives
A-Antihistamines
E-Expectorants
-What is the PT for antitussives? - -Non-productive cough.
-What is the PD for antitussives? - -CNS Medulla cough center
-What are some contraindications for antitussives? - -Asthma, COPD, CAL, or
anything that stops the cough reflex
-List adverse effects for antitussives. - -Drowsiness, nausea, irritability, OD for
euphoric effects
-List the food/drug interactions for antitussives. - -MAOI's, fluoxetine, quinidine
-What are the nursing education steps for antitussives? - -Adhere to dosage
Preg Cat C
Assess Resp. status
DO NOT crush pulls
These drugs can be abused
-What is the prototype drug for antitussives? - -Dextromethorphan (Robitussin DM)
-What are some other drugs classified as antitussives? - -Codeine (hydrocodone),
Diphenhydramine (Benadryl)
-What is the PT for decongestants? - -Reduction of nasal mucous
-What is the PD for decongestants? - -vasoconstriction of nasal arterioles
-What is the PK for decongestants? - -Oral onset 30 min, topical 5-10 min
-What are some contraindications of decongestants? - -Preg Cat C, CVD - will raise
HR because it is a sympathomimetic
, -What are some nursing roles associated with decongestants? - -Assess coronary
arteries, CVD, Htn, glaucoma, hyperglycemia, tell pts to avoid smoking
-What are some adverse effects of decongestants? - -Tension, anxiety, tachycardia,
increase BP, REBOUND CONGESTION
-What is the prototype drug of decongestants? - -Pseudoephedrine (Sudafed) - don't
take if abrasion in nasal mucosa
-What is the PT for antihistamines? - -Seasonal allergies
-What is the PD for antihistamines? - -Selectively blocks the effects of histamine at
the H1 receptor sites, competitively binds
-What is the PK for antihistamines? - -Oral, peak 2-6 hrs
-What are the contraindications of antihistamines? - -1st Gen create drowsiness,
Preg Class C, grapefruit juice, rifampin will decrease effects
-What are the nursing roles for antihistamines? - -Drink one glass of water, avoid
grapefruit and alcohol, CNS affects, dehumidifier, renal clearance to determine ability
-What are some adverse effects of antihistamines? - -Increased risk for viral
infections, nausea, vomiting
-List some 1st gen antihistamines - -Chlorpheniramine, clemastine,
diphenhydramine
-List some second gen. antihistamines - -Cetirizine, loratadine, desloratidine
-What is the PT for expectorants? - -Relieves dry nonproductive cough, loosens
secretions
-What is the PD for expectorants? - -Enhance output of respiratory tract secretions
by reducing adhesiveness and surface tension in mucous
-What is the PK for expectorants? - -Oral, onset 30 min, duration 4-6 hrs
-What are some adverse effects of expectorants? - -GI symptoms, headache,
dizziness
-What are some contraindications of expectorants? - -Preg Class C, smoking,
alcohol
-What are drug interactions of expectorants? - -ACE-I
-What is the nursing role with expectorants? - -Drink 8 glasses of water per day,
monitor cough, humidifier, teach cough etiquette
-What is the prototype drug of expectorants? - -Guaifenisin (mucinex)
Answers
List the main Bronchodilators. - -B-Beta2 agonists
A-Anticholinergic agents
M-Methylxanthine Derivatives
-List the main Anti-Inflammatories - -S-Sys. Glucocorticoids/Corticosteriods
L-Leukotriene Modifiers
M-Mast Cell Stabilizers
-List the categories of Upper Resp. drugs - -D-Decongestants
A-Antitussives
A-Antihistamines
E-Expectorants
-What is the PT for antitussives? - -Non-productive cough.
-What is the PD for antitussives? - -CNS Medulla cough center
-What are some contraindications for antitussives? - -Asthma, COPD, CAL, or
anything that stops the cough reflex
-List adverse effects for antitussives. - -Drowsiness, nausea, irritability, OD for
euphoric effects
-List the food/drug interactions for antitussives. - -MAOI's, fluoxetine, quinidine
-What are the nursing education steps for antitussives? - -Adhere to dosage
Preg Cat C
Assess Resp. status
DO NOT crush pulls
These drugs can be abused
-What is the prototype drug for antitussives? - -Dextromethorphan (Robitussin DM)
-What are some other drugs classified as antitussives? - -Codeine (hydrocodone),
Diphenhydramine (Benadryl)
-What is the PT for decongestants? - -Reduction of nasal mucous
-What is the PD for decongestants? - -vasoconstriction of nasal arterioles
-What is the PK for decongestants? - -Oral onset 30 min, topical 5-10 min
-What are some contraindications of decongestants? - -Preg Cat C, CVD - will raise
HR because it is a sympathomimetic
, -What are some nursing roles associated with decongestants? - -Assess coronary
arteries, CVD, Htn, glaucoma, hyperglycemia, tell pts to avoid smoking
-What are some adverse effects of decongestants? - -Tension, anxiety, tachycardia,
increase BP, REBOUND CONGESTION
-What is the prototype drug of decongestants? - -Pseudoephedrine (Sudafed) - don't
take if abrasion in nasal mucosa
-What is the PT for antihistamines? - -Seasonal allergies
-What is the PD for antihistamines? - -Selectively blocks the effects of histamine at
the H1 receptor sites, competitively binds
-What is the PK for antihistamines? - -Oral, peak 2-6 hrs
-What are the contraindications of antihistamines? - -1st Gen create drowsiness,
Preg Class C, grapefruit juice, rifampin will decrease effects
-What are the nursing roles for antihistamines? - -Drink one glass of water, avoid
grapefruit and alcohol, CNS affects, dehumidifier, renal clearance to determine ability
-What are some adverse effects of antihistamines? - -Increased risk for viral
infections, nausea, vomiting
-List some 1st gen antihistamines - -Chlorpheniramine, clemastine,
diphenhydramine
-List some second gen. antihistamines - -Cetirizine, loratadine, desloratidine
-What is the PT for expectorants? - -Relieves dry nonproductive cough, loosens
secretions
-What is the PD for expectorants? - -Enhance output of respiratory tract secretions
by reducing adhesiveness and surface tension in mucous
-What is the PK for expectorants? - -Oral, onset 30 min, duration 4-6 hrs
-What are some adverse effects of expectorants? - -GI symptoms, headache,
dizziness
-What are some contraindications of expectorants? - -Preg Class C, smoking,
alcohol
-What are drug interactions of expectorants? - -ACE-I
-What is the nursing role with expectorants? - -Drink 8 glasses of water per day,
monitor cough, humidifier, teach cough etiquette
-What is the prototype drug of expectorants? - -Guaifenisin (mucinex)
