NUR 600 (Advanced Clinical Pharmacology) Quiz 5 with Correct Answers

Which of the following antiemetic drugs would most benefit a patient who experiences nausea and vomiting associated with motion sickness? a. Prochlorperazine (Compazine) b. Dimenhydrinate (Dramamine) c. Perphenazine (Trilafon) d. Cisapride (Propulsid) - ANS: b. Dimenhydrinate (Dramamine) A patient is receiving hydroxyzine (Vistaril) for complaints of nausea and vomiting. Consider the following adverse effects of the drug, and select the one that is most significant. a. Excessive salivation b. Increased pulse c. Decreased respiratory rate d. Sedation - ANS: d. Sedation A patient has been instructed to use meclizine (Bonine) to prevent motion sickness. Select the statement that demonstrates that the patient understands proper use of the drug. a. Administer at least 30 minutes and preferably 1-2 hours before travel. b. Administer immediately before travel. c. Administer during travel if the patient begins to experience dizziness. d. Administer 1 hour after beginning travel regardless of whether symptoms are felt. - ANS: a. Administer at least 30 minutes and preferably 1-2 hours before travel. A patient who frequently takes diphenhydramine (Benadryl) to prevent motion sickness is scheduled for skin testing to diagnose possible allergies. For what number of days should the patient refrain from taking diphenhydramine before skin testing? The nurse is planning care for a client with allergies who has an order for a sympathomimetic drug. The nurse is aware that the desired effect for this client is: A. Relief of nasal dryness. B. Calming of a wet cough. C. Relief of nasal stuffiness. D. Increased blood flow to the nose. - ANS: C. Relief of nasal stuffiness. Which assessment data would provide the nurse with the best evidence of allergic rhinitis? A. Copious thick, green nasal drainage and postnasal drip B. Productive cough, sneezing, and low-grade fever C. Coughing, sneezing, and watery eyes D. Severe frontal headache and pressure along both sides of the nose - ANS: C. Coughing, sneezing, and watery eyes The nurse is administering an antihistamine to a client with nasal allergies. The nurse is aware that antihistamines have which distinct limitation? A. They have potent cholinergic side effects. B. They block both H-1 and H-2 receptors. C. They are most effective when taken prophylactically. D. They are useful only during acute attacks. - ANS: C. They are most effective when taken prophylactically. The nurse is teaching a client about the use of antihistamines for allergic rhinitis. Which pointer is appropriate for increasing effectiveness?