NUR 6011 Exam 6 | Questions with 100% Correct Answers | Verified | Latest
Update - William Paterson University.
• Question 1
3.34 out of 3.34 points
A parent asks a nurse about giving diphenhydramine [Benadryl] to a child to relieve cold
symptoms. Which response by the nurse is correct?
Selected D.
Answer:
“Because histamine doesn’t cause cold symptoms, Benadryl would not be
effective.”
Answers: A.
“Benadryl must be given in higher doses to provide relief for cold
symptoms.”
B.
“Intranasal glucocorticoids are more effective for treating cold symptoms.”
C.
“Nasal antihistamines are more effective for treating cold symptoms.”
D.
“Because histamine doesn’t cause cold symptoms, Benadryl would not be
effective.”
Response Histamine does not contribute to symptoms of infectious rhinitis; therefore,
Feedback: antihistamines are of no use in treating cold symptoms. Giving antihistamines in
higher doses does not provide relief for infectious rhinitis. Intranasal
glucocorticoids are not useful for infectious rhinitis. Nasal antihistamines are
not effective for treating infectious rhinitis.
• Question 2
3.34 out of 3.34 points
A patient with asthma will be using a metered-dose inhaler (MDI) for delivery of an inhaled
medication. The provider has ordered 2 puffs to be given twice daily. It is important for the
provider to teach this patient that:
Selected D.
Answer:
, the patient should wait 1 minute between puffs.
Answers: A.
the patient should inhale suddenly to receive the maximum dose.
B.
the patient should activate the device and then inhale.
C.
the patient should store the MDI in the refrigerator between doses.
D.
the patient should wait 1 minute between puffs.
Response When two puffs are needed, an interval of at least 1 minute should separate
Feedback: the first puff from the second. Sudden inhalation can cause bronchospasm. The
patient should begin inhaling and then activate the device. There is no need to
store the drug in the refrigerator.
• Question 3
3.34 out of 3.34 points
A patient takes oral theophylline twice daily for chronic stable asthma. After developing an
infection, the patient went to an after-hours clinic where ciprofloxacin was prescribed. What
action will the patient’s primary provider take when the patient follows up the next day?
Selected B.
Answer:
Reduce the theophylline dose.
Answers: A.
Prescribe a different antibiotic.
B.
Reduce the theophylline dose.
C.
Increase the theophylline dose.
, D.
Discontinue the theophylline and prescribe a long-acting β agonist.
Response Fluoroquinolone antibiotics increase theophylline levels, so the dose of
Feedback: theophylline may need to be reduced to prevent theophylline toxicity.
Changing antibiotics, increasing the theophylline, and changing to a LABA are
not indicated.
• Question 4
3.34 out of 3.34 points
A patient who recently recovered from acute bronchitis reports a lingering dry cough that
prevents sleep. Which over-the-counter medication will the provider recommend to best
manage the symptoms?
Selected D.
Answer:
Diphenhydramine
Answers: A.
Guaifenesin
B.
Fexofenadine/pseudoephedrine
C.
Phenylephrine drops
D.
Diphenhydramine
Response Diphenhydramine is effective in suppressing cough and also has sedative effects
Feedback: when used in doses to suppress cough. Fexofenadine/pseudoephedrine is a
combination antihistamine/decongestant and will not help with cough.
Guaifenesin helps make coughs more productive but will not suppress cough or
help with sleep. Phenylephrine drops have decongestant properties.
• Question 5
3.34 out of 3.34 points
Update - William Paterson University.
• Question 1
3.34 out of 3.34 points
A parent asks a nurse about giving diphenhydramine [Benadryl] to a child to relieve cold
symptoms. Which response by the nurse is correct?
Selected D.
Answer:
“Because histamine doesn’t cause cold symptoms, Benadryl would not be
effective.”
Answers: A.
“Benadryl must be given in higher doses to provide relief for cold
symptoms.”
B.
“Intranasal glucocorticoids are more effective for treating cold symptoms.”
C.
“Nasal antihistamines are more effective for treating cold symptoms.”
D.
“Because histamine doesn’t cause cold symptoms, Benadryl would not be
effective.”
Response Histamine does not contribute to symptoms of infectious rhinitis; therefore,
Feedback: antihistamines are of no use in treating cold symptoms. Giving antihistamines in
higher doses does not provide relief for infectious rhinitis. Intranasal
glucocorticoids are not useful for infectious rhinitis. Nasal antihistamines are
not effective for treating infectious rhinitis.
• Question 2
3.34 out of 3.34 points
A patient with asthma will be using a metered-dose inhaler (MDI) for delivery of an inhaled
medication. The provider has ordered 2 puffs to be given twice daily. It is important for the
provider to teach this patient that:
Selected D.
Answer:
, the patient should wait 1 minute between puffs.
Answers: A.
the patient should inhale suddenly to receive the maximum dose.
B.
the patient should activate the device and then inhale.
C.
the patient should store the MDI in the refrigerator between doses.
D.
the patient should wait 1 minute between puffs.
Response When two puffs are needed, an interval of at least 1 minute should separate
Feedback: the first puff from the second. Sudden inhalation can cause bronchospasm. The
patient should begin inhaling and then activate the device. There is no need to
store the drug in the refrigerator.
• Question 3
3.34 out of 3.34 points
A patient takes oral theophylline twice daily for chronic stable asthma. After developing an
infection, the patient went to an after-hours clinic where ciprofloxacin was prescribed. What
action will the patient’s primary provider take when the patient follows up the next day?
Selected B.
Answer:
Reduce the theophylline dose.
Answers: A.
Prescribe a different antibiotic.
B.
Reduce the theophylline dose.
C.
Increase the theophylline dose.
, D.
Discontinue the theophylline and prescribe a long-acting β agonist.
Response Fluoroquinolone antibiotics increase theophylline levels, so the dose of
Feedback: theophylline may need to be reduced to prevent theophylline toxicity.
Changing antibiotics, increasing the theophylline, and changing to a LABA are
not indicated.
• Question 4
3.34 out of 3.34 points
A patient who recently recovered from acute bronchitis reports a lingering dry cough that
prevents sleep. Which over-the-counter medication will the provider recommend to best
manage the symptoms?
Selected D.
Answer:
Diphenhydramine
Answers: A.
Guaifenesin
B.
Fexofenadine/pseudoephedrine
C.
Phenylephrine drops
D.
Diphenhydramine
Response Diphenhydramine is effective in suppressing cough and also has sedative effects
Feedback: when used in doses to suppress cough. Fexofenadine/pseudoephedrine is a
combination antihistamine/decongestant and will not help with cough.
Guaifenesin helps make coughs more productive but will not suppress cough or
help with sleep. Phenylephrine drops have decongestant properties.
• Question 5
3.34 out of 3.34 points
