NUR 521 CORRECT EXAMS ANSWERS AND
QUESTIONS SET A+
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
QUESTIONS SET A+
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
