Week 3 Knowledge Check

Week 3 Knowledge Check Verified A 94-year-old patient has a severe dry cough. He has coughed so hard that the muscles in his chest are hurting. He is unsteady on his feet and slightly confused. Which drug would be the best choice for this patient's cough? - Dextromethorphan (Robitussin-DM) oral solution A patient is prescribed two different types of inhaled medications for treatment of COPD. After administering the first medication, how long should the nurse wait to administer the second medication? - 5 minutes A patient with a tracheostomy developed pneumonia. It is very difficult for the patient to cough up the thick, dry secretions he has developed. The nurse identifies which drug as being most effective in helping this patient? - Guaifenesin (Mucinex) A patient with chronic bronchitis calls the office for a refill of his albuterol inhaler. He just had the prescription filled 2 weeks ago, but he says it is empty. When asked, he tells the nurse, "I use it whenever I need it, but now when I use it, I feel so sick. I've been needing to use it more often." What is the most appropriate action by the nurse? - The nurse should ask the patient to come to the office for an evaluation of his respiratory status. Before administering an adrenergic decongestant, it is most important for the nurse to assess the patient for a history of which condition? - Diabetes mellitus Before administering an antihistamine to a patient, it is most important for the nurse to assess the patient for a history of which condition? - Urinary retention Decongestants are contraindicated or to be used with extreme caution for clients condition(s)? (Select all that apply.) - Cardiac disease, Diabetes mellitus, hypertension, hyperthyroidism The common cold is treated with empiric therapy. How can the nurse interpret this meaning? - Medications only treat the symptoms. What is/are the side effect(s) of long-term use of glucocorticoids? (Select all that apply.) - Impaired immune response and Hyperglycemia Which medication will the nurse teach a patient with asthma to use when experiencing an acute asthma attack? - Albuterol (Ventolin)