Complete Solutions
Ms. Thompson, age 45, is being seen in the physician's office today for complaints of a dry,
hacking cough that is keeping her up at night. The physician prescribes dextromethorphan for the
cough. Which statement is true about dextromethorphan? Dextromethorphan works in the
medulla to suppress the cough reflex.
A patient comes to the clinic with what appears to be a cold. What group of upper respiratory
drugs cause local vasoconstriction, which decreases blood flow and shrinks swollen membranes
to improve air flow? Decongestants.
A 29-year-old female client has sinusitis, so the physician orders a topical nasal decongestant.
What instructions should be given? Increase fluids to 2 L per day.
The pharmacology instructor is discussing adverse effects associated with nasal decongestants.
Which of the following is an effect of excessive use of these products? Rebound nasal
congestion.
Which of the following is classified as an expectorant? Guaifenesin (Robitussin).
, Pharmacology Exam #2 Questions With
Complete Solutions
What non pharmacological recommendation should be made to the client to prevent pooling of
secretions in the lungs during the administration of an antitussive? (Select all that apply)
Increase fluid intake.
Change positions frequently.
A patient is using oxymetazoline (Afrin). Which of the following conditions will contraindicate
the use of this adrenergic drug? Hypertension.
You are teaching a 55-year-old patient about fexofenadine after the physician prescribed the
medication to treat allergic symptoms. Which of the following patient statements suggests that he
understands what you've taught him? "Taking this medication shouldn't stop me from
having my after-dinner drink."
"I should avoid driving after taking this medication"
A 15-year-old patient is prescribed an antihistamine for allergic rhinitis. However, antihistamines
used to treat allergic reactions may themselves cause allergy. The nurse needs to educate the
patient to be aware of symptoms suggesting allergy. Which of the following is an allergic
reaction to antihistamines? Skin rash and urticaria.