NURS 180 Quiz 4 QUESTIONS AND ANSWERS
WITH VERIFIED SOLUTIONS 100% CORRECT
What is considered the upper respiratory tract? What does the upper respiratory
system do? - ANSWER -nose
-mouth
-throat (pharynx)
filters and humidifies air
What is allergic rhinitis? - ANSWER inflammation of nasal mucosa d/t exposure
to allergens
What are some nonpharmacological treatments for allergic rhinitis? - ANSWER
-avoid triggers
-fluid and rest
What are the indications for diphenhydramine (Benadryl)? - ANSWER -allergic
rhinitis
-anaphylaxis
-motion sickness
-insomnia (short-term)
-Parkinson's disease
What is the MOA for diphenhydramine (Benadryl)? - ANSWER binds to H1
receptors blocking the release of histamines
,What are some adverse effects associated with diphenhydramine (Benadryl)? -
ANSWER -drowsiness
-dizziness
-anticholinergic effects
-confusion
What is some pt teaching for diphenhydramine (Benadryl)? - ANSWER -avoid
taking with alcohol and other CNS depressants
-avoid activities that require alertness
-take with meals to avoid GI upset
What are some contraindications for diphenhydramine (Benadryl)? - ANSWER -
infants and children <2
-narrow-angle glaucoma
-BPH
-acute asthma attack
What are the indications for certirizine (Zyrtec)? - ANSWER -allergic rhinitis
-chronic idiopathic uticaria
What is the MOA for certirizine (Zyrtec)? - ANSWER antagonizes histamine
effects at H1 receptors without binding or inactivating histamine
What are some adverse effects for certirizine (Zyrtec)? - ANSWER -drowsiness
, -dizziness
-anticholinergic effects
What is some patient teaching that can be done with certirizine (Zyrtec)? -
ANSWER -take with plenty of water
-avoid other OTC antihistamines
-avoid use with alcohol and CNS depressants
What are some nursing considerations for certirizine (Zyrtec)? - ANSWER -
lower dose for those with renal/liver impairment
-give orally with plenty of water
What are the indications for mometastone (Nasonex)? - ANSWER -nasal
congestion
-allergic rhinitis
What drug class is mometastone (Nasonex)? - ANSWER glucocorticoid
What is the MOA for mometastone (Nasonex)? - ANSWER prevents release of
leukotrienes, prostaglandins, and histamine (decreases inflammation and edema
of airways
What are some adverse effects associated with mometastone (Nasonex)? -
ANSWER -sore throat
-nosebleed
-headache
WITH VERIFIED SOLUTIONS 100% CORRECT
What is considered the upper respiratory tract? What does the upper respiratory
system do? - ANSWER -nose
-mouth
-throat (pharynx)
filters and humidifies air
What is allergic rhinitis? - ANSWER inflammation of nasal mucosa d/t exposure
to allergens
What are some nonpharmacological treatments for allergic rhinitis? - ANSWER
-avoid triggers
-fluid and rest
What are the indications for diphenhydramine (Benadryl)? - ANSWER -allergic
rhinitis
-anaphylaxis
-motion sickness
-insomnia (short-term)
-Parkinson's disease
What is the MOA for diphenhydramine (Benadryl)? - ANSWER binds to H1
receptors blocking the release of histamines
,What are some adverse effects associated with diphenhydramine (Benadryl)? -
ANSWER -drowsiness
-dizziness
-anticholinergic effects
-confusion
What is some pt teaching for diphenhydramine (Benadryl)? - ANSWER -avoid
taking with alcohol and other CNS depressants
-avoid activities that require alertness
-take with meals to avoid GI upset
What are some contraindications for diphenhydramine (Benadryl)? - ANSWER -
infants and children <2
-narrow-angle glaucoma
-BPH
-acute asthma attack
What are the indications for certirizine (Zyrtec)? - ANSWER -allergic rhinitis
-chronic idiopathic uticaria
What is the MOA for certirizine (Zyrtec)? - ANSWER antagonizes histamine
effects at H1 receptors without binding or inactivating histamine
What are some adverse effects for certirizine (Zyrtec)? - ANSWER -drowsiness
, -dizziness
-anticholinergic effects
What is some patient teaching that can be done with certirizine (Zyrtec)? -
ANSWER -take with plenty of water
-avoid other OTC antihistamines
-avoid use with alcohol and CNS depressants
What are some nursing considerations for certirizine (Zyrtec)? - ANSWER -
lower dose for those with renal/liver impairment
-give orally with plenty of water
What are the indications for mometastone (Nasonex)? - ANSWER -nasal
congestion
-allergic rhinitis
What drug class is mometastone (Nasonex)? - ANSWER glucocorticoid
What is the MOA for mometastone (Nasonex)? - ANSWER prevents release of
leukotrienes, prostaglandins, and histamine (decreases inflammation and edema
of airways
What are some adverse effects associated with mometastone (Nasonex)? -
ANSWER -sore throat
-nosebleed
-headache
