Sherpath Quiz- Ch 36 Antihistamines

Which type of drug would the nurse expect to be prescribed for a patient in the emergency department with urticaria after contact with shrubs? - Antihistamine Which drug interaction could be avoided when taking diphenhydramine and consuming alcohol? - Central nervous system (CNS) depression Which drug will the primary health care provider prescribe for a patient who has nighttime insomnia and motion sickness? - Diphenhydramine Which instruction would the nurse provide a patient who reports feeling drowsy after beginning drug therapy with diphenhydramine? - "Use caution when driving." A patient who reports nasal congestion is prescribed naphazoline, 2 drops in each nostril, every 6 hours, for 5 days. The patient reports increased nasal congestion after 10 days. On assessment the nurse learns that the patient had increased the drug frequency to every 3 hours for 10 days. Which statement describes what the nurse interpret from this information? - The patient has developed rebound reaction. A patient is prescribed guaifenesin for treatment of productive cough. Which instruction would the nurse give to the patient for maximum therapeutic effect? - "Increase your fluid intake." A patient is prescribed naphazoline for the treatment of hay fever. During an assessment the nurse finds that the patient has hypertension. Which action by the nurse is correct? - Report this finding to the primary health care provider Which response is appropriate when a patient complains of worsening nasal congestion despite the use of oxymetazoline nasal spray every 2 hours? - "Overuse of nasal decongestants results in rebound congestion." Which instruction would the nurse include for a patient who will be using an expectorant? - "Increase your fluids intake to decrease viscosity of secretions." A patient will begin taking diphenhydramine to treat motion sickness. Which instruction would the nurse give the patient to prevent gastrointestinal (GI) upset? - "Take the medication with food." Which antihistamine causes sedation as an adverse drug effect? - Diphenhydramine Which advice would the nurse give to a patient who has taken guaifenesin for 1 week and still has a productive cough? - "Consult your primary health care provider." The use of fexofenadine is contraindicated in patients with which conditions? - Renal impairment Which medication can cause paradoxical reactions in children? - Antihistamines Which anticholinergic effect is seen in a patient who takes brompheniramine? - Dry mouth