Chapter 36: Antihistamines, Decongestants, Antitussives, and Expectorants Lilley: A-List

Chapter 36: Antihistamines, Decongestants, Antitussives, and Expectorants Lilley: Pharmacology and the Nursing Process, 8th Edition MULTIPLE CHOICE 1. When giving dextromethorphan, the nurse understan ds that this drug suppresses the cough reflex by which mechanism of action? 2. During a routine checkup, a patient states that she is unable to take the prescribed antihistamine because of one of its most common adverse effects. The nurse suspects that which adverse effect has been bothering this patient? 3. A gardener needs a decongestant because of seasonal allergy problems and asks the nurse whether he should take an oral form or a nasal spray. Which of these is a benefit of orally administered decongestants? 4. A patient is taking guaifenesin (Humibid) as part of treatment for a sinus infection. Which instruction will the nurse include during patient teaching? 5. The nurse will instruct patients about a possible systemic effect that may occur if excessive amounts of topically applied adrenergic nasal decongestants are used. Which systemic effect may occur? 6. A patient with a tracheostomy has difficulty removing excessive, thick mucus from the respiratory tract. The nurse expects that which drug will be ordered to aid in the removal of mucus? 7. A patient has been advised to add a nasal spray (an adrenergic decongestant) to treat a cold. The nurse will include which instruction? 8. A patient asks the nurse about the uses of echinacea. Which use will the nurse include in the response?