Homework answers / question archive / University of North Carolina, Wilmington - CLR 440 McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 9th Edition MULTIPLE CHOICE 1)A patient who has narrow-angle glaucoma asks the nurse to recommend a medication to alleviate cold symptoms such as nasal congestion and runny nose

University of North Carolina, Wilmington - CLR 440 McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 9th Edition MULTIPLE CHOICE 1)A patient who has narrow-angle glaucoma asks the nurse to recommend a medication to alleviate cold symptoms such as nasal congestion and runny nose

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University of North Carolina, Wilmington - CLR 440

McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 9th Edition

MULTIPLE CHOICE

1)A patient who has narrow-angle glaucoma asks the nurse to recommend a medication to alleviate cold symptoms such as nasal congestion and runny nose. The nurse will suggest the patient talk to the provider about which medication?

1. 1. Azelastine (Astelin)
   2. Cetirizine (Zyrtec)
   3. Chlorpheniramine maleate (Chlor-Trimeton)
   4. Diphenhydramine (Benadryl)
2. The nurse is caring for a patient who is receiving diphenhydramine. The nurse notes that the patient has not voided for 12 hours. What action will the nurse take?
   1. Encourage the patient to drink more fluids.
   2. Evaluate the bladder to check for distension.
   3. Request an order for an intravenous fluid bolus.
   4. Request an order for urinary catheterization.
3. A patient arrives in the emergency department after developing a rash, runny nose, and sneezing after eating strawberries. What action will the nurse expect to take first?
   1. Administer diphenhydramine.
   2. Administer epinephrine.
   3. Assess for urinary retention.
   4. Assess heart rate, respiratory rate, and lung sounds.
4. A patient who has seasonal allergies with a runny nose during the daytime reports increasing nighttime symptoms of coughing and sneezing that are interfering with sleep. The provider recommends diphenhydramine (Benadryl) at bedtime. What information will the nurse include when teaching the patient about this medication?

1. “Avoid fluids at bedtime to prevent urinary retention.”
2. “This will help clear your daytime symptoms, too.”
3. “You should be able to sleep better when you take this medication.”
4. “You should take this medication on an empty stomach.”

5. The parents of a 3-year-old child tell the nurse that they are planning to give their child diphenhydramine (Benadryl) on a flight to visit the child’s grandparents to help the child sleep during the flight. What will the nurse tell the parents about giving this drug?
   1. Administer 25 mg of diphenhydramine when using to induce sleep.
   2. Diphenhydramine may have the opposite effect and could cause agitation.
   3. Give the diphenhydramine about 5 minutes prior to takeoff.
   4. Loratadine should be used instead of diphenhydramine to minimize side effects.
6. The nurse is caring for a patient who is hospitalized for an asthma exacerbation. The patient reports taking diphenhydramine at home at night to help with symptoms of allergic rhinitis and cough. The nurse will contact the patient’s provider to request an order for which medication?
   1. Benzonatate (Tessalon Perles)
   2. Cetirizine (Zyrtec)
   3. Dextromethorphan hydrobromide (Benylin DM)
   4. Diphenhydramine (Benadryl)
7. A patient is admitted to the hospital after developing pneumonia. During the admission assessment, the patient reports having used a nasal decongestant spray for the past few weeks but thinks the nasal congestion is getting worse. The nurse will
   1. request an order for a systemic decongestant medication.
   2. request an order so the patient can continue to use the decongestant spray.
   3. tell the patient the congestion will clear up after stopping the spray.
   4. tell the patient to increase oral fluid intake.
8. The patient who has nasal congestion asks the nurse to recommend a decongestant medication. The nurse performs a medication history and learns that the patient takes a beta blocker to treat hypertension. Which over-the-counter product will the nurse recommend?
   1. Diphenhydramine (Benadryl)
   2. Ephedrine HCl (Pretz-D)
   3. Phenylephrine nasal (Neo-Synephrine Nasal)
   4. Loratadine (Claritin)

9. A patient asks the nurse about using dextromethorphan for cough. What information will the nurse include when teaching this patient about this drug?
   1. “It does not cause sedation except at high doses.”
   2. “It may be used to treat cough for up to 2 weeks.”
   3. “It is non-narcotic, and it is OK to consume alcohol while taking this drug.”
   4. “It should not be taken by patients who have chronic obstructive pulmonary disease ( COPD).”
10. A patient with COPD who has a persistent nonproductive cough asks about a medication that will not cause sedation. The nurse will encourage the patient to discuss which medication with the provider?
    1. Benzonatate HCl (Tessalon Perles)
    2. Dextromethorphan hydrobromide (Benylin DM)
    3. Guaifenesin and codeine
    4. Promethazine with dextromethorphan
11. A patient who has a nonproductive cough will begin taking guaifenesin to help with secretions. When teaching this patient about the medication, the nurse will provide which instruction?
    1. “Avoid driving or using heavy machinery.”
    2. “Drink extra water while taking the medication.”
    3. “Monitor urine output closely.”
    4. “Take with an oral antihistamine for better effects.”