Pharmacology Respiratory NCLEX Questions (Ch 40 - 41, 47 - 50)
A client tells the nurse that he has started to take an OTC antihistamine,
diphenhydramine. In teaching him about side effects, what is most important for the
nurse to tell the client?
a. Do not to take this drug at bedtime to avoid insomnia.
b. Avoid driving a motor vehicle until stabilized on the drug.
c. Nightmares and nervousness are more likely in an adult.
d. Limit use to 1 to 2 puffs/sprays 4 to 6 times per day to avoid rebound congestion.
The client complains of a sore throat and has been told it is due to beta-hemolytic
streptococcal infection. The nurse realizes this condition is called what?
a. Acute rhinitis.
b. Acute sinusitis.
c. Acute pharyngitis.
d. Acute rhinorrhea.
A client is prescribed the decongestant oxymetazoline (Afrin) nasal spray. What should
the nurse teach the client?
a. Take this drug at bedtime as a sleep aid.
b. Directly spray away from the nasal septum and gently sniff.
c. This drug may be used in maintenance treatment for asthma.
d. Limit the drug to 5 days of use to prevent rebound nasal congestion.
A client has been prescribed guaifenesin (Robitussin). The nurse realizes that the
purpose of the drug is to accomplish what?
a. To treat allergic rhinitis and prevent motion sickness
b. To loosen bronchial secretions so they can be eliminated by coughing
c. To compete with histamine for receptor sites, thus preventing a histamine response
d. To stimulate alpha-adrenergic receptors, thus producing vascular constriction of
capillaries in nasal mucosa
Beclomethasone (Beconase) has been prescribed for a client with allergic rhinitis. The
nurse teaches the client that which is the most common side effect from continuous
use?
a. Dizziness
b. Rhinorrhea
c. Hallucinations
d. Dry nasal mucosa