Nokea
After administering an antitussive, the nurse would continue to assess which of the following? Select all that apply.
- A. Heart sounds
- B. Lung sounds
- C. Frequency of cough
- D. Therapeutic effect
- E. Pain assessment
Correct Answer: B,C,D,E
Rationale: Vital signs, lung sounds, therapeutic effect including frequency of cough, and assessment of pain should be part of the ongoing client assessment. Auscultation of heart sounds is not part of the ongoing client assessment.
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A nurse is assigned to care for a client with a nonproductive cough. The client has been prescribed codeine sulfate. The nurse understands that this drug is contraindicated in which client?
- A. Client with head injury
- B. Client with COPD
- C. Premature infant
- D. Clients with asthma
Correct Answer: C
Rationale: Codeine sulfate is contraindicated in premature infants. Codeine sulfate should be used cautiously in clients with head injury, COPD, and asthma.
When describing the actions of upper respiratory system drugs, a nursing instructor explains that which of the following exerts its effect by increasing the production of secretions, thereby decreasing the viscosity? Select all that apply.
- A. Benzonatate
- B. Guaifenesin
- C. Codeine
- D. Potassium iodide
- E. Dextromethorphan
Correct Answer: A,D
Rationale: Benzonatate and potassium iodide are expectorants, which increase the production of secretions, thus making the secretions less viscous. Guaifenesin, codeine, and dextromethorphan are antitussives, which suppress cough.
Assessment of a client reveals that he is taking phenelzine (Nardil), a monoamine oxidase inhibitor, for depression. The client reports that he just started using dextromethorphan over the counter without consulting his primary health care provider. The nurse would be alert for which of the following? Select all that apply.
- A. Hypertension
- B. Fever
- C. Coma
- D. Constipation
- E. Shortness of breath
Correct Answer: B,C
Rationale: Coadministration of dextromethorphan and a monoamine oxidase inhibitor may result in hypotension, fever, nausea, leg jerking, and coma.
A 21-year-old client complains of a mild stinging sensation on using a nasal spray decongestant. Which response by the nurse would be most appropriate?
- A. You need to stop the medication immediately.
- B. The dose is probably too strong and needs to be reduced.
- C. This sensation is common and usually disappears with continued use.
- D. We better contact your primary health care provider right away.
Correct Answer: C
Rationale: The nurse needs to assure the client that the mild stinging sensation usually disappears with continued use. The drug needs to be stopped only if the stinging sensation is severe. The dose of the medication does not need to be altered. The primary health care provider does not need to be consulted immediately in the presence of a mild stinging sensation.
A client has been prescribed a nasal decongestant for nasal stuffiness due to a common cold. The client is also taking an antidepressant that is a monoamine oxidase inhibitor. The nurse would warn the client about which of the following.
- A. Hypotension
- B. Severe headache
- C. Sedation
- D. Bradycardia
Correct Answer: B
Rationale: The nurse should warn the client of the possibility of severe headache due to an interaction between the two drugs. Such an interaction may also result in hypertensive crisis instead of hypotension. Sedation and bradycardia do not occur when an MAOI and decongestant are used together.