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Practical Pharmacology (OPTO 6253 ) Ch54 - 6e Instructor Test Bank

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University of Houston

Practical Pharmacology (OPTO 6253 )

Ch54 – Focus on Nursing Pharmacology 6e Instructor Test Bank

Chapter 54- Drugs Acting on the Upper
Respiratory Tract
1.
A patient comes to the clinic with symptoms as seen in a cold. What group of upper
respiratory drugs causes local vasoconstriction, which decreases blood flow and shrinks
swollen membranes to improve air flow?
A)
Antitussives
B)
Decongestants
C)
Expectorants
D)
Mucolytics

2.
What would be the nurse’s best response if a patient calls the clinic and reports that he has
had a persistent cough for 2 weeks and asks the nurse for a recommendation for a cough
medicine?
A)
Look for dextromethorphan as “ an ingredient in any OTC cough preparation.”
B)
“The doctor could order an antihistamine, which might dry up your secretions and
stop the cough.”
C)
“You should come to the clinic to be evaluated. A cough that lasts that long might be
an indication of an underlying medical problem.”
D)
“Drink a lot of fluids and take aspirin, which should reduce the irritation in your
throat

3.
The nurse is caring for a patient who is receiving acetylcysteine (Mucomyst) by face
mask. What would be an appropriate nursing diagnosis?
A)
Impaired swallowing
B)
Risk for impaired skin integrity
C)
Risk for falls
D)
Sleep deprivation

4.
A nurse is caring for a 15-year-old patient with cystic fibrosis who has been prescribed
dornase alfa (Pulmozyme) to relieve the buildup of secretions and keep airways open and
functioning longer. What will the nurse instruct the patient to do concerning the use of
this drug?
lOMoARcPSD|6170641
A)
Use in home nebulizer up to four times a day if needed.
B)
Stop all other medications while using the drug.
C)
Store the drug in the refrigerator, protected from light.
D)
Expect a severe headache after each use.

5.
A nurse in a three drops with respiratory problems has received orders for four patients.
What medication order will the nurse question?
A)
Tetrahydrozoline (Tyzine) three drops in each nostril for an 8-year-old child
B)
Hydrocodone (Hycodan) 10 mg PO for a 5-year-old child
lOMoARcPSD|6170641
C)
Pseudoephedrine (Dorcol) 15 mg PO for a 2-year-old child
D)
Diphenhydramine (Benadryl) 5 mg/kg IM for a 10-year-old child

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Practical Pharmacology (OPTO 6253 ) Ch54 - 6e Instructor Test Bank

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