ATI LPN
Roach's Introductory Clinical Pharmacology 11th Edition
Chapter 30 Questions
Question 1 of 5
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.
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.
Question 2 of 5
Before administering an antitussive to a client, which of the following would the nurse assess? Select all that apply.
Correct Answer: A,B,C
Rationale: Vital signs, type of cough, presence of sputum, color and amount of sputum, home remedies used, and actions taken should be assessed prior to initiation of an antitussive. Bowel and heart sounds are not part of the preadministration assessment.
Question 3 of 5
After administering an antitussive, the nurse would continue to assess which of the following? Select all that apply.
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.
Question 4 of 5
A client is prescribed an antitussive for home use. Which of the following should a nurse include in the client's teaching plan? Select all that apply.
Correct Answer: D,E
Rationale: A client's antitussive teaching plan should include the following instructions, do not exceed recommended dose; avoid respiratory irritants; drink plenty of fluids if not contraindicated; swallow oral capsules whole; avoid drinking fluids for 30 minutes after taking a lozenge; do not use alcohol or other CNS depressants while being treated with antitussives; and contact the physician if cough is not relieved or becomes worse or is accompanied by chills, fever, chest pain, or sputum production.
Question 5 of 5
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.
Correct Answer: B,C
Rationale: Coadministration of dextromethorphan and a monoamine oxidase inhibitor may result in hypotension, fever, nausea, leg jerking, and coma.