McKenna's Pharmacology for Nursing, 2e - page 873

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 Drugs acting on the respiratory system
BIBLIOGRAPHY
Bostock-Cox, B. (2012). Recognising and managing allergic disease
in the community.
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Burns, D. (2012). Management of patients with asthma and allergic
rhinitis.
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Medical-Surgical Nursing
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(2011).
Goodman and Gilman’s Pharmacological Basis of
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Braman, S. S., Brightling, C. E., et al. (2006). Diagnosis and
management of cough executive summary: ACCP evidence-based
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Masel, P. (2012). Management of cystic fibrosis in adults.
Australian
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McKenna, L. (2012).
Pharmacology Made Incredibly Easy
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Williams & Wilkins.
McKenna, L. & Mirkov, S. (2014).
McKenna’s Drug Handbook for
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Salisbury-Afshar, E. (2012). Oral antihistamine/decongestant/
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C H E C K Y O U R U N D E R S T A N D I N G
Answers to the questions in this chapter can be found in
Appendix A at the back of this book.
MULTIPLE CHOICE
Select the best answer to the following.
1.
A person with sinus pressure and pain related to a
seasonal rhinitis would benefit from taking:
a.
an antitussive.
b.
an expectorant.
c.
a mucolytic.
d.
a decongestant.
2.
Antitussives are useful in blocking the cough
reflex and preserving the energy associated with
prolonged, non-productive coughing. Antitussives
are best used with:
a.
postoperative people.
b.
asthma sufferers.
c.
people with a dry, irritating cough.
d.
COPD people who tire easily.
3.
People with seasonal rhinitis experience irritation
and inflammation of the nasal passages and passages
of the upper airways. Treatment for these people
might include:
a.
systemic corticosteroids.
b.
mucolytic agents.
c.
an expectorant.
d.
topical nasal steroids.
4.
A person taking an OTC cold medication and an
OTC allergy medicine is found to be taking double
doses of pseudoephedrine. As a result, the person
might exhibit:
a.
ear pain and eye redness.
b.
restlessness and palpitations.
c.
sinus pressure and ear pain.
d.
an irritating cough and nasal drainage.
5.
Antihistamines should be used very cautiously in
people with:
a.
a history of arrhythmias or prolonged QT
intervals.
b.
COPD or bronchitis.
c.
asthma or seasonal rhinitis.
d.
angio-oedema or low blood pressure.
6.
A person is not getting a response to the
antihistamine that was prescribed. Appropriate
action might include:
a.
switching to a decongestant.
b.
stopping the drug and increasing fluids.
c.
trying a different antihistamine.
d.
switching to a corticosteroid.
7.
Dornase alfa (
Pulmozyme
), because of its
mechanism of action, is reserved for use in:
a.
clearing secretions before diagnostic tests.
b.
facilitating the removal of secretions
postoperatively.
c.
protecting the liver from paracetamol toxicity.
d.
relieving the buildup of secretions in cystic
fibrosis.
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