NUR 5334 MODULE 7 QUIZ 3 EXAM WITH
QUESTIONS AND VERIFIED ANSWERS LATEST
VERSION
Patients with allergic rhinitis will begin using intranasal glucocorticoids. The
patient shows that she understands what she is being taught. - Answer: "I should
use a Decongestant, if necessary, before using the Glucocorticoid."
Is suggested for Motion Sickness - Dimenhydrinate.
Promethazine [Phenergan] should be administered IV at a rate of - ANSWER 25
mg/min or less.
Cardiac dysrhythmias were a worry with no antihistamines on the market -
ANSWER Astemizole and Terfenadine.
After taking Diphenhydramine [Benadryl], a 5-year-old child developed erectile
dysfunction. The child is uncoordinated and agitated. The nurse notices that the
child's face is flushed, the temperature is 37.1°C, and the heart rate is 110. The RN
will anticipate to: - Provide activated charcoal to absorb the drug.
Acute Diphenhydramine [Benadryl] Toxicity: ANSWER with agitation, flushed
face, tachycardia, and uncoordinated movements.
Atropine would produce an increase in the heart rate.
A 5-year-old with seasonal allergies is taking 2.5 mL of Cetirizine [Zyrtec] Syrup
QD. The child dislikes the syrup and does not believe the treatment is effective. RN
suggests that they discuss which drug with the child's primary care physician. -
ANSWER Cetirizine (Zyrtec) 5-mg chewable tablet QD
,Chewable tablets are allowed for children aged 6 and up. - ANSWER Loratadine
10 mg.
is not suitable for youngsters under the age of 12 years. - Answer: Desloratadine.
The patient will begin taking Fexofenadine [Allegra] for Hay Fever. RN teaching:
ANSWER Med can be taken QD or BID.
Fexofenadine [Allegra] does not need to be used with ____ and does not cause
____. - ANSWER Food and Sedation
The pregnant patient asks the nurse if she can take antihistamines for seasonal
allergies while pregnant. What does the RN tell the patient? - ANSWER: Avoid
antihistamines unless necessary.
Antihistamines can be excreted in the breast milk.
Pt informs RN that antihistamines assist improve cold symptoms and asks why they
are not suggested or used for this purpose. The RN informs the patient that
antihistamines provide only mild relief from some cold symptoms by blocking H1
receptors in nasal passages.
H1 and H2 receptor sites do not play a function in - ANSWER Cold symptoms.
Anticholinergic actions at muscarinic receptor sites can be moderately reduced -
ANSWER Rhinorrhea.
A patient with chronic allergies takes Loratadine [Claritin] and has a severe
reaction to bee stings. The patient questions the RN why the antihistamine did not
prevent the ANSWER. What will the registered nurse say? - Answer: "Allergy
Symptoms that are Severe are Caused by Mediators other than Histamine."
, H1 blockers do not prevent the release of ____, which is why they are ineffective in
Anaphylaxis. - Answer: Histamine.
18M suffers an urticarial reaction following a transfusion. The MD orders IV
Promethazine [Phenergan]. What will the registered nurse do? - QUESTION THE
ORDER. (Contraindicated for 2 years or younger)
The MD prescribes Hydroxyzine [Vistaril] for the patient with acute urticaria. RN
will provide the following information when teaching: ANSWER Patient should
avoid alcohol while taking the medicine.
Hydroxyzine [Vistaril] is a ____, so patients should be advised not to consume
alcohol while taking the medicine - ANSWER 1st-Gen Antihistamine with
Sedative Effects
Hydroxyzine [Vistaril] and antihistamines diminish edema, itching, and redness in
the capillary beds.
A 5-year-old child experiences frequent motion sickness. Which antihistamine will
assist prevent symptoms? - ANSWER Dimenhydrinate (Dramamine)
Antihistamines, including ____, are indicated for use in Motion Sickness. -
ANSWER Dimenhydrinate and promethazine
The patient has seasonal allergies, occasionally drinks wine with dinner, and wants
to know which antihistamine is safest to use to control symptoms. - Answer:
Fexofenadine [Allegra].
Fexofenadine is the least sedating of the drugs, making it less likely to produce
synergistic effects with alcohol. - ANSWER Second-Generation Antihistamines
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