Question 10
1 out of 1 points
A nurse is providing discharge planning for a 45-year-old woman who has a
prescription for oral albuterol. The nurse will question the patient about her
intake of which of the following?
Response
Feedback
:
The nurse should assess the patient's intake of caffeine, including
coffee, tea, soda, cocoa, candy, and chocolate. Caffeine has
sympathomimetic effects that may increase the risk for adverse
effects. Alcohol, salt, and vitamin C intake is important to assess,
but does not potentiate the effects of albuterol.
Question 11
1 out of 1 points
A 70-year-old woman has a complex medical and a current drug regimen
that includes calcium and vitamin D supplements for osteoporosis,
metformin (Glucophage) for type 2 diabetes, phenelzine (Nardil) for
depression, and metoprolol (Lopressor) and furosemide (Lasix) for
hypertension. The woman is requesting dextromethorphan for the
treatment of a recurrent cough. What component of her drug regimen
contraindicates the use of dextromethorphan?
Response
Feedback:
Dextromethorphan can block neuronal uptake of serotonin and
may produce serotonin syndrome. The concurrent use of
dextromethorphan and metformin, calcium supplements, and
metoprolol is not problematic.
Question 12
1 out of 1 points
Which of the following will a nurse inform the patient is one of the most
common adverse effects of guaifenesin (Robitussin)?
Response
Feedback:
The most common adverse effects of guaifenesin use are GI
symptoms, including nausea, vomiting, and anorexia. Increased
blood pressure, increased blood glucose, and urinary retention
are not commonly identified adverse effects of this drug.
Question 13
1 out of 1 points
A 47-year-old woman has been diagnosed with open-angle glaucoma.
Pilocarpine drops are prescribed. The nurse's assessment reveals that the
patient has worn soft contact lenses for 15 years. The nurse will instruct
the patient to
Response
Feedback
:
The nurse should instruct the patient to remove the contact
lenses before applying the drops to the eyes. If pilocarpine drops
are applied to the eyes when soft contact lenses are in place, the

lenses can deteriorate or absorb the drug. There is no need to
stop wearing contact lenses during this therapy, but application of
the lenses should take place after the drops have been applied.
Question 14
1 out of 1 points
A nurse is caring for a female patient who has developed atelectasis
because of thick mucus secretions. The nurse is monitoring IV
administration of acetylcysteine (Mucomyst) and notices that the patient's
face is flushed. The appropriate nursing action would be to
Response
Feedback
:
A frequent adverse reaction to IV acetylcysteine is facial flushing.
If this occurs, the nurse should slow the IV infusion and administer
diphenhydramine, which is an antihistamine ordered by the
physician whenever acetylcysteine is ordered. A patient receiving
IV acetylcysteine should also be monitored for anaphylactic
reaction, which is indicated by tightness in the chest, rash,
hypotension, and tachycardia. If any of these signs occurs, the


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- Summer '15
- adverse effects, bronchial asthma , Nurs 6521 Diarrhea, It is Typically Self-limiting,