Antihistamines: Usage and Side Effects

A patient with seasonal allergic rhinitis is prescribed a first-generation antihistamine. What instructions should the nurse include regarding potential side effects?

A child is brought to the emergency department exhibiting excitation, hallucinations, and a high fever. The parents report administering an over-the-counter medication for an allergic reaction. Which of the following complications is most likely occurring?

A patient with a history of urinary retention is prescribed an antihistamine for allergy symptoms. Which antihistamine would be safest for this patient?

A patient is prescribed promethazine intravenously for severe nausea. Which of the symptoms should indicate to the nurse that the infusion should be stopped immediately?

A client taking a first-generation antihistamine reports experiencing constipation. Which of the following interventions should the nurse recommend?

A patient using topical decongestants for 10 days reports increased nasal congestion. What is the most likely cause?

Why are nasal drops preferred over nasal sprays for children when administering decongestants?

A patient with a history of hypertension is prescribed an oral decongestant. What potential side effects should the nurse educate the patient about?

A patient with closed-angle glaucoma is prescribed a medication for nasal congestion. Which medication is contraindicated for this patient?

A patient taking diphenhydramine (a first-generation antihistamine) reports feeling drowsy. What is the pharmacological reason for this effect?

Which of the following is an advantage of using topical decongestants over oral decongestants?

A patient is prescribed loratadine (a second-generation antihistamine). How does this medication differ from diphenhydramine (a first-generation antihistamine)?

A patient reports symptoms of itching, sneezing, and a runny nose. Which class of medications directly targets these symptoms?

A client with COPD is prescribed an inhaled bronchodilator and beclomethasone. What is the MOST important instruction a nurse should give regarding the administration of these medications?

A patient is prescribed oral prednisone for long-term management of severe asthma. Which potential adverse effect requires the MOST vigilant monitoring by the healthcare provider?

A client is prescribed beclomethasone via inhalation. What instruction is MOST important for the nurse to provide to minimize potential adverse effects?

A client taking long-term oral glucocorticoids is at risk for bone loss. Besides calcium and vitamin D supplementation, which intervention is MOST important to minimize this risk?

A client with diabetes is prescribed oral prednisone. What is the priority nursing intervention regarding the client's medication regimen?

A client on long-term prednisone therapy reports experiencing muscle weakness. Which action should the nurse take FIRST?

A client is starting inhaled beclomethasone as maintenance therapy for asthma. What should the nurse emphasize regarding the expected therapeutic effects of this medication?

A nurse is caring for a client receiving short-term IV glucocorticoids for status asthmaticus. What is the primary goal of this treatment?

A patient with chronic asthma is prescribed oral theophylline for long-term control. What is the primary mechanism of action of this medication in achieving bronchodilation?

A patient taking theophylline reports experiencing insomnia and mild gastrointestinal distress. What should the nurse recognize as the likely cause?

A nurse is reviewing the medication list of a patient who is about to start theophylline therapy. Which of the following medications, if taken concurrently, would necessitate a decrease in theophylline dosage?

A patient with a history of asthma and hypertension is prescribed theophylline. What specific monitoring is most important for this patient, given their medical history?

A patient with asthma is prescribed both a short-acting beta2 agonist and an inhaled glucocorticoid. What is the primary reason for prescribing these medications in combination?

A patient is prescribed a sustained-release theophylline tablet. Which instruction should the nurse include when teaching the patient about this medication?

A patient is prescribed salmeterol for asthma. What should the nurse include in the patient's education regarding this medication?

A patient who takes theophylline regularly consumes several cups of coffee throughout the day. What potential interaction should the nurse discuss with the patient?

A patient using a metered-dose inhaler (MDI) without a spacer struggles to coordinate inhalation with the inhaler actuation. What instruction should the nurse provide to improve medication delivery?

A nurse is caring for a child with asthma who is prescribed theophylline. Which factor requires careful consideration related to theophylline use in this age group?

A patient using a metered-dose inhaler reports experiencing tremors. Which of the following instructions should the nurse provide?

A patient with asthma is prescribed levalbuterol. What is the primary purpose of this medication?

Following administration of an inhaled bronchodilator via a spacer, the patient is instructed to hold their breath for 10 seconds after exhaling slowly. What is the primary rationale for this action?

A client is being educated on how to use a metered-dose inhaler (MDI) with a spacer. What is the primary benefit of using a spacer with an MDI?

A patient with asthma reports an increase in the frequency and intensity of asthma exacerbations over the past month. What is the most appropriate initial action for the nurse to advise the patient to take?

When teaching a client about using a metered-dose inhaler (MDI), the nurse should emphasize which of the following steps to ensure effective medication delivery?

A client with a history of depression is prescribed dextromethorphan for cough suppression. Which medication interaction should the nurse be most concerned about?

A client who is breastfeeding asks if it's safe to take dextromethorphan for a persistent cough. What is the most appropriate nursing response?

Which of the following instructions should a nurse provide to a client who has been prescribed guaifenesin?

A client with asthma is prescribed guaifenesin for chest congestion. Which assessment finding would warrant the most immediate concern from the nurse?

A client is prescribed both dextromethorphan and guaifenesin for a persistent cough and chest congestion. What should the nurse emphasize when educating the client about these medications?

A nurse is caring for an older adult client who is prescribed dextromethorphan for cough suppression. Which of the following considerations is most important for the nurse to keep in mind?

A client reports taking high doses of dextromethorphan to experience a feeling of euphoria. What is the most appropriate nursing intervention?

A client is prescribed guaifenesin for chest congestion. The nurse should emphasize these instructions EXCEPT:

Short-Acting Beta2 Agonist

Long-Acting Beta2 Agonist

Effective Asthma Medication

Short-Acting Beta2 Agonist Example

Long-Acting Beta2 Agonist Examples

Metered-Dose Inhaler Technique

Inhaler Breathing Technique

Inhaler Spacer

Methylxanthine

Theophylline's Action

Theophylline Use

Theophylline Adverse Effects

Theophylline Therapeutic Range

Theophylline Cautions

Caffeine Interaction

Phenobarbital, Phenytoin, Rifampin interactions.

COPD Medication Goal

Examples of Glucocorticoids

Glucocorticoid Actions

Glucocorticoid Uses

Beclomethasone Side Effects

Prednisone Long-Term Effects

Glucocorticoid Complications

Glucocorticoid Complications

Antihistamine Use

1st Gen Antihistamine Side Effects

Antihistamine GI Discomfort

Antihistamine Interactions

Effective Antihistamine

Rebound congestion

CNS stimulation (from decongestants)

Vasoconstriction (from decongestants)

Position for nasal drops

Topical vs. Oral decongestants

Antihistamine Action

1st-generation antihistamine side effects

Anticholinergic

Dextromethorphan

Dextromethorphan Use

Dextromethorphan Side Effects

Dextromethorphan Precautions

Dextromethorphan Effectiveness

Guaifenesin

Guaifenesin Use

Guaifenesin Side Effects