Chapter 29 Drug Therapy for Nasal Congestion


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Chapter 29  Drug Therapy for Nasal Congestion



Complete chapter Questions And Answers

Sample Questions



1. A patient presents at the clinic with sneezing and coughing. He is diagnosed with the common cold. Which type of microorganism causes the common cold?

  1. A)  Gram-positive bacteria
  2. B)  Gram-negative bacteria
  3. C)  Virus
  4. D)  Fungus

Ans: C
The common cold, a viral infection of the upper respiratory tract, is the most common respiratory tract infection. The common cold is not caused by gram-negative or gram-positive bacteria. Fungal infections are not the cause of the common cold.

2. You are the school nurse educating a group of parents on the prevention of the common cold among their children. Which of the following preventive measures is most important to teach the parents?

  1. A)  Frequent handwashing
  2. B)  Maintaining vaccinations
  3. C)  Taking 1200 mg of vitamin C
  4. D)  Taking Echinacea daily

Ans: A
Because of the way cold viruses are spread, frequent and thorough hand hygiene is the most important protective and preventive measure. There is vaccine against the common cold. The ingestion of vitamin C and Echinacea is not the most effective preventive measure for the common cold.

3. A 3-year-old child is seen in the pediatric office for a dry, hacking cough. The mother is requesting a prescription for dextromethorphan. In providing patient education, which of the following provides the most effective teaching regarding the use of dextromethorphan in children?

  1. A)  Dextromethorphan suppresses cough in children.
  2. B)  Dextromethorphan is ineffective in children.
  3. C)  Dextromethorphan must be combined with codeine.
  4. D)  Dextromethorphan raises blood pressure in children.

Ans: B


Although antitussives continue to be used and adults report beneficial effect in reducing cough, antitussives, particularly dextromethorphan, have not been demonstrated to be effective in children and adolescents. Adverse effects of dextromethorphan in children include behavioral disturbances and respiratory depression, not high blood pressure.

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4. A patient is using oxymetazoline (Afrin) to relieve nasal congestion. Which of the following conditions would contraindicate the use of this drug?

  1. A)  Nasal congestion
  2. B)  Cough
  3. C)  Hypertension
  4. D)  Skin rash

Ans: C
Oxymetazoline is contraindicated in patients with severe hypertension or coronary artery disease because of its cardiac stimulating and vasoconstricting effects. Oxymetazoline is prescribed for nasal congestion. Oxymetazoline is not contraindicated in cough or skin rash.

5. A patient is admitted to the emergency room after consuming 50 acetaminophen tablets in a suicide attempt. What medication will be administered to counteract the effect of the acetaminophen?

  1. A)  Oxymetazoline hydrochloride (Afrin)
  2. B)  Acetylcysteine (Mucomyst)
  3. C)  Daptomycin (Cubicin)
  4. D)  Darbepoetin alfa (Aranesp)

Ans: B


Acetylcysteine is effective in the treatment of acetaminophen overdose. Oxymetazoline hydrochloride is used for nasal congestion, not acetaminophen overdose. Daptomycin and darbepoetin alfa are not used for acetaminophen overdose.

6. A patient is taking a nasal decongestant. Which of the following medications may dangerously increase the effects of nasal decongestants?

  1. A)  Anti-infective agents
  2. B)  Anti-inflammatory agents
  3. C)  Proton pump inhibitors
  4. D)  Thyroid preparations

Ans: D Feedback:

The administration of thyroid preparations should be done cautiously with nasal decongestants due to their increased effects. PPIs, anti-infectives, and anti-inflammatories do not have this effect.

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