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Upper Respiratory ProblemsMedical Surgical Nursing

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Question Answer
Insomnia, excitation, headache, irritability, increased blood and ocular pressure, dysuria, palpitations and tachycardia are side effects that can occur from what medication?
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Sudafed
Who is advised not to take sudafed?
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Patients with cardiovascular disease, HTN, Diabetes, glaucoma, prostate hyperplasia, or hepatic or renal disease
Oxymetazoline (Dristan), Phenylephrine (Neo-Synephrine), and Azelastine (Astelin) are examples of topical __________.
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Decongestants
What is rhinitis medicamentosa and what decongestant can cause it?
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It is rebound nasal congestion, it can be caused by Dristan (oxymetazoline)
What is the maximum amount of time a patient should use decongestant nasal sprays?
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3 days, and no more than 3-4 times a day for those 3 days...otherwise they are at risk for rebound congestion
T/F Prior to using a nasal inhaler, the patient should blow their nose.
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True
T/F When using a nasal inhaler, the patient should tilt their head back, place the inhaler in their nostril, aim it slightly to the inside nostril wall and hold the other nostril shut with one finger.
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False, the inhaler should be aimed at the outside nostril wall
What should you recommend to a patient who has been prescribed Atrovent 3 puffs per nostril, three times a day related to dispensing of the medication?
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To avoid irritation, they shoould direct the spray to a different area of the mucosa for each puff
At what point should a provider suspect an acute baceterial sinusitis as opposed to a cold?
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If cold symptoms remain after 7 days with no improvement
A patient you saw earlier in the week with a cold has returned. They have a temperature of 100.4, tender, swollen glands, and a sore, red throat. You determine that this patient has developed...
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A secondary bacterial infection to the cold. Patients should be taught how to recognize the above symptoms and to return to the Dr. if they develop.
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What changes should a patient with pulmonary disease and a cold monitor for in order to quickly identify a secondary bacterial infection?
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Changes in consistency, color, or volume of their sputum.
T/F The most influenza deaths occur in the 0-1 year old age group.
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False, they occur most in the 60 and up age group
What is the most common complication of influenza?
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Pneumonia...this is why so many old people die from it each year.
How long does the flu typically last in uncomplicated cases?
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7 days
What are the contraindications for getting the inactivated influenza vaccine?
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History of Guillain Barre or allergies to eggs
Who should a nurse recommend the live, attenuated influenza vaccine to?
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All healthy patients aged 5-49 and not pregnant
Live, attenuated influenza vaccines are administered via injection or intranasally?
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Intranasally (LAIV/Flumist)
Zinc is a complimentary therapy used to treat a cold, URI, dermatitis, acne, herpes simplex and to promote wound healing. What are the nursing implications of this supplement?
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-should not be taken with bran, coffee, protein or calcium as these inhibit absorption -long-term use of over 15 mg/day is not recommended without medical supervision
T/F Adults with chronic cardiac or pulmonary diseases should not get the inactivated flu vaccine because of complications that can develop.
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False. They are a target group for the flu vaccine
T/F Women in their second or third trimester of pregnancy should get the inactivated flu vaccine during flu season.
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True
Which antiviral medications are given to treat or prevent symptoms of the flu after an outbreak occurs?
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Amantadine(Symmetrel) or Rimantidine (Flumadine)
  
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