Adv Med Surg Ch 33 & 34

Match the medication with the classification:

• zileuton

• second-generation H1 inhibitor

• montelukast

• second-generation H1 antihistamines (Nonsedating)

• levocetirizine

• first-generation H1 antihistamines (sedating)

• cetirizine

• leukotriene receptor antagonist

• hydroxyzine

• leukotriene receptor inhibitor

The nurse is preparing to administer a medication that has an affinity for H1 receptors. Which medication would the nurse administer?

• diphenhydramine

• omeprazole

• cimetidine

• ranitidine

An infant is born to a mother who had no prenatal care during her pregnancy. Which thpe of hypersensitivity reaction does the nurse determine may have occurred?

• bacterial endocarditis

• Rh-hemolytic disease

• lupus erythematosus

• rheumatoid arthritis

While monitoring the patient's eosinophil level, the nurse suspects a definite allergic disorder when seeing an eosinophil value of which percentage of the total leukocyte count?

• 1% to 3%

• 3% to 4%

• 5% to 10%

• 15% to 40%

A patient comes to the clinic with pruritus and nasal congestion after eating shrimp for lunch and is suspected to be experiencing an anaphylactic reaction to the shrimp. These symptoms typically occur within how many hours after exposure?

• 2 hours

• 6 hours

• 12 hours

• 24 hours

A patient is experiencing an allergic reaction after receiving a dose of penicillin. Which signs and symptoms will the nurse look for in the patient's initial assessment?

• dyspnea, bronchospasm, and/or laryngeal edema

• hypotension and tachycardia

• the presence and location of pruritus

• the severity of cutaneous warmth and flushing

The nurse is educating a patient with allergic rhinitis about how the condition is induced. Which factors should the nurse include in the education on this topic?

• airborne pollens or molds

• ingested foods

• parenteral medications

• topical creams or ointments

A patient has a sensitivity to ragweed and tells the nurse that it comes at the same time every year. When does the patient typically notice the symptoms?

• early spring

• early fall

• summer

• midwinter

A patient asks the nurse if it would be all right to take an over-the-counter antihistamine for the treatment of a rash. Which symptoms will the nurse educate the patient is a major side effect of antihistamines?

• diarrhea

• anorexia

• palpitations

• sedation

The nurse is administering a sympathomimetic drug to a patient. Which areas of concern does the nurse have when administering this drug? (select all that apply)

• causes bronchodilation

• constricts integumentary smooth muscle

• dilates the muscular vasculature

• causes bronchoconstriction

• causes laryngospasm