A client is receiving Dextromethorphan (Robitussin). The nurse knows the drug is exerting its therapeutic effects with which client report?
Decreased coughing
Relief of nasal congestion
Thinning of secretions
Bronchodilation
The Correct Answer is A
. Decreased coughing:
Dextromethorphan is primarily used as an antitussive, meaning it helps reduce coughing. It acts on the cough center in the brain to suppress the urge to cough.
B. Relief of nasal congestion:
Dextromethorphan is not typically used for relieving nasal congestion. Decongestants, such as pseudoephedrine, are more commonly used for this purpose.
C. Thinning of secretions:
Dextromethorphan does not have a direct effect on thinning secretions. Expectorants, like guaifenesin, are often used for this purpose.
D. Bronchodilation:
Dextromethorphan is not known for its bronchodilator effects. Bronchodilators, such as albuterol, are used for widening the airways in conditions like asthma or chronic obstructive pulmonary disease (COPD).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
. Decreased coughing:
Dextromethorphan is primarily used as an antitussive, meaning it helps reduce coughing. It acts on the cough center in the brain to suppress the urge to cough.
B. Relief of nasal congestion:
Dextromethorphan is not typically used for relieving nasal congestion. Decongestants, such as pseudoephedrine, are more commonly used for this purpose.
C. Thinning of secretions:
Dextromethorphan does not have a direct effect on thinning secretions. Expectorants, like guaifenesin, are often used for this purpose.
D. Bronchodilation:
Dextromethorphan is not known for its bronchodilator effects. Bronchodilators, such as albuterol, are used for widening the airways in conditions like asthma or chronic obstructive pulmonary disease (COPD).
Correct Answer is C
Explanation
A. "My provider will prescribe prophylactic antibiotics."
While antibiotics may be prescribed if there is a bacterial infection or exacerbation, they are not typically used prophylactically in all cases of mild emphysema.
B. "My condition is reversible with proper medications."
Emphysema is a chronic and typically irreversible condition. While medications can help manage symptoms and improve quality of life, they do not generally reverse the damage caused by emphysema.
C. "I should use albuterol (Proventil) when my symptoms worsen."
Albuterol (Proventil) is a short-acting beta-agonist bronchodilator, and it is commonly used as a rescue inhaler to provide quick relief of symptoms such as shortness of breath and wheezing in patients with conditions like emphysema. Using albuterol as needed during symptom exacerbations aligns with appropriate management of mild emphysema.
D. "I will need to take oral prednisone on a daily basis."
Daily use of oral prednisone is not a standard treatment for mild emphysema. Prednisone is a corticosteroid that may be used in certain situations, such as during exacerbations, but its long-term use carries potential risks and is generally avoided unless necessary.
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