Respiratory Flashcards
(93 cards)
What cues would you recognize for a client with allergic rhinitis?
What cues should the nurse consider when identifying allergic rhinitis
sneezing, watery eyes, and nasal congestion
What are the causes of allergic Rhinitis?
A patient is asking their nurse, what caused my allergic rhinitis? How should the nurse respond?
Exposure to an allergen
What are the most common causes (allergens) of Allergic Rhinitis?
Pollen from weeds, grasses, trees. Mold spores, dust mites, and certain foods. Animal dander. Genetic predisposition.
What priority actions should the nurse take in a case of allergic rhinitis?
Priority: Assess heart rate, respiratory rate, and lung sounds
What should the nurse determine when assessing a client with allergic rhinitis?
Patient is developing an anaphylactic reaction.
What should the nurse include in the discussion/plan of care of the patient?
Antihistamines, intranasal corticosteroids, mast cell stabilizers. Some can help prevent or avoid the onset of allergies or seasonal allergies
How should the nurse respond to the patient asking about how they can treat their allergic rhinitis?
- “Some antihistamines can help prevent the onset of allergies.” 2. “Intranasal corticosteroids help prevent their allergies.” 3. “Drugs that are mast cell stabilizers may help you avoid your seasonal allergies.”
What would you include in your teaching plan to a parent with a child prescribed diphenhydramine (Benadryl)?
Because of the paradoxical effects of benadryl, do not give to child when they are in a highly stimulating scenario
Which statement by the client shows that the client is feeling the adverse effects of diphenhydramine?
“I am feeling sleepy”
What should the nurse ask their patient before administering diphenhydramine?
“Have you used the bathroom recently?”
What priority action should the nurse take when assessing a patient taking diphenhydramine?
Urinary retention, this should be reported to the provider
What signs should the nurse look out for before administering diphenhydramine?
Narrow-angle glaucoma
What signs show that the patient is taking benadryl with MAOI?
Hypertensive crisis
Airway clearance, ineffective related to nasal congestion
What are some of the goals of Benadryl therapy?
Patient will have decreased nasal congestion, mucosal secretions, and cough
What interventions should the nurse do when giving a petient benadryl?
give oral form of benadryl with food to decrease gastric distress
What statement shows that the patient has a good understanding of the side effects of Benadryl?
avoid driving as benadryl is a sedative
What should the patient do when they are taking benadryl?
acoid alcohol and other CNS depressants
The patient is experiencing mouth dryness, what interventions can the nurse suggest to the patient?
use of sugarless candy, gum, or ice chips for relief of mouth dryness
What should be assessed when given OTC antihistamine combinations?
Assess for Dysrhythmias
What should the nurse suggest the patient take if they have allergies?
intranasal corticosteroids can help prevent the onset of allergies
Why would the nurse suggest intranasal corticosteroids
Intranasal corticosteroids produce almost no serious drug reactions
Do you feel a burning sensation when using Flonase?
Does your nose bleed after taking Flonase?
