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Questions

Question 1

What is the primary mechanism of action for antihistamines?

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Question 2

In addition to treating allergies, what nonallergic condition is specifically mentioned as being treated by dimenhydrinate and meclizine?

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Question 3

What common property do most antihistamines possess, which can lead to side effects such as constipation and dry mouth?

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Question 4

The use of antihistamines is specifically contraindicated in which patient population?

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Question 5

What is the primary effect of using MAO inhibitors concurrently with antihistamines?

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Question 6

To help decrease the viscosity of bronchial secretions, what is the recommended daily fluid intake for a patient taking antihistamines?

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Question 7

For the prophylaxis of motion sickness, what is the preferred administration time for an antihistamine before exposure to precipitating conditions?

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Question 8

What advice should be given to a patient to help relieve the dryness of mouth caused by antihistamine use?

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Question 9

Which of the following is NOT listed in the text as an evaluation or desired outcome of antihistamine therapy?

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Question 10

Which two specific drugs are mentioned as examples of phenothiazines that have strong antihistaminic properties?

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Question 11

According to the 'General Action and Information' section, which of the following is something that antihistamines do NOT do?

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Question 12

The text states that antihistamines should be used cautiously in elderly patients because they are more susceptible to what?

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Question 13

In which of the following medical conditions does the 'Precautions' section recommend using antihistamines cautiously?

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Question 14

Concurrent use of antihistamines with which class of drugs can lead to additive sedation?

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Question 15

What specific allergy symptoms should a nurse assess for before and during antihistamine therapy?

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Question 16

What is the primary safety instruction for patients regarding the potential for drowsiness caused by antihistamines?

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Question 17

Which specific antihistamine is mentioned in the 'General Use' section for its application in treating insomnia?

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Question 18

The use of antihistamines is contraindicated in patients with which specific type of glaucoma?

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Question 19

What is the primary interaction when alcohol is used concurrently with antihistamines?

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Question 20

When administering an antihistamine for a pruritic (itching) skin condition, what should the nurse specifically observe?

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Question 21

Antihistamines function by blocking the effects of histamine at which specific receptor site?

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Question 22

In addition to being used for insomnia, diphenhydramine is also used to treat which other nonallergic condition?

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Question 23

What does the text note about the antihistaminic properties of the phenothiazines hydroxyzine and promethazine?

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Question 24

What is the guideline for using antihistamines in patients who have cardiovascular disease?

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Question 25

According to the patient teaching section, what can patients use to help relieve the dry mouth associated with antihistamines?

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Question 26

What is the specific desired outcome when an antihistamine is used as a hypnotic agent?

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Question 27

What specific nursing implementation is recommended when administering antihistamines concurrently with opioid analgesics?

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Question 28

What is the minimum amount of time an antihistamine should be administered before exposure for prophylaxis of motion sickness?

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Question 29

Besides angle-closure glaucoma, what other condition is listed as a contraindication for antihistamine use?

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Question 30

The text warns that additive sedation can occur when antihistamines are used with other CNS depressants. Which of the following is listed as an example of such a drug class?

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Question 31

Why is it important for a nurse to assess lung sounds and maintain fluid intake in a patient taking antihistamines?

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Question 32

How are antihistamines utilized in the management of anaphylactic reactions?

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Question 33

Which of the following is identified in the text as a potential anticholinergic side effect of most antihistamines?

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Question 34

What is the general guideline for the use of antihistamines in pregnant and lactating women?

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Question 35

What instruction should be given to a patient if symptoms persist while taking an antihistamine?

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Question 36

When certain antihistamines are used for their antiemetic properties, what is the desired gastrointestinal outcome?

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Question 37

The 'General Action and Information' section clarifies that antihistamines block histamine at H1 receptors but do NOT block which of the following?

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Question 38

Why must antihistamines be used with caution in patients with prostatic hypertrophy?

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Question 39

According to the 'General Use' section, antihistamines provide relief of symptoms for which specific allergic conditions?

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Question 40

What is the general principle of the drug interaction between antihistamines and other CNS depressants?

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Question 41

For the most effective prophylaxis of motion sickness, what is the optimal administration time for an antihistamine before exposure?

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Question 42

In addition to good oral hygiene and frequent rinsing with water, what else does the patient teaching section suggest to help relieve dryness of the mouth?

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Question 43

Antihistamines are used as adjunctive therapy in which severe, systemic allergic reaction?

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Question 44

The 'General Action and Information' section indicates that, in addition to having anticholinergic properties, many antihistamines also cause what common CNS effect?

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Question 45

The use of antihistamines is explicitly contraindicated in which patient group?

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Question 46

The 'Precautions' section advises using antihistamines cautiously in patients with severe liver disease and which other specific condition of the upper gastrointestinal tract?

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Question 47

What is the primary reason patients taking antihistamines should be cautioned to avoid concurrent use of alcohol?

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Question 48

What is the purpose of maintaining a daily fluid intake of 1500 to 2000 mL when taking antihistamines?

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Question 49

If an antihistamine such as hydroxyzine is administered for anxiety, what is the expected desired outcome?

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Question 50

How do MAO inhibitors interact with antihistamines according to the provided text?

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Other chapters

HOW TO USE DAVIS'S DRUG GUIDE FOR NURSESEVIDENCE-BASED PRACTICE AND PHARMACOTHERAPEUTICS: Implications for NursesPHARMACOGENOMICSMEDICATION ERRORS: Improving Practices and Patient SafetyDETECTING AND MANAGING ADVERSE DRUG REACTIONSOVERVIEW OF RISK EVALUATION AND MITIGATION SYSTEMS (REMS)SPECIAL DOSING CONSIDERATIONSTHE CYTOCHROME P450 SYSTEMEDUCATING PATIENTS ABOUT SAFE MEDICATION USEAnti-Alzheimer's agentsAntianemicsAntianginalsAntianxiety agentsAntiarrhythmicsAntiasthmaticsAnticholinergicsAnticoagulantsAnticonvulsantsAntidepressantsAntidiabeticsAntidiarrhealsAntiemeticsAntifungalsAntihypertensivesAnti-infectivesAntineoplasticsAntiparkinson agentsAntiplatelet agentsAntipsychoticsAntipyreticsAntirheumaticsAntiulcer agentsAntiviralsBeta blockersBone resorption inhibitorsBronchodilatorsCalcium channel blockersCentral nervous system stimulantsCorticosteroidsDiureticsHormonesImmunosuppressantsLaxativesLipid lowering agentsMinerals/electrolytes/pH modifiersNonopioid analgesicsNonsteroidal anti-inflammatory agentsOpioid analgesicsSedative/hypnoticsSkeletal muscle relaxantsThrombolyticsVaccines/immunizing agentsVitaminsDRUGS APPROVED IN CANADANATURAL/HERBAL PRODUCTSMEDICATION SAFETY TOOLSAppendix A. Recent Drug ApprovalsAppendix E. Administering Medications to ChildrenAppendix G. Pediatric Dosage CalculationsAppendix I. Controlled Substance SchedulesAppendix L. Insulins and Insulin TherapyAppendix M. Canadian and U.S. Pharmaceutical PracticesAppendix N. Routine Pediatric and Adult Immunizations