A patient has questions regarding a recently prescribed ...

[james]

A patient has questions regarding a recently prescribed antitussive agent. Which response by the nurse is the best?
 
  a. It will eliminate your cough at night.
  b. It will reduce the frequency of your cough.
  c. It should be used in the morning.
  d. It should be taken before sleep.

Question 2

The nurse is providing counseling to a patient on cromolyn sodium (Nasalcrom) nasal spray. Information relayed to the patient will include that (Select all that apply.)
 
  a. cromolyn must be taken immediately following exposure to the stimulus.
  b. the patient should blow the nose before nasal instillation.
  c. therapeutic effects are immediate.
  d. inhalation will cause coughing.
  e. the maximum is six sprays in each nostril daily.

[epscape]

Answer to Question 1

ANS: B
Antitussive agents act by suppressing the cough center in the brain. The expected therapeutic outcome is reduced frequency of nonproductive cough to promote rest. Antitussive agents should be taken as prescribed by the health care provider. Antitussives are not likely to eliminate a cough. Antitussives should be taken throughout the day.

Answer to Question 2

ANS: B, E
Patients should blow their noses before nasal instillation. The maximum is six sprays in each nostril daily. Cromolyn must be taken before exposure to the stimulus that initiates an attack or allergic rhinitis. Therapeutic effects require regular use and are usually evident within 2 to 4 weeks. Coughing is not an expected adverse effect. The health care provider should be notified if inhalation causes coughing.