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    Pharmacology proctored exam (examplify)

    A client has been coughing up thick yellow mucus for the past four days. What type of upper respiratory medication would be most appropriate for this client?

    Explanation & Rationale

    A. An Antihistamine medication like fexofenadine.: Antihistamines are most effective for allergic symptoms such as sneezing, runny nose, and watery eyes. They can thicken secretions, making mucus more difficult to expel, which is not helpful for a client already producing thick sputum. B. An Antitussive medication like dextromethorphan.: Antitussives suppress the cough reflex, which could prevent the clearance of mucus from the airways. In a client with productive coughing, this may lead to mucus retention and increase the risk of secondary infection. C. A Decongestant medication like pseudoephedrine.: Decongestants primarily reduce nasal swelling and sinus pressure by vasoconstriction. They do not thin mucus or assist in mobilizing secretions from the lower airways, making them less effective for thick sputum production. D. An Expectorant medication like guaifenesin.: Guaifenesin helps thin and loosen mucus in the airways, promoting more effective coughing and clearance of secretions. This facilitates airway patency and improves breathing comfort, making it the most appropriate for thick yellow mucus.

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