Chapter 32
A client comes to the clinic because of an exacerbation of his asthma. When obtaining the client's history, the nurse would anticipate hearing the client report an increase in which of the following? -chest tightness -bradypnea -dyspnea -cough -nasal congestion
-chest tightness -dyspnea -cough
A nurse is assessing a client who comes to the emergency department with acute respiratory distress. The nurse suspects that the client is experiencing an asthma attack based on which of the following? (Select all that apply) -cough with or without mucous -prolongation of expiration -decrease in pulse rate -generalized chest tightness -increase in body temperature
-cough with or without mucous -prolongation of expiration -generalized chest tightness
A client with asthma is taking zileuton along with theophylline. The nurse should be especially alert for which of the following? -increased pulse rate -increased serum zileuton -increased prothrombin time -increased serum theophylline
-increased serum theophylline
When teaching a client about his prescribed asthma therapy, the nurse understands that which asthma medications may increase the risk of asthma-related death? -mast cell stabilizers -short-acting beta agonists (SABA) -inhaled corticosteroids (ICSs) -long-acting beta-2 agonists
-long-acting beta-2 agonists
A nurse is describing how aminophylline achieves its effect. Which would the nurse incorporate into the description? -stimulation of beta-adrenergic receptors -stabilization of the mast cell membranes -reduction of airway hyperresponsiveness -stimulation of the central nervous system
-stimulation of the central nervous system
When educating a group of students on the mechanism of action of various antiasthma drugs, the nurse identifies which drugs as inhibiting the formation of leukotriene? -zafirlukast -budesonide -montelukast -zileuton
-zileuton
A client is prescribed albuterol, 2 puffs every 6 hours. After teaching the client about the drug and its administration, the nurse determines the teaching was successful when the client states that he will allow how much time in between each puff? -2 minutes -1 minute -10 seconds -30 seconds
1 minute
When determining a client's personal best, the nurse would instruct the client to perform peak flow testing how many times? -3 -2 -4 -1
3
A client has been admitted to a health care facility with asthma. The nurse is to administer theophylline to the client. To which clients can the nurse safely administer theophylline? -a 43-year-old male client with hypertension -a 65-year-old male client with asthma -a 65-year-old female client with hepatic disease -an 83-year-old female client with cardiac disease
a 65-year-old male client with asthma
After reviewing information on drugs used to treat lower respiratory conditions, a group of nursing students demonstrate understanding of the information when they identify which as an example of a short-acting beta-2 agonist (SABA)? -arformoterol -albuterol -salmeterol -formotorol
albuterol
When describing the events of an asthma attack to a client, the nurse incorporates understanding that stimulation of alpha-adrenergic receptors result in which of the following? -sputum production -bronchodilation -cough -bronchconstriction
bronchoconstriction
A client was using a nicotine patch to stop smoking when he started on theophylline for emphysema. He has successfully stopped smoking and has stopped using his nicotine patch. Which of the following would the nurse anticipate about the prescribed theophylline? -dose should be increased -the drug should be discontinued -dose should be decreased -the client will receive the same amount
dose should be decreased
Which medication is used to treat acute airflow obstruction? -metraproterenol -beclomethasone -montelukast -azelastine
metraproterenol
A client is receiving theophylline and the nurse is monitoring the client's theophylline level. The most recent result reveals a level of 17 mcg/L. Which adverse effects would the nurse expect to find? (Select all that apply) -nausea -confusion -diarrhea -headache -seizures
nausea diarrhea headacche
A client is prescribed omalizumab. The nurse would expect to administer this drug by which route? -intranasally -rectally -orally -subcutaneously -inhalation
subcutaneously