Quiz #5

A nurse is caring for a client who states she has been taking phenylephrine nasal drops for the past 10 days for sinusitis. The nurse should assess the client for which of the following adverse effects of this medication? A. Sedation B. Nasal congestion C. Productive cough D. Constipation

B

A nurse is teaching a client who has a prescription for long-term use of oral prednisone for treatment of chronic asthma. The nurse should instruct the client to monitor for which of the following manifestations as an adverse effect of this medication? A. Weight gain B. Nervousness C. Bradycardia D. Constipation

A

A nurse is providing instructions to a client who has a new prescription for albuterol and beclomethasone inhalers for the control of asthma. Which of the following instructions should the nurse include in the teaching? A. Take the albuterol at the same time each day B. Administer the albuterol inhaler prior to using the beclomethsone inhaler C. Use beclomethasone if experiencing an acute episode D. Avoid shaking the beclomethasone before use

B

A nurse is providing instructions to a client who has a new prescription for albuterol, PO. Which of the following instructions should the nurse include? A. "You can take this medication to abort an acute asthma attack" B. "Tremors are an adverse effect of this medication" C. "Prolonged use of this medication can cause hyperglycemia" D. "This medication can slow skeletal growth rate"

B

A nurse is teaching a client who has a new prescription for beclomethasone. Which of the following instructions should the nurse include? A. "Rinse your mouth after each use of this medication" B. "Limit fluid intake while taking this medication" C. "Increase your intake of vitamin B12 while taking this medication" D. "You can take the medication as needed"

A

A woman begins using an albuterol inhaler and a beclomethasone inhaler for her asthma. She asks if it matters which inhaler she uses first. The best response by the nurse is which of the following? A. "You should use the albuterol inhaler first followed in 5 to 10 minutes by the beclomethasone inhaler." B. "You should use the beclomethasone inhaler first followed in 5 to 10 minutes by the albuterol inhaler." C. "The order in which you use the inhalers does not matter." D. "You should not use the inhalers one right after the other."

A

The nurse notes that a patient's serum theophylline level is 25 mcg/mL and that a scheduled dose of the medication is due. The nurse should do which of the following? A. Hold the scheduled dose, contact the health care provider, and assess the patient for signs of theophylline toxicity. B. Administer the dose as scheduled. C. Administer only half of the dose and repeat the theophylline level in 4 hours. D. Hold the dose until the next meal and administer at that time.

A

A man who is using a steroid inhaler complains of anorexia and discomfort when he eats. The nurse reports this to the care provider, and the patient receives a diagnosis of oropharyngeal candidiasis. It is possible to decrease this adverse effect by which of the following actions? (Select all that apply.) A. reducing the dose B. administering the drug more frequently C. rinsing the mouth after use D. using a spacer device

A, C, D

A nurse is teaching a client who has a new prescription for diphenhydramine for allergic rhinitis. The nurse should instruct the client to monitor for which of the following manifestations as an adverse effect of this medication? (Select all that apply.) A. Dry mouth B. Nonproductive cough C. Skin rash D. Drowsiness E. Urinary hesitation

A, D, E

A nurse is teaching a client about the use of fluticasone to treat perennial rhinitis. Which of the following statements by the client indicates an understanding of the teaching? A. "I should use the spray every 4 hours while i'm awake" B. "It can take as long as 3 weeks before the medication takes a maximum effect" C. "This medication can also be used to treat motion sickness" D. "I can use this medication when my nasal passages are blocked"

B

A nurse is teaching the family of a child who has cystic fibrosis and a new prescription for acetylcysteine. Which of the following info should the nurse include in the instructions? A. "Expect this medication to suppress your child's cough" B. "Expect this medication to smell like rotten eggs" C. "Expect this medication to cause euphoria" D. "Expect this medication to turn your child's urine orange"

B

Montelukast is effective in relieving the inflammation and bronchoconstriction associated with acute asthmatic attacks through which principal action? A. stabilizing mast cells B. blocking leukotriene receptors C. binding to immunoglobulin E (IgE) D. decreasing prostaglandin synthesis

B

When teaching a patient about the proper use of metered-dose inhalers, which of the following statements should be included? A. "Make sure that you puff out air repeatedly after you inhale the medication." B. "After you inhale the medication, hold the breath for approximately 10 seconds and exhale slowly." C. "After you inhale the medication once, repeat until you obtain relief." D. "Rinse out your mouth before using the inhaler to decrease the development of a mouth infection."

B

A nurse is teaching a client who has a new prescription for dextromethorphan to suppress a cough. The nurse should instruct the client to monitor for which of the following manifestations as an adverse effect of this medication? A. Diarrhea B. Anxiety C. Sedation D. Papitations

C

A 68-year-old man, well controlled on theophylline for 2 years, complains of insomnia, nervousness, nausea and vomiting, and tachycardia. He originally thought the nervousness was due to his recent smoking cessation. He had smoked one pack per day for 10 years. The nurse practitioner assesses the patient and tells him that he is likely experiencing theophylline toxicity. A serum theophylline level confirms the diagnosis. What is the best explanation for theophylline toxicity in this patient? A. Because of his age, the patient is likely having renal insufficiency. B. The patient is not taking the medication as prescribed. C. A concurrent medication is altering the metabolism of theophylline. D. The metabolism of theophylline has decreased with the recent smoking cessation.

D