Exam #3 Ch. 35, 39 & 40 (Antibiotics/respiratory drugs)

The patient is using beclomethasone (Beclovent) for treatment of chronic asthma. Which statement indicates that the patient understands this drug therapy? a. "I will use my bronchodilator if my wheezing increases." b. "I will not need a flu shot now that I'm taking this medicine." c. "This is the only drug I will need to treat my asthma attacks." d. "I will use this drug only when I feel an attack coming on."

a. "I will use my bronchodilator if my wheezing increases."

For which client conditions should the nurse anticipate administering antibiotic therapy for chemoprophylactic purposes? (Select all that apply.) a. Neurologic abnormality b. Prosthetic heart valve c. Dental surgical procedure d. Chronic respiratory infection e. Kidney transplantation

b. Prosthetic heart valve c. Dental surgical e. Kidney transplantation

A client who has been on antibiotic therapy for peptic ulcer caused by Helicobacter pylori is diagnosed with a superinfection. What is the most appropriate response by the nurse when the client asks why the superinfection occurred? a. "The normal host flora has been destroyed by the antibiotic." b. "The infectious agent has developed resistance to the drug." c. "The infection caused by H. pylori has become severe." d. "The H. pylori restricted the growth of microorganisms."

a. "The normal host flora has been destroyed by the antibiotic."

A nurse is administering oral sulfamethoxazole-trimethoprim (Bactrim) to a client for treatment of urinary tract infection. Which nursing actions are appropriate? (Select all that apply.) a. Ensure the client drinks a full glass of water with each dose. b. Monitor the client's intake of calcium-fortified drinks. c. Administer the medication around the client's meal times. d. Have the client take potassium supplements with this drug. e. Give the client a glass of milk to drink in case of GI upset.

a. Ensure the client drinks a full glass of water with each dose c. Administer the medication around the client's meal times. e. Give the client a glass of milk to drink in case of GI upset.

A nurse is caring for a client receiving vancomycin intravenous infusion for treatment of a wound infected with MRSA. Which finding should the nurse report immediately to the healthcare provider? a. Hypotension and red rash on the chest area b. Joint and muscle pain with general malaise c. Chest discomfort and decreased heart rate d. Heel pain along with difficulty walking

a. Hypotension and red rash on the chest area

A nurse is caring for a client with chronic bronchitis and is prescribed acetylcysteine to loosen bronchial secretions. The nurse should administer this medication by which route? a. Inhalation b. Oral c. Intravenous d. Intramuscular injection

a. Inhalation

The client is prescribed diphenhydramine (Benadryl) for treatment of a respiratory allergy. Which statement best indicates that the client understands the drug therapy? a. "I will use my bronchodilator if my wheezing increases." b. "I will report blurred vision, constipation, or urinary retention." c. "This is the only drug I will need to treat my asthma attacks." d. "I will use this drug only when I feel an attack coming on."

b. "I will report blurred vision, constipation, or urinary retention."

The patient is receiving theophylline (Theo-Dur) for treatment of asthma. Nursing intervention is required if the patient makes which statement? a. "I will check my heart rate each day." b. "I will take my medicine with my coffee each morning." c. "I will notify my doctor if my vision changes." d. "I will use my inhaler if I am wheezing."

b. "I will take my medicine with my coffee each morning."

The client is receiving an antitussive with codeine for treatment of a cough. Which statement made by the client requires further teaching by the nurse? a. "I will avoid driving while I am on this medication." b. "I will take my medicine with red wine to help me sleep." c. "I will notify my doctor if my breathing changes." d. "I will keep this medication away from my children."

b. "I will take my medicine with red wine to help me sleep."

A patient has prescriptions for two inhalers. One inhaler is a bronchodilator, and the other is a corticosteroid. Which instruction regarding these inhalers should the nurse give to the patient? a. "The corticosteroid should be taken first." b. "The bronchodilator should be taken first." c. "The two drugs should be taken at least 2 hours apart." d. "The order of administration does not matter with these two drugs."

b. "The bronchodilator should be taken first."

A client will be receiving an opioid antitussive for a cough associated with a cold infection. For what should the nurse assess in the client prior to administering the medication? a. Hypertension b. Asthma c. Headache d. Sore throat

b. Asthma

A client is receiving an antihistamine through intranasal route for treatment of an upper respiratory condition. The nurse should expect to administer which medication? a. Beclomethasone (Beconase) b. Azelastine (Astelin) c. Cetirizine (Zyrtec) d. Mometasone (Nasonex)

b. Azelastine (Astelin)

A client is using an intranasal oxymetazoline (Afrin) for treatment of nasal congestion. Which instruction should the nurse include during client teaching? a. Monitor respiratory rate. b. Limit use of the drug to 3-5 days. c. Drink plenty of fluids. d. Use with caution with SSRIs.

b. Limit use of the drug to 3-5 days.

A nurse is preparing to administer a broad-spectrum antibiotic to a client with a severe respiratory infection. Which is an important nursing action to take prior to administering the medication? a. Reviewing the results of the culture and sensitivity test b. Obtaining a specimen for culture and sensitivity testing c. Performing a peak and trough level of the antibiotic d. Determining the course antibiotic therapy based on half-life

b. Obtaining a specimen for culture and sensitivity testing

A patient using a beta-adrenergic agonist for treatment of asthma asks the nurse how the medication works. What is the nurse's best response? a. The drug reduces mucus production. b. The drug causes bronchodilation. c. The drug liquefies thick mucus. d. The drug suppresses the cough reflex.

b. The drug causes bronchodilation.

A client is being prescribed penicillin for an upper respiratory infection. What information should the nurse emphasize in providing instructions to the client? a. The antibiotic therapy can be taken while breast-feeding. b. The entire prescription must be completed as instructed. c. The medication can be taken without regard to eating. d. The most common side effect is urinary discoloration.

b. The entire prescription must be completed as instructed.

A patient receiving treatment for a respiratory condition asks the nurse why the medication is given through aerosol therapy. What is the nurse's best response? a. The aerosol has no systemic side effects. b. The medication is delivered to the site of action. c. The patient requires no skill to use it. d. The delivery method is safe for all patients.

b. The medication is delivered to the site of action.

A patient presents at the emergency department with an acute asthma attack. The nurse expects that which medication will be used for initial treatment? a. An anticholinergic such as ipratropium (Atrovent) b. A leukotriene receptor antagonist such as montelukast (Singulair) c. A beta-2 agonist such as albuterol (Proventil) d. A corticosteroid such as fluticasone (Flovent)

c. A beta-2 agonist such as albuterol (Proventil)

A nurse is caring for a client who is taking dextromethorphan (Delsym). The client presents at the clinical with symptoms of hypotension and hyperpyrexia. For which drug interaction should the nurse assess in the client? a. Opioids b. Barbiturates c. MAOIs d. Grapefruit juice

c. MAOIs

Which intervention should the nurse implement when caring for a patient on long-term oral glucocorticoids? a. Monitoring liver function tests b. Monitoring for cardiac dysrhythmias c. Monitoring for signs of GI bleeding d. Monitoring blood glucose levels

c. Monitoring for signs of GI bleeding

A nurse is caring for a client who is prescribed fluticasone (Afrin) for allergic rhinitis. Which assessment finding should the nurse report immediately to the healthcare provider? a. Headache b. Hypertension c. Sore throat d. Hyperglycemia

c. Sore throat

An elderly male patient with benign prostatic hypertrophy is prescribed ipratropium (Atrovent) for the treatment of asthma. Which nursing intervention is most appropriate? a. Teaching the patient to avoid caffeine in the diet b. Assessing the patient for enlarged liver c. Teaching the patient to report inability to urinate d. Monitoring for development of diarrhea

c. Teaching the patient to report inability to urinate

A client has been prescribed oral tetracycline for treatment of severe acne. Which assessment finding is most important for the nurse to communicate with the healthcare provider? a. The client's nutritional status b. The pathogen causing the acne c. The client's pregnancy status d. The presence of open lesions

c. The client's pregnancy status

A nurse is caring for a client receiving the antitussive dextromethorphan (Robitussin A-C). What should the nurse emphasize during medication teaching with the client? a. The medication is irritating to the bronchial tree. b. The cost of the medication can be expensive. c. The medication can cause motor dysfunction. d. The client may use the medication for 14 days.

c. The medication can cause motor dysfunction

A client asks the nurse why the healthcare provider did not prescribe the usual antibiotic for the same infection. Which is the best response by the nurse? a. "It does not matter which antibiotic is taken." b. "If you are not better in 10 days, return to the office." c. "You do not want to take the same antibiotic all the time." d. "Bacteria can become resistant to some antibiotics."

d. "Bacteria can become resistant to some antibiotics."

Which information should the nurse include during patient teaching on long-term therapy with beta-adrenergic agonists for asthma treatment? a. Discontinuing the drug if heart rate increases b. Monitoring daily intake and output c. Reducing dosage of the drug if insomnia occurs d. Notifying the healthcare provider if the drug no longer seems effective

d. Notifying the healthcare provider if the drug no longer seems effective

When educating a patient recently placed on inhaled corticosteroids, the nurse will discuss which potential adverse effects? a. Fatigue and depression b. Anxiety and peripheral vasoconstriction c. Headache and rapid heart rate d. Oral candidiasis and dry mouth

d. Oral candidiasis and dry mouth

A nurse is caring for a client who is prescribed benzonatate (Tessalon) to suppress coughing from a cold infection. Which instruction should the nurse include during client teaching? a. Monitor blood pressure. b. Chew the gel tablet thoroughly. c. Check pulse before taking the drug. d. Stand up slowly and carefully.

d. Stand up slowly and carefully.

A client has been prescribed ciprofloxacin (Cipro) 500 mg twice daily by mouth. Which information should the nurse include during client teaching about administration of this medication? a. The dose must be taken on an empty stomach to increase absorption. b. The client can have an unlimited amount of caffeinated drinks. c. The drug can be taken with an antacid to decrease GI symptoms. d. The dose should not be taken with supplements containing iron.

d. The dose should not be taken with supplements containing iron.

A nurse is caring for a client receiving gentamicin for treatment of a Pseudomonas infection. Which assessment finding should the nurse report to the healthcare provider immediately? a. Dysrhythmia b. Constipation c. Diuresis d. Tinnitus

d. Tinnitus