Exam #3

A health care professional who is advising a patient about the use of antihistamines to treat allergic rhinitis should explain that these drugs are effective because they perform which of the following actions?

Prevents histamine from binding to receptors.

A health care professional is caring for a patient who is taking codeine. Which of the following is the most important assessment following administration of the drug?

Respiration rate

A health care professional should explain to a patient who is prescribed diphenhydramine (Benadryl) that the most common side effects associated with the drug is ?

Sedation

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 adverse effects of this medication?

Sedation

A health care professional is caring for a patient who is taking ipratropium (atrovent).A health care professional should explain which of the following adverse effects to the patients?

Urinary retention dry mouth

A client has been prescribed fluticasone (Flonase) to sue with oxymetazoline (Afrin). How should the client be taught to use these drugs?

Use the oxymetazoline first, then the fluticasone after waiting 5 minutes.

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 adverse effects?

Weight gain

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 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?

"Administer the albuterol inhaler prior to administering the beclomethasone inhaler"

A nurse is teaching a client who has a new prescription for beclomethasone. Which of the following instructions should the nurse include?

"Rinse your mouth out after each use of this medication"

When advising a patient about using zileuton (Zyflo), a health care professional should include which of the following instructions?

-Have laboratory tests performed at regular intervals

A male, age 67, reports taking diphenhydramine (Benadryl) for "hay fever". Considering this client's age, the nurse assesses for which of the following findings?

A history of prostate or urinary conditions.

You should instruct a patient who is taking zileuton (Zyflo) to report which of the following possible indications of a serious adverse effect of the drug? A. abdominal pain B. dysphagia C. blurred vision D. bradycardia

A. abdominal pain

You are instructing a patient about using cromolyn via inhalation to treat exercise-induced asthma. You should advice the patient to take the drug A.) 15 min before exercise B.) if needed to stop bronchospasm C.) after strenuous activity D.) once in the evening at bedtime

A.) 15 min before exercise

After patient is reassessed, provider prescribes a stat parenteral dose of a glucocorticoid. Recognizing the adverse effects of these, you should monitor patient for what? SELECT ALL THAT APPLY A.) Hyperglycemia B.) Thrombophlebitis C.) Dysrhythmias D.) Infection E.) Gastric bleeding

A.) Hyperglycemia D.) Infection E.) Gastric bleeding

As the patient continues to stabilize, prednisone PO is prescribed. You review her history and drugs she has been taking. Which of the following drugs might interact adversely with prednisone? A.) ibuprofen B.) levothyroxine C.) atorvastatin D.) spironolactone

A.) ibuprofen

A health care professional is talking to a patient who is prescribed albuterol (Proventil) via inhaler and fluticasone (advair) via inhaler for asthma management. The health care professional should tell the patient to use the albuterol inhaler before using the fluticasone inhaler for which of the following reasons?

Albuterol will increase the absorption of fluticasone.

A health care professional who is advising a patient about using intranasal glucocorticoids should include which of the following instructions?

Allow at lease 2 weeks for the full therapeutic effects

the provider tells the patient that she will also take albuterol via a metered-dose inhaler. When instructing the patient about using the MDI, you should include which of the following information? A.) Take a short, quick breath prior to using the inhaler B.) Wait at least 1 min before inhaling the second puff C.) Hold down the canister of the inhaler while inhaling rapidly. D.) Block one passage while inhaling

B.) Wait at least 1 min before inhaling the second puff

You are instructing a patient who is taking cetirizine (Zyrtec) how to treat allergic rhinitis. Which of the following information should the provider include? A.restrict fluids to minimize the drug's adverse effects B. take the drug in the morning to reduce adverse effects C. take the drug on an empty stomach to increase absorption D. administer the drug prophylactically during allergy season

D. administer the drug prophylactically during allergy season

You should monitor a patient taking dextromethorphan (Robitussin DM and others) due to the potential for which of the following? A. tachycardia B. fluid retention C. blurred vision D. drug abuse

D. drug abuse

A health care professional is advising a patient about the use of beclomethasone (beconase AQ) to treat asthma. The health care professional should explain that the drug treats asthma because it performs which of the following actions?

Decreases inflammation,

The 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 adverse reactions of this medication?

Dry mouth Drowsiness Urinary hesitation

A health care professional is caring for a patient who is about to begin taking losartan (Cozaar) to treat hypertension. The health care professional should tell the patient to report which of the following indication of an adverse reaction to the drug?

Facial Edema

When advising a patient about using zileuton (zyflo), a health care professional should include which of the following instructions?

Have a laboratory tests performed at regular intervals.

A health care professional is caring for a patient who is about to begin taking verapamil (Calan) to treat atrial fibrillation. The health care professional should tell the patient to avoid grapefruit juice while taking verapamil because it can cause

Hypotension

The client has been prescribed oxymetazoline (Afrin) nasal spray for seasonal rhinitis. the nurse will provide which instructions?

Limit use of this spray to 5 days or less.

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.

The client admitted for congestive heart failure (CHF) is receiving digoxin (Lanoxin) and furosemide (Lasix). Which of the following laboratory findings should the nurse carefully monitor? a) creatinine b) sodium c) potassium d) calcium

c) potassium

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

A client is started on lisinopril (Zestril) 10 mg once daily by mouth. Which intervention should the nurse implement during initial therapy with this medication? a. Monitoring cardiac rhythm b. Monitoring intake and output c. Monitoring blood pressure d. Monitoring serum levels

c. Monitoring blood pressure

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

A health care professional is advising a patient about the use of cromolyn (intal). Which of the following instructions should the health care professional include?

expect a bitter aftertaste

a nurse is teaching a client who has a new prescription of verapamil to control hypertension. which of the following instructions should the nurse include?

increase the amount of dietary fiber in the diet