Lower Respiratory System Drugs(Exam3)

Insomnia

A nurse is teaching a client about albuterol which has been prescribed. The nurse determines the session is successful when the client correctly chooses which adverse reaction to report immediately to the health care provider?

fatigue jaundice pruritus

A nurse is teaching a client about the prescribed Zileuton. The nurse determines the session is successful when the client correctly points out they will contact the health care provider if which reactions occur? Select all that apply. A. dizziness B. fatigue C. jaundice D. pruritus E. restlessness

orally

A nursing instructor is conducting a session exploring leukotriene modifiers. The instructor determines the session is successful when the students correctly choose which route of administration?

Lung sounds accessory muscle use intake output

A client is administered a bronchodilator during an acute asthma attack. As the client's condition improves the nurse will prioritize which assessments? Select all that apply A. blood pressure B. lung sounds C. accessory muscle use D. intake E. output

fungal infection pharyngeal irritation

A client is prescribed an inhaled corticosteroid. The nurse would instruct the client about which as a possible adverse reaction? Select all that apply. A. fungal infection B. pharyngeal irritation C. headache D. cough E. unpleasant taste sensation

Raise the head of the bed.

A client receiving aminophylline reports heartburn on assessment to the nurse. What is the best response by the nurse?

13 mcg/L

A client with asthma has received two doses of theophylline. After analyzing the daily serum theophylline level, the nurse determines the client has achieved a therapeutic level with which result?

Rinse mouth after each use. Continue to carry a rescue inhaler. Check peak flow daily.

A client with asthma is preparing to go home after being hospitalized with an acute attack with a new prescription for fluticasone/salmeterol inhalant. Which points should the nurse prioritize in the discharge teaching? Select all that apply. A. Rinse mouth after each use. B. Take the medication as needed. C. Continue to carry a rescue inhaler. D. Check peak flow daily. E. Shake meter well before using.

Anxiety

A client with chronic asthma is prescribed albuterol. The nurse will prioritize which nursing diagnosis for this client?

Terbutaline Levalbuterol

A client with recently diagnosed exercise-induced bronchospasms is to be prescribed an inhalant. The nurse anticipates the client will be prescribed which medication? Select all that apply. A. Theophylline B. Mometasone C. Terbutaline D. Beclomethasone E. Levalbuterol

Methyldopa

A nurse has administered albuterol to a client with asthma, who is now reporting dizziness, especially when standing up. When analyzing the client's record for potential sources, which prescribed medications should the nurse question?

Nicotine Ketoconazole Phenytoin

A nurse is assessing a client's serum theophylline level and notes it is 7 mcg/L. After assessing the client's medical record, which drugs should the nurse question? Select all that apply. A. Nicotine B. Allopurinol C. Verapamil D. Ketoconazole E. Phenytoin

abdominal cramps

A nurse is monitoring a client who is receiving theophylline 400 mg IV for severe bronchospasms, shortness of breath and SaO2 of 85%. Which assessment finding should the nurse prioritize?

Inhale quickly Hold breath for 10 seconds.

A nurse is preparing a teaching plan for a client and caregiver on the proper use of a dry powder inhaler. Which instructions will the nurse include in this teaching? Select all that apply. A. Inhale quickly B. Place device in water to clean C. Hold inhaler 1 to 2 in from mouth. D. Hold breath for 10 seconds. E. Swallow capsules provided.

Take the drug at least 30 minutes before meals.

A nurse is preparing to teach a client the correct method to take cromolyn orally. Which instruction will the nurse point out as being the appropriate method to follow?

Cromolyn Fluticasone Budesonide/formoterol

A nurse is preparing to teach a client with asthma about the prescribed medication. The nurse will point out the increased risk of developing Candida albicans with which medication? Select all that apply. A. Tiotropium B. Albuterol C. Cromolyn D. Fluticasone E. Budesonide/formoterol

Cause flushing. Stimulate the CNS to promote bronchodilation.

After teaching a group of nursing students about xanthine derivatives, the instructor determines that the teaching was successful when the students correctly state which result of using these medications? Select all that apply. A. Cause a reduction in airway inflammation. B. Cause flushing. C. Leads to bradycardia. D. Cause hypoglycemia. E. Stimulate the CNS to promote bronchodilation.

blood pressure lung sounds respiratory rate pulse

Before administering a prescribed bronchodilator to a client experiencing acute breathing distress, which assessments should the nurse complete? Select all that apply. A. blood pressure B. lung sounds C. blood glucose D. respiratory rate E. pulse

hypertension glaucoma hypertension diabetes

The nurse is preparing to administer formoterol to a client. The nurse determines cautious administration is warranted after noting which condition in the client's history? Select all that apply. A. hypertension B. glaucoma C. hypertension D. diabetes E. cerebral arteriosclerosis

coughing wheezing peak flow change

During stable chronic phases of asthma, the nurse should advise the client to monitor which symptoms? Select all that apply. A. coughing B. blood pressure C. wheezing D. respiratory rate E. peak flow change

rate of growth

The nurse is preparing to teach a child with asthma and caregivers about the prescribed corticosteroids. Which factor should the nurse point out will require monitoring?

Via a nebulizer Metered-dose inhaler Nasal spray Orally

The nurse is preparing to teach a young client and caregiver about the prescribed cromolyn. The nurse should point out this can be administered in which manner? Select all that apply. A. Via a nebulizer B. Subcutaneous injection C. Metered-dose inhaler D. Nasal spray E. Orally

"Take the corticosteroid several minutes after the bronchodilator dose."

The nurse is teaching a client about the prescribed inhaled corticosteroid and bronchodilator therapy. Which instruction will the nurse emphasize to this client?

subcutaneous

The health care provider has ordered epinephrine for a client admitted emergently with bronchospasms. The nurse will prepare to administer this drug via which route?

Omalizumab

The health care provider has prescribed a monoclonal antibody for a client with asthma. The nurse will prepare a teaching plan for which medication?

Quick-relief medications are not working. Call health care provider is in yellow zone for more than 24 hours

The nurse is developing an asthma plan for a young client and caregiver. The nurse determines they understand the plan when they correctly choose which actions to implement? Select all that apply. A. Waking up at night with wheezing B. Quick-relief medications are not working C. Call health care provider is in yellow zone for more than 24 hours D. Can do some but not all usual activities E. Peak flow is 55% of personal best

10 breaths/min

The nurse is preparing to administer an antiasthmatic drug to a client. The nurse determines the drug should be held and the health care provider notified after noting which respiratory rate on assessment?

Stands upright to allow the best inhalation possible Makes sure indicator is at lowest level on scale Makes sure lips are sealed tightly around the mouthpiece

The nurse is teaching a client how to properly use a peak flow meter. The nurse determines the session is successful when the client correctly explains which steps? Select all that apply. A. Inhales as forcibly as possible B. Stands upright to allow the best inhalation possible C. Makes sure indicator is at lowest level on scale D. Measures peak flow rate at different times each day E. Makes sure lips are sealed tightly around the mouthpiece

Albuterol Metaproterenol

The nurse is teaching a client with asthma how to administer the necessary medications in a time of crisis. The nurse determines the session is successful when the client correctly chooses which medication s are to be used as a rescue inhaler? Select all that apply. A. Formoterol B. Albuterol C. Salmeterol D. Metaproterenol E. Tiotropium

Using proper technique when administering dose. Performing strict oral hygiene. Cleaning the inhaler per package instructions

The nurse teaches a client receiving an inhaled corticosteroid about the possibility of developing oral thrush. Which actions would the nurse include in the teaching plan as a way to reduce this risk? Select all that apply. A. Using proper technique when administering dose B. Administering a dose only every other day C. Need to avoid eating after administration D. Performing strict oral hygiene E. Cleaning the inhaler per package instructions

Cromolyn

The nursing instructor is teaching a session explaining mast cell stabilizers. The instructor determines the session is successful when the students correctly choose which drug as an example?

asthma chronic bronchitis

The nursing instructor is teaching a session explaining the various drugs used to treat chronic obstructive pulmonary disease (COPD). The instructor determines the session is successful when the students correctly choose which conditions as being considered part of the COPD spectrum? Select all that apply. A. asthma B. chronic bronchitis C. pulmonary hypertension D. pneumonia E. pulmonary embolism