Nursing science 2 quiz 3
Nicorette would be an appropriate treatment for one with which condition ?
A smoker with COPD
Most antitussives produce cough suppression by :
Acting on the cough center in the brainstem
How should bronchodilators be administered in conjuction with corticosteroids?
Administer the bronchodilator immediately before the corticosteroid
Cough and cold medications containing antihistamines are appropriate only when the cause of the cough is
Allergic rhinitis
Allegra
Allergies
A client with a history of depression is requesting an antitussive for symptoms of a nonproductive cough . Which of the following antidepressants does the nurse know are known to interact with the cough suppressant dextromethorphan ?
Amitriptyline
What type of bronchodilator is ipratropium bromide ?
Anticholinergic
In comparison to first - generation antihistamines , second - generation antihistamines :
Are less sedating
Xopenex
Asthma ( adrenergic )
cromolyn sodium
Asthma ( prophylactic )
Montelukast belongs to which category of drugs ?
Asthma prophylaxis
Which of the following most accurately describes muscle activity during normal inspiration ?
Both the external intercostal muscles and the diaphragm contract
The principle that states that at a constant temperature, a given voljme of gas will exert more pressure in a smaller space than it will in a larger space is known as
Boyles law
Tessalon
Bronchitis ( unproductive cough )
guaifenesin
Bronchitis ( unproductive cough )
Spiriva
Bronchospasm ( anticholinergic )
How does bupropion help aid in smoking cessation ?
By reducing nicotine cravings
A 2 - week - old infant client in the neonatal unit has apnea . What respiratory stimulant does the nurse know may be used to treat this condition ?
Caffeine citrate
One advantage of montelukast over other asthma medications is that it :
Can be used as monotherapy or as an add - on therapy
How is most of the carbon dioxide in the body transported ?
Carried in the form of bicarbonate ions
Accolate
Chronic asthma . Bronchitis ( unproductive cough )
What purpose does mucus in the nasal cavity serve ?
Collect inhaled dust
When working with clients receiving oxygen , the nurse knows that which of the following may be an initial sign of delivering too high a concentration ?
Confusion
A decongestant's primary action in opening nasal passages is to :
Constrict blood vessels in the respiratory tract
The physician decides to start Rohan on a new medication , montelukast . She explains that this medication works by
Controlling the inflammatory process caused by leukotrienes
A client has been prescribed cromolyn ( Intal ) , a mast cell stabilizer , for prevention of exercise - induced bronchospasm . Which of the following statements about cromolyn is true ?
Cromolyn has no value in the treatment of acute asthma attacks .
Antitussives frequently contain controlled substances . Which one of the following medicines is available OTC ?
Delsym
asthma and is prescribed a bronchodilator via inhaler . What A client has come to the pulmonologist with complaints of dyspnea and wheezing . He is diagnosed with bronchial should the nurse instruct the client about using inhalers ?
Demonstrate the proper technique for inhaler use .
What cough medication is frequently used because it does not depress respirations ?
Dextromethorphan
What is the main muscle responsible for pulmonary ventilation ?
Diaphragm
A client with nasal congestion has been prescribed pseudoephedrine extended release (sudafed ER) for symptom relief. What instructions could the nurse share with the client about taking this form of sudafed?
Do not crush, chew, or break extended release preparations
A client at the allergy clinic has been prescribed a first - generation antihistamine for symptom relief . What common anticholinergic side effect might a client taking a first - generation antihistamine experience ?
Drying of secretions
Individuals taking first - generation antihistamines can expect anticholinergic side effects such as
Drying of secretions
Which substance normally exists in the pleural cavity ?
Fluid
When Mariella goes to the pharmacy , how will she be able to purchase the decongestant pseudoephedrine?
From the pharmacist behind the counter
The opening between the vocal cords is called the
Glottis
A client is taking guaifenesin , an expectorant , for bronchitis . The nurse knows that which of the following are side effects of expectorants ?
Headache , Nausea , Dizziness
A client with chronic asthma has been prescribed an oral leukotriene receptor antagonist for asthma prophylaxis . Which of the following adverse reactions are side effects of leukotriene inhibitors ? ( Select all that apply . )
Headache and dizziness ,Nausea and dyspepsia Pain , and fever Behavior or mood changes .
When starting montelukast , Rohan should be prepared for which potential side effect ?
Headaches
A potential systemic side effect of a decongestant is :
Hypertension
A client with chronic obstructive pulmonary disease ( COPD ) has been ordered oxygen therapy . What can occur if a client with COPD receives high O2 concentrations ?
Hypoventilation
The mother of a 3 - year - old client asks the nurse if she could provide information about the safety of OTC cold and cough medicines. Which of the following statements are accurate?
In 2007, the FDAs nonprescription drugs and pediatric advisory committee found that there was no proof that OTC cold and cough medications eased cold symptoms in children. In 2008, the FDA labeled OTC cold and cough preparations to state, " Do not use in children under 4 years of age"
The nurse is caring for a client who has been prescribed synthetic corticosteroids to relieve inflammation during treatment of persistent asthma . Which of the following statements is TRUE about corticosteroid therapy ?
Inhaled corticosteroids have less systemic side effects than oral or injectable administration .
Which of the following statements is true ?
Intrapleural pressure is always less than atmospheric pressure .
What is the respiratory membrane and what is its role in ventilation ?
It consists of the alveolar basement membranes ; it provides the surface through which gas exchange occurs . epithelium , the capillary endothelium and their joined
What role is served by the pneumotaxic center ?
It inhibits the apneustic and inspiratory centers to prevent overinflation of the lung
Stiff lung tissue has what effect on alveoli ?
It interferes with alveolar expansion .
Which of the following is true about the larynx ?
It prevents food and liquids from entering the trachea .
A client with a psychiatric history of mild depression varenicline ( Chantix ) , a partial nicotine receptor agonist - antagonist used as an has decided to quit smoking . After discussing options with the health care practitioner , he decides to try aid in smoking cessation . What symptoms should the nurse educate the client and his caregivers to monitor while taking Chantix ?
Monitor for neuropsychiatric symptoms .
The microbial population of the lung most closely resembles which body location ?
Mouth
What is the first - line therapy for noninfectious rhinitis ?
Nasal corticosteroids
Which region of the pharynx contains openings for the eustachian tubes ?
Nasopharynx
Patients taking decongestants should be told that :
Oral decongestants are more likely to increase blood pressure
Which region of the pharynx contains the tonsils ?
Oropharynx
A patient is experiencing low blood levels of oxygen . Which of the following processes are most likely to occur ?
Peripheral chemoreceptors will detect the falling oxygen levels and send impulses to increase the rate and depth of breathing
Prior to prescribing the decongestant , the nurse practitioner carefully reviews Mariella's chart because decongestants are contraindicated in individuals with :
Pregnancy
What function do the vestibular folds of the larynx serve ?
Prevent food from entering the airway
What medication was once commonly used in OTC cold remedies , but was targeted by the Combat Methamphetamine Act of 2005 and is now only sold under special conditions by pharmacies ?
Pseudoephedrine
What side effect is most likely to occur with large doses of antitussives
Respiratory ? depression
When educating a patient prior to initiating an inhaled corticosteroid , which instruction is most important ?
Rinse your mouth with water or mouth after administration .
The nurse is educating clients who are being treated with inhaled corticosteroids . Which of the following is an appropriate instruction for the clients ?
Rinse your mouth with water or mouthwash after administration .
A nurse is caring for a client who has been prescribed a second - generation antihistamine for seasonal allergic rhinitis . Which of the following statements about second - generation antihistamines does the nurse know is TRUE ?
Second - generation antihistamines are not effective in the treatment of cough .
To avoid the potential complications of rebound congestion , Mariella is cautioned to take the oral decongestant for no more than
Seven days
What type of of bronchodilator is albuterol sulfate ?
Short - acting beta - agonist
According to the FDA , combination cough and cold medications for children :
Should not be given to children under 4 years of age
Commit
Smoking cessation
Zyban
Smoking cessation
What is a side effect of montelukast that Rohan should promptly report to his physician ?
Suicidal ideation
A client being treated for asthma is placed on a bronchodilator to relieve bronchospasms . Which of the following are classifications of bronchodilators ?
Sympathomimetics ,Anticholinergics, Xanthine derivatives
Antitussives are medications used to prevent coughing in clients not requiring a productive cough. Which of the following statements does the nurse know is false regarding antitussive medications?
The american college of chest physicians practice guidelines recommend the use of cough suppressanrs in coughs associated with upper respiratory infection.
If someone experiences a loss of intrapleural pressure , what will occur ?
The lung will collapse
Which statement about hemoglobin and oxygen uptake is most accurate ?
The number of oxygen molecules hemoglobin takes up varies , depending upon the amount of oxygen dissolved in surrounding fluid .
You notice that a patient's sternocleidomastoid and scalene muscles are contracting with respiration . What should you conclude based on this observance ?
The patient is using his accessory muscles to inhale .
Based on your knowledge of the anatomy of the lower respiratory tract , where is the most likely location for an aspirated ( inhaled ) piece of food to lodge and why ?
The right bronchus , because it is slightly wider and more vertical than the left bronchus
The right lung contains lobes , and the left lung contains lobes .
Three and two
A potential side effect of inhaled corticosteroids is :
Throat irritation
A nurse working at an allergy clinic is asked to provide a presentation to a group of clients about inhaled corticosteroids . Which of the following are side effects of inhaled corticosteroids ? ( Select all that apply . )
Throat irritation ,Oral candidiasis
What is the purpose of surfactant ?
To reduce surface tension to keep the alveolus from collapsing during respiration
An older adult client is taking theophylline , a xanthine derivative , for treatment of chronic obstructive pulmonary disease ( COPD ) . While taking theophylline , what might symptoms of tachycardia , anorexia , nausea , vomiting , diarrhea , restlessness , irritability , and headache indicate ?
Toxicity
What is an appropriate instruction for patients taking second generation antihistamines?
Use caution when driving or operating machinery
Which of the following is not considered proper cleaning of MDis ?
Use immediately after cleaning
The amount of air inhaled and exhaled during quiet breathing is known as
Variations in the pressures of the gases
Patients using bronchodilators should be told to :
Watch closely for cardiac irregularities
A mucolytic is contraindicated in patients :
With a depressed gag reflex
What type of bronchodilator is theophylline ?
Xanthine derivative
If a patient currently using nicotine patches to quit smoking asks if he can use anything for breakthrough cravings, which of the following would be the appropriate response?
Yes you can use nicotine gum, lozenges, or the inhaler for cravings.
Where gas exchange takes place
alveoli
The pressure that drives respiration is blank pressure .
atmospheric
Large tubes ( one for each lung ) that serve as a passageway for air
bronchi
Small airways that lack supportive cartilage
bronchioles
Cartilaginous ridge at the end of the trachea
carina
Projecting from the lateral wall of each nasal cavity are three bones called that create narrow passages .
conchae
A piece of cartilage called the closes over the top of the larynx during swallowing to direct food and liquids into the esophagus .
epiglottis
The amount of air inhaled using maximum effort after a normal inspiration is called the
inspiratory reserve volume
Acts as a passageway between the pharynx and trachea ; also produces sound
larynx
Pressure in the pleural cavity is than atmospheric pressure to assist with lung inflation .
lower
The inspiratory and expiratory centers are located in the
medulla .
Air is warmed and moistened in the
nasal cavity
The nasal cavity is separated from the mouth by a bony structure called the
palate
The contribution of a single gas in any mixture of gases is called
partial pressure
The alveoli contain small amounts of fluid to
permit gas exchange
Muscular tube commonly called the throat
pharynx
A plate of bone and cartilage called the separates the nasal cavity into two halves .
septum
Large tube supported by C - shaped rings of cartilage ; often called the " windpipe
trachea
The balance between the amount of air flowing into the alveolus and the flow of blood through the capillaries is known as
ventilation perfusion coupling
The serous membrane covering the surface of the lungs is called the
visceral