pharm chp 55

The nurse has finished teaching a 15-year-old client how to use an inhaler to treat asthma. What statement by the client suggests an understanding of the teaching? "I need to wait at least 30 minutes after the first inhalation before taking a second." "I need to shake the inhaler well before taking the medication." "I need to take three short, quick breaths to inhale the medication." "I should take a deep breath, hold it while I administer the medication, and then exhale."

"I need to shake the inhaler well before taking the medication."

The nurse assesses the serum theophylline of a client. Which finding would the nurse identify as being therapeutic? 5 mcg/mL 30 mcg/mL 25 mcg/mL 15 mcg/mL

15 mcg/mL

The nurse instructs a patient who is using albuterol for exercise-induced bronchospasm to use the inhaler at which time? One hour before exercise In the morning of the day when exercise is planned Immediately on beginning to exercise 15 minutes prior to exercising

15 minutes prior to exercising

A client is prescribed salmeterol as treatment for exercise-induced asthma. The nurse would instruct the client to use the inhaler at which time? 30 minutes before engaging in exercise Midway during the exercise routine Right before and after exercising Immediately after beginning to exercise

30 minutes before engaging in exercise

The nurse is performing a routine assessment of a client whose medical record indicates a history of asthma. What assessment findings would the nurse expect? Select all that apply. Confusion Elevated temperature Airway inflammation Bradycardia Damaged airway mucosa

Airway inflammation Damaged airway mucosa

After reviewing information about drugs used to treat lower respiratory system conditions, a group of nursing students demonstrate understanding of the information when they identify which as an example of a short-acting beta-2 agonist (SABA)? Arformoterol Formoterol Albuterol Salmeterol

Albuterol

The parents of a 7-year-old client who has been diagnosed with allergic asthma are being taught about their son's medication regimen. The nurse is teaching about the appropriate use of a "rescue drug" for acute exacerbations. What drug should the nurse suggests the parents to use in these situations? Albuterol Theophylline Acetylcysteine Beclomethasone

Albuterol

Mr. Ashum is prescribed an albuterol inhaler as part of his treatment regimen for asthma. What is the mechanism of action for this medication? Albuterol causes stimulation of the bronchial tissue. Albuterol causes relaxation of the bronchial smooth muscles. Albuterol blocks the stimulation of the beta-2 receptors. Albuterol decreases vital capacity.

Albuterol causes relaxation of the bronchial smooth muscles.

The client has been diagnosed with asthma and is being treated with two inhalers, albuterol and flunisolide. The nurse teaches the client that the two medications should be administered in what order? Albuterol first, wait five minutes and then follow with flunisolide Flunisolide followed immediately by albuterol Flunisolide first, wait five minutes and then follow with albuterol Albuterol followed immediately by flunisolide

Albuterol first, wait five minutes and then follow with flunisolide

A client is prescribed a leukotriene receptor antagonist. The nurse should evaluate the effectiveness of the medication therapy based on the long term management of symptoms associated with which respiratory condition? Emphysema Asthma Chronic bronchitis Pneumonia

Asthma

A client recently began taking theophylline for treatment of asthma. Which changes in the client's lifestyle would suggest that the client understands proper use of the drug and management of the disease? Increasing dietary intake of B vitamins Sleeping eight hours each night Limiting fluid intake to one liter a day Avoiding caffeine

Avoiding caffeine

Which of the following would a nurse identify as a surfactant? Theophylline Cromolyn Zileuton Beractant

Beractant

A nurse would expect to increase the dosage of theophylline if the client has a current history of which of the following? Alcohol intake Hyperthyroidism Gastrointestinal upset Cigarette smoking

Cigarette smoking

A nurse is providing discharge planning for a 45-year-old woman who has a prescription for oral albuterol. The nurse will question the patient about her intake of which of the following? Vitamin C Coffee Salt Alcohol

Coffee

The nurse is providing education to a client who has been prescribed an antiasthmatic drug. The nurse should instruct the client to avoid excessive intake of what beverage? Green tea Grapefruit juice Acai juice Coffee

Coffee

A client is admitted to the emergency department with inspiratory stridor and air hunger. When anticipating treatment, the nurse will prepare which medication for administration? Epinephrine Pseudoephedrine Cromolyn Ipratropium bromide

Epinephrine

A nurse is providing health education to a client recently diagnosed with asthma and prescribed albuterol and ipratropium. Which of the client's statements suggests a need for clarification by the nurse? "I'm a heavy coffee drinker, but I know that I now know I need to cut down on this." I'll keep taking my medications until I'm not experiencing any more symptoms." "I'll try to make sure that I drink plenty of fluids each day." "I'll make sure I don't take my inhalers more often than they've been prescribed."

I'll keep taking my medications until I'm not experiencing any more symptoms."

The nurse is reviewing a client's morning blood work and notes a theophylline level of 22.2 mcg/mL (123.21 µmol/L). What action should the nurse take? Inform the health care provider that the client has toxic theophylline levels. Inform the health care provider that an increase in the client's dose of theophylline may be necessary. Administer the scheduled dose of theophylline with as needed (PRN) dose of a bronchodilator. Withhold the scheduled dose of theophylline pending the next day's blood work results.

Inform the health care provider that the client has toxic theophylline levels.

A client is prescribed salmeterol. The nurse would expect this drug to be administered by which route? Subcutaneous Oral Inhalation Intravenous

Inhalation

Mark, 8 years old, is prescribed flunisolide. The physician advises Mark and his parents to use a spacer when administering this medication. What is the benefit of such use? It reduces the risk of sinusitis. It helps decrease systemic absorption. It helps decrease the intrapulmonary delivery of the drug. It reduces the risk of tachycardia.

It helps decrease systemic absorption.

A newborn, experiencing ineffective alveolar expansion, is receiving treatment. What intervention should the nurse implement to assure the administration of the prescribed medication has been effective? Changing the newborn's position frequently to assure effective distribution of medication Monitoring respirations for bilateral chest movement Suctioning the infant every 30 minutes for 2 hours after the treatment has been initiated Supply supplemental oxygen as prescribed

Monitoring respirations for bilateral chest movement

A female client presents to the emergency department with acutely deteriorating asthma. Her husband tells the nurse that his wife takes salmeterol. He then tells the nurse that he gave her three extra puffs when she became ill. What statement is correct in this situation? Salmeterol is contraindicated based on his wife's condition. The health care provider will most likely order continuation of the salmeterol with increased dosage. The extra doses facilitated bronchodilation and probably saved her life. The husband made the correct decision in giving the extra doses.

Salmeterol is contraindicated based on his wife's condition.

The nurse is providing education to a client who has been prescribed albuterol. What adverse reaction should the nurse discuss during teaching? Polydipsia Diarrhea Tachycardia Hypotension

Tachycardia

The client is 73 years of age and has a history of coronary artery disease and COPD. She is being started on formoterol (Foradil). The nurse would assess the client for which of the following conditions? Select all that apply. Tachycardia Hypotension Lethargy Bradycardia Hypertension

Tachycardia Hypertension

Why are inhaled steroids used to treat asthma and COPD? They act locally to increase histamine release They act locally to decrease histamine release They act locally to improve mobilization of edema They act locally to decrease release of inflammatory mediators

They act locally to decrease release of inflammatory mediators

A client is being assessed by the home care nurse for the appropriate use of a metered-dose inhaler. Instructions concerning which intervention will assist a client in the proper use of the device? Pushing fluids Using a spacer Exhaling immediately after administration Administrating corticosteroid first

Using a spacer

The nurse is providing education to the parents of a child who has been newly diagnosed with asthma. During teaching, the nurse should explain that asthma attacks occur when mast cells release substances that cause what reaction? Decreased fluid leakage. smooth muscle dilation. inflammation. decreased capillary permeability.

inflammation.

A high school student was diagnosed with asthma when he was in elementary school and has become accustomed to carrying and using his "puffers". In recent months, he has become more involved in sports and has developed a habit of administering albuterol up to 10 times daily. The nurse should teach the student that overuse of albuterol can lead to community-acquired pneumonia. severe anticholinergic effects. permanent liver damage. rebound bronchoconstriction.

rebound bronchoconstriction.