Pharmacology Respiratory Quiz Questions

A client is admitted to the unit with a deep vein thrombosis in the left calf. The healthcare provider orders heparin, 7,500 units subcutaneously every 12 hours. The medication vial reads heparin, 10,000 units/mL. How many milliliters would the nurse give with every injection? A. 0.5 B. 0.75 C. 1 D. 1.25

0.75

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 suggest the parents use in these situations? A. Theophylline B. Albuterol C. Beclomethasone D. Acetylcysteine

Albuterol

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? A. Asthma B. Emphysema C. Chronic bronchitis D. Pneumonia

Asthma

Montelukest is effective in relieving the inflammation and bronchoconstriction associated with acute asthmatic attacks through which principal action? A. Stabilizing mast cells B. Blocking leukotriene receptors C. Binding to immunoglobulin E (IgE) D. Decreasing prostaglandin receptors

Blocking leukotriene receptors

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? A. Coffee B. Grapefruit juice C. Green tea D. Acai juice

Coffee

The provider orders heparin for a 35-year-old female client. The nurse administers the drug only after confirming that the client: A. Does not have asthma B. Does not have peptic ulcer disease C. Does not have a urinary tract infection D. Is not hypertensive

Does not have peptic ulcer disease

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? A. Ipratropium bromide B. Epinephrine C. Cromolyn D. Pseudoephedrine

Epinephrine

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 long-acting beta-2 agonist (LABA)? (select 2) A. Albuterol B. Formoterol C. Salmeterol D. Ipatropium

Formoterol Salmeterol

Ms. Carter is discharged from the hospital after a myocardial infarction. The healthcare provider prescribes continuance of the drug clopidogrel at home to help prevent future myocardial infarction (MI). Five days after discharge, she contacts the provider's office with low-grade fever and painful GI distress. What important adverse effect(s) should the nurse instruct the client to monitor for? A. GI ulcers and bleeding B. CVAs, called strokes C. MIs, called heart attacks D. Tissue necrosis

GI ulcers and bleeding

An older adult client has been prescribed an inhaled corticosteroid for the treatment of chronic obstructive pulmonary disease. When administering the drug, what action should the nurse perform to reduce the client's risk for developing oral candidiasis? A. Administer prophylactic antifungal medications B. Have the resident rinse his or her mouth after each dose of the drug C. Encourage the resident not to deeply inhale the medication D. Have the client gargle with normal saline prior to administering the drug

Have the resident rinse his or her mouth after each dose of the drug

A nurse is preparing to discharge a client who has been prescribed warfarin. While assessing the client's knowledge of the drug, what statement should the nurse address? A. I take vitamin C when I feel like I'm getting a cold B. I take aspirin to help with the pain of my arthritis C. I aim to walk 2 miles a day D. I drink a glass of wine with dinner some evenings

I take aspirin to help with the pain of my arthritis

A client is discharged from the hospital with a prescription of warfarin. Which statement indicates successful client teaching? A. If I miss a dose, I will take two doses B. I will avoid herbal remedies C. I will eat spinach or broccoli daily D. I will discontinue my other medications

I will avoid herbal remedies

The nurse is providing education to a client with asthma on the therapeutic action of inhaled corticosteroid agents. How will the nurse describe the action? A. Inhaled corticosteroid agents will depress the central nervous system B. Inhaled corticosteroid agents reduce respiratory rate C. Inhaled corticosteroid agents reduce bronchodilation D. Inhaled corticosteroid agents reduce airway inflammation

Inhaled corticosteroid agents reduce airway inflammation

A nurse at a long-term care facility is conducting a medication reconciliation for a client who has just moved into the facility. The client is currently taking clopidogrel. The nurse is most justified suspecting that this client has a history of what condition? A. Hemorrhagic cerebrovascular accident B. Hemophilia A C. Idiopathic thrombocytopenic purpura (ITP) D. Myocardial infarction

Myocardial infarction

A man is admitted to the postanesthesia care unit following surgery, where he received vecuronium. He is unable to raise his head and develops shortness of breath. What are the priority nursing interventions? (select all that apply, 2) A. Draw an arterial blood gas B. Notify the anesthesia practitioner C. Administer furosemide D. Apply high-flow oxygen E. Intubate the patient

Notify the anesthesia practitioner Apply high-flow oxygen

A client is taking warfarin to prevent clot formation related to atrial fibrillation. How are the effects of the warfarin monitored? A. RBC B. aPTT C. PT and INR D. Platelet count

PT and INR

A male client is receiving heparin by continuous intravenous infusion. The nurse will instruct the client and family members to report what should it occur? A. A skin rash B. Sudden occurrence of sleepiness and drowsiness C. Dizziness D. Presence of blood in urine or stools

Presence of blood in urine or stools

The nurse is evaluating the education of a client that uses albuterol for an acute asthma attack. The nurse knows that the lesson has been effective when the client states that albuterol is which of the following types of medication? A. LABA B. SABA C. Antiasthma D. Leukotriene modifier

SABA

A client is being discharged from the hospital with warfarin to be taken at home. Which food should the client be instructed to avoid in the diet? A. Eggs B. Dairy products C. Apples D. Spinach

Spinach

A client with asthma has been prescribed an albuterol inhaler. What recommendation should the nurse include in client teaching? A. Immediately stop using the inhaler if you experience hand shaking B. Take ibuprofen to decrease inflammation associated with the condition C. Limit exercise to one session per week D. Stop smoking to reduce bronchoconstriction

Stop smoking to reduce bronchoconstriction

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

Tachycardia

A client who has been treated with warfarin after cardiac surgery is found to have an INR of 9.0. Which medication will be administered to assist in the development of clotting factors? A. Vitamin K B. Vitamin E C. Protamine sulfate D. Acetylsalicylic acid (aspirin)

Vitamin K

A client is being administered heparin IV and has been started on warfarin. The client asks the nurse why both medications have been prescribed. What is the nurse's most accurate response? A. After a certain period of time, you must start warfarin and heparin together B. You will need both warfarin and heparin for several days C. Warfarin takes 3-5 days to develop anticoagulant effects, and you still need heparin D. Warfarin cannot be given without heparin due to the amount of clotting you need

Warfarin takes 3-5 days to develop anticoagulant effects, and you still need heparin

A client has been prescribed intravenous heparin. What laboratory value will the nurse prioritize when providing care for this client? A. aPTT B. D-dimer C. Platelet count D. Factor XIII levels

aPTT

A nurse has an order to administer heparin. Before initiating this therapy, a priority nursing assessment will be the client's: A. Heart rate and pulse B. Sodium and potassium levels C. aPTT D. Blood glucose levels

aPTT