PN-NCLEX 6 Edition, Respiratory Pharmacology

Rifabutin (Mycobutin) is prescribed for a client with active Mycobacterium avium complex (MAC) disease and tuberculosis. The nurse should monitor for which side/adverse effects of the medication? Select all that apply. 1. Signs of hepatitis 2. Flu-like syndrome 3. Low neutrophil count 4. Vitamin B6 deficiency 5. Ocular pain or blurred vision 6. Tingling and numbness of the fingers

Signs of hepatitis Flu-like syndrome Low neutrophil count Ocular pain or blurred vision

Isoniazid is prescribed for a 2-year-old child with a positive tuberculin skin test. The mother of the child asks the nurse how long the child will need to take the medication. Which time frame is the appropriate response to the mother? 1. 6 months 2. 9 months 3. 15 months 4. 18 months

9 nmonths

A client is taking cetirizine hydrochloride (Zyrtec). The nurse should check for which side effect of this medication? 1. Diarrhea 2. Excitability 3. Drowsiness 4. Excess salivation

Drowsiness

A client has been taking benzonatate (Tessalon Perles) as prescribed. The nurse determines that the medication is having the intended effect if the client experiences which response? 1. Decreased anxiety level 2. Increased comfort level 3. Reduction in nausea and vomiting 4. Decreased frequency and intensity of cough

Decreased frequency and intensity of cough

A client is taking brompheniramine (BroveX). The nurse reinforces instructions to the client to expect which side effect of this medication? 1. Diarrhea 2. Excitability 3. Drowsiness 4. Excess salivation

Drowsiness

The nurse notes that the result of the serum theophylline level of a client taking theophylline is 15 mcg/mL. How does the nurse interpret this result? 1. Below the therapeutic range 2. In excess of the therapeutic range 3. At the top of the therapeutic range 4. In the middle of the therapeutic range

In the middle of the therapeutic range

The nurse is monitoring a client who is receiving a dose of an adrenergic bronchodilator. The nurse plans to monitor for which side effect of this medication? 1. Drowsiness 2. Hypokalemia 3. Hyperglycemia 4. Increased pulse and blood pressure

Increased pulse and blood pressure

The nurse is collecting data on a client admitted to the hospital with a diagnosis of a respiratory infection unresponsive to oral antibiotics. The nurse discovers that the client has a history of bronchial asthma and has been taking zafirlukast (Accolate). The nurse assists in developing a plan of care for the client and suggests monitoring of which data? 1. Gastric pH 2. Platelet counts 3. Urinary output 4. Liver function tests

Liver function tests

A client has been taking isoniazid for 2 months. The client complains to the nurse about numbness, paresthesias, and tingling in the extremities. The nurse interprets that the client is experiencing which problem? 1. Hypercalcemia 2. Peripheral neuritis 3. Small blood vessel spasm 4. Impaired peripheral circulation

Peripheral neuritis

A postoperative client has received a dose of naloxone (Narcan) for respiratory depression. The nurse anticipates that the client will have which additional effect from the administration of this medication? 1. Sudden vomiting 2. Pupillary changes 3. Scattered lung wheezes 4. Sudden increase in pain

Sudden increase in pain

Ribavirin (Virazole) is prescribed for the hospitalized child with respiratory syncytial virus (RSV). The nurse prepares to administer this medication via which route? 1. Orally 2. Via face mask 3. Intravenously 4. Intramuscularly

Via face mask

A client has a prescription to take guaifenesin (Humibid) every 4 hours, as needed. The nurse determines that the client understands the most effective use of this medication if the client makes which statement? 1. "I will watch for irritability as a side effect." 2. "I will take the tablet with a full glass of water." 3. "I will take an extra dose if the cough is accompanied by fever." 4. "I will crush the sustained-release tablet if immediate relief is needed

"I will take the tablet with a full glass of water."

A client with a prescription to take theophylline (Theo-24) daily has been given medication instructions by the nurse. The nurse determines that the client needs further teaching about the medication if the client makes which statement? 1. "I will take the daily dose at bedtime." 2. "I will drink at least 2 L of fluid per day." 3. "I will avoid over-the-counter (OTC) cough and cold medications unless approved by the HCP." 4. "I will avoid changing brands of the medication without health care provider (HCP) approval."

I will take the daily dose at bedtime

A client is to begin a 6-month course of therapy with isoniazid. The nurse should plan to provide which information to the client? 1. Drink alcohol in small amounts only. 2. Report yellow eyes or skin immediately. 3. Increase intake of Swiss or aged cheeses. 4. Avoid vitamin supplements during therapy.

Report yellow eyes or skin immediately

A client is receiving acetylcysteine (Mucomyst), 20% solution diluted in 0.9% normal saline by nebulizer. The nurse should have which item available for a possible adverse event after giving this medication? 1. Ambu bag 2. Intubation tray 3. Nasogastric tube 4. Suction equipment

Suction equipment

A client who is taking theophylline (Theo-24) reports to the health care clinic as scheduled to have a serum theophylline level drawn. The blood is drawn and the laboratory calls the nurse and reports the results as 10 mcg/mL. The client asks the nurse what this figure means. The nurse responds based on which interpretation of the lab value? 1. The lab value is in excess of the therapeutic range. 2. The lab value is at the top of the therapeutic range. 3. The lab value is in the middle of the therapeutic range. 4. The lab value is at the low end of the therapeutic range.

The lab value is at the low end of the therapeutic range.

A client has been started on long-term therapy with rifampin (Rifadin). Which information about this medication should the nurse provide to the client? 1. Should always be taken with food or antacids 2. Should be double-dosed if one dose is forgotten 3. Causes orange discoloration of sweat, tears, urine, and feces 4. May be discontinued independently if symptoms are gone in 3 months

causes orange discoloration of sweat, tears, urine, and feces

Albuterol (Proventil HFA), two puffs and fluticasone propionate (Flovent Diskus), two puffs by metered-dose inhaler have been prescribed for a client with chronic obstructive pulmonary disease. The nurse caring for the client provides instructions regarding administration of the medication. Which statement by the client indicates an understanding of how to take these medications? 1. "I will alternate a single puff of each, beginning with the albuterol." 2. "I will alternate a single puff of each, beginning with the fluticasone propionate." 3. "I will take the two puffs of the fluticasone propionate first and then the two puffs of the albuterol." 4. "I will take the two puffs of the albuterol first and then the two puffs of the fluticasone propionate.

"I will take the two puffs of the albuterol first and then the two puffs of the fluticasone propionate."

A client with tuberculosis (TB) will be treated with isoniazid and rifampin (Rifadin). The nurse is reinforcing instructions for the client regarding these medications. Which statement should the nurse plan to provide to the client? 1. "You must take the medication with meals." 2. "The entire prescribed course of the medication needs to be completed." 3. "You must discontinue the medication if gastrointestinal (GI) irritation occurs." 4. "Fluids must be increased while taking this medication to prevent renal failure."

"The entire prescribed course of the medication needs to be completed."

A child is brought to the emergency department for treatment of an acute asthma attack. The nurse prepares to administer which medication first? 1. A β2 agonist 2. Oral corticosteroids 3. A leukotriene modifier 4. A nonsteroidal anti-inflammatory

A B2 agonist

A client has a prescription to receive albuterol (Proventil HFA) two puffs and beclomethasone dipropionate (Qvar) two puffs by metered-dose inhaler. Which should the nurse plan when administering these medications? 1. Administering the albuterol before the beclomethasone dipropionate 2. Administering the beclomethasone dipropionate before the albuterol 3. Alternating a single puff of each hourly, beginning with the albuterol 4. Alternating a single puff of each hourly, beginning with the beclomethasone dipropionate

Administering the albuterol before the beclomethasone dipropionate

Theophylline is being administered to a client with acute bronchitis. The nurse planning care for the client demonstrates understanding of the primary action of this medication when which outcome is identified? 1. Cough is suppressed. 2. Infection is prevented. 3. Expectoration is promoted. 4. Airway muscles are relaxed.

Airway muscles are relaxed

A hospitalized client with allergic asthma has been started on cromolyn sodium (Intal) inhaler. The nurse assists in preparing a plan of care and includes monitoring for undesirable side effects associated with the use of this medication. The nurse places the highest priority on monitoring for which side effect? 1. Cough 2. Bronchospasm 3. Throat irritation 4. Nasal congestion

Bronchospasm

The nurse has observed a client self-administer a dose of metaproterenol sulfate via metered-dose inhaler. Within a short time, the client begins to wheeze loudly. Which interpretation should the nurse make of this occurrence? 1. Bronchospasm, which must be reported to the health care provider 2. Insufficient dosage of the medication, which needs to be increased 3. Probable interaction of this medication with an over-the-counter cold remedy 4. Tolerance to the medication, indicating a need for a stronger type of bronchodilator

Bronchospasm, which must be reported to the health care provider

Levalbuterol (Xopenex) via inhalation is prescribed for a client with a diagnosis of emphysema. The nurse reinforces instructions to the client regarding the medication and teaches the client about the dietary restrictions that must be implemented while taking this medication. The nurse determines that the client understands the dietary instructions when the client states he will avoid which food choice? 1. Cocoa 2. Bananas 3. Orange juice 4. Baked potatoes

Cocoa

A client has begun therapy with theophylline (Theo-24). The nurse tells the client to limit the intake of which while taking this medication? 1. Oranges and pineapple 2. Coffee, cola, and chocolate 3. Oysters, lobster, and shrimp 4. Cottage cheese, cream cheese, and dairy creamers

Coffee, cola, and chocolate

A health care provider has prescribed codeine sulfate for a client with a nonproductive cough to suppress the cough reflex. The nurse reinforces instructions given to the client about the medication and tells the client to monitor for which side effect? 1. Constipation 2. Increased urination 3. Difficulty coughing 4. Difficulty swallowing

Constipation

The nurse reinforces client instructions about ethambutol (Myambutol). The nurse determines that the client understands the instructions if the client indicates to report which occurrence? 1. Impaired sense of hearing 2. Distressing gastrointestinal side effects 3. Orange-red discoloration of body secretions 4. Difficulty discriminating the color red from green

Difficulty discriminating the color red from green

The nurse has just been given a prescription to administer albuterol (Proventil HFA) to a client. The nurse evaluates the effectiveness of the medication by checking which parameters before and during therapy? 1. Nausea and vomiting 2. Dyspnea and lung sounds 3. Headache and level of consciousness 4. Urine output and blood urea nitrogen

Dyspnea and lung sounds

The nurse has a prescription to give a client albuterol (Proventil HFA) (two puffs) and beclomethasone dipropionate (Qvar) (two puffs), by metered-dose inhaler. How should the nurse administer these medications? 1. Give albuterol first and then the beclomethasone dipropionate. 2. Administer beclomethasone dipropionate first and then the albuterol. 3. Have the client alternate a single puff of each, beginning with the albuterol. 4. Have the client alternate a single puff of each, beginning with the beclomethasone dipropionate.

Give albuterol first and then the beclomethasone

A client diagnosed with pleurisy is being started on medication therapy with ibuprofen (Motrin IB, Advil). Which statement by the nurse accurately describes the purpose of the medication for the client? 1. Ibuprofen is a topical anesthetic that alleviates surface pain. 2. Ibuprofen is a mild opioid analgesic to allow the client to deep breathe. 3. Ibuprofen is a corticosteroid to decrease the inflammatory response at the site. 4. Ibuprofen is a nonsteroidal anti-inflammatory medication to enhance coughing and deep breathing.

Ibuprofen is a nonsteroidal anti-inflammatory medication to enhance coughing and deep breathing.

A client taking theophylline (Theo-24) has a serum theophylline level of 15 mcg/mL. How does the nurse interpret this result? 1. Below the therapeutic range 2. In excess of the therapeutic range 3. Near the top of the therapeutic range 4. In the middle of the therapeutic range

In the middle of the therapeutic range

The nurse has obtained ribavirin (Virazole) in powder form from the pharmacy to give to a child with respiratory syncytial virus (RSV). The nurse understands that the medication will be administered by which route? 1. Inhalation 2. Intravenous 3. Subcutaneous 4. Oral in formula

Inhalation

A client with tuberculosis is being started on antituberculosis therapy with isoniazid. Before giving the client the first dose, the nurse ensures that which baseline study has been completed? 1. Electrolyte levels 2. Coagulation times 3. Liver enzyme levels 4. Serum creatinine level

Liver enzyme levels

A client with tuberculosis is being started on antitubercular therapy with isoniazid (INH). The nurse reviews the client's health care record to be sure that which baseline studies have been completed before giving the client the first dose? 1.. Electrolytes 2. Liver enzymes 3. Serum creatinine 4. Coagulation times

Liver enzymes

The nurse has given a client taking ethambutol (Myambutol) information about the medication. The nurse determines that the client understands the instructions if the client states to report which occurrence immediately?. 1. Impaired sense of hearing 2. Problems with visual acuity 3. Gastrointestinal (GI) side effects 4. Red-orange discoloration of body secretions

Problems with visual acuity

A licensed practical nurse has observed a client self-administer a dose of an adrenergic bronchodilator via metered-dose inhaler. Within a short time, the client begins to wheeze loudly. Which action should the nurse take? 1. Tell the RN that a stronger medication is needed. 2. Report the client's symptoms to the registered nurse (RN). 3. Tell the client to administer a second dose of the medication. 4. Ask the client about any over-the-counter medications taken recently.

Report the client's symptoms to the registered nurse (RN).

A registered nurse has administered a dose of naloxone (Narcan) intravenously to a client with intravenous opioid overdose. The licensed practical nurse assigned to assist in monitoring the client ensures that which equipment is available in the immediate vicinity of the client? 1. Nasogastric tube 2. Thoracentesis tray 3. Central line insertion kit 4. Resuscitation equipment

Resuscitation equipment

A client is monitoring a client receiving theophylline (Theo-24) to treat symptoms of chronic obstructive pulmonary disease (COPD). Which adverse effects require immediate consultation with the health care provider? Select all that apply. 1. Anxiety 2. Diarrhea 3. Seizures 4. Insomnia 5. Irregular heartbeat

Seizures Irregular heartbeat

A client with respiratory congestion is scheduled to receive acetylcysteine (Mucomyst) 20% solution diluted in 0.9% normal saline by nebulizer. The nurse checks the client's room to ensure that which equipment is available for use following administration of this medication? 1. Ambu bag 2. Intubation tray 3. Nasogastric tube 4. Suction equipment

Suction equipment

A client has a new prescription to take guaifenesin every 4 hours as needed. Which medication instructions should the nurse reinforce? 1. Be aware of irritability as a side effect. 2. Take the tablet with a full glass of water. 3. Take an extra dose if the cough is accompanied by fever. 4. Crush the sustained-release tablet if immediate relief is needed

Take the tablet with a full glass of water

A newborn infant receives naloxone hydrochloride (Narcan) to reverse opiate-induced respiratory depression that occurred following labor and delivery. For which reason would the nurse continue to monitor the respiratory status of a newborn infant following the administration of this medication? 1. The effects of naloxone are long lasting. 2. The use of naloxone in newborn infants is toxic. 3. The newborn infant may have an underlying respiratory disorder. 4. The newborn infant may demonstrate a reappearance of respiratory depression.

The newborn infant may demonstrate a reappearance of respiratory depresson

Cycloserine (Seromycin) is added to the medication regimen for a client with tuberculosis. Which instruction should the nurse reinforce in the client-teaching plan regarding this medication? 1. To take the medication before meals 2. To return to the clinic weekly for serum drug-level testing 3. It is not necessary to restrict alcohol intake with this medication. 4. It is not necessary to call the health care provider (HCP) if a skin rash occurs.

To return to the clinic weekly for serum drug-level testing

The nurse is providing instructions to a client taking ethambutol (Myambutol) about the medication. The nurse instructs the client to contact the health care provider immediately if which occurs? 1. Orange urine 2. Visual disturbances 3. Hearing disturbances 4. Distressing gastrointestinal (GI) side effects

Visual distrubance

Which precautions should the nurse specifically take during the administration of ribavirin (Virazole) to a child with respiratory syncytial virus (RSV)? 1. Wearing goggles 2. Wearing a gown 3. Wearing a gown and a mask 4. Hand washing before administration

Wearing goggles

A postoperative client has received a dose of naloxone hydrochloride (Narcan) for respiratory depression shortly after transfer to the nursing unit from the postanesthesia care unit. After administration of the medication, the nurse should check the client for which sign/symptom? 1. Pupillary changes 2. Scattered lung wheezes 3. Sudden increase in pain 4. Sudden episodes of diarrhea

sudden increase in pain