Respiratory Drugs
A nurse instructs a patient that which nonprescription medication requires patient identification and a signature for purchase? 1 Ephedrine 2 Cetirizine [Zyrtec] 3 Ipratropium bromide [Atrovent] 4 Chlorpheniramine [Chlor-Trimeton]
1
A nurse teaches a patient with chronic obstructive pulmonary disease (COPD) about the adverse effects of tiotropium [Spiriva]. Which behavior by the patient would indicate that the teaching has been effective? 1 Sucks on hard candy as needed. 2 Combines tiotropium with an antacid. 3 Wears long sleeves and a wide-brimmed hat. 4 Prevents constipation with a stool softener.
1
A patient is prescribed albuterol [Proventil]. The nurse is explaining the most common route of administration of albuterol [Proventil] to the patient. Which route should the nurse discuss? 1 Inhalation 2 Intravenous 3 Intramuscular 4 Subcutaneous
1
A patient is prescribed diphenhydramine [Benadryl] for the treatment of an allergic disorder. After reviewing the patient's history, the nurse finds that the patient drinks alcohol. Why would the nurse instruct the patient to stop alcohol consumption? 1 Alcohol increases central nervous system depression. 2 Alcohol diminishes the action of diphenhydramine [Benadryl]. 3 Alcohol increases diphenhydramine [Benadryl] levels in the body. 4 Alcohol and diphenhydramine [Benadryl] interaction produces skin rashes.
1
A patient is prescribed guaifenesin [Mucinex] for treatment of productive cough. What instruction should the nurse give to the patient for maximum therapeutic effect? 1 "Increase your fluid intake." 2 "Increase your fiber intake." 3 "Increase your protein intake." 4 "Increase your carbohydrate intake."
1
A patient is taking oral theophylline for maintenance therapy of stable asthma. A nurse instructs the patient to avoid using which substance to prevent a complication? 1 Caffeine 2 Echinacea 3 Sunscreen products 4 Cimetidine [Tagamet]
1
A patient undergoing inhaled ipratropium [Atrovent] therapy visits the clinic for a follow-up visit. Which complaint would the nurse anticipate from the patient? 1 Dry mouth 2 Insomnia 3 Anginal pain 4 Vascular headache
1
A patient with a history of asthma is brought to the clinic with acute dypsnea, wheezing, hypercapnea, and hypoxemia. Which type of medication will be administered first to this patient? 1 β2-agonists 2 Glucocorticoids 3 Anticholinergics 4 Leukotriene modifiers
1
The healthcare provider indicates that the patient will be ordered an opioid antitussive. Which medication would the nurse anticipate the provider will order? 1 Codeine [Dicodin] 2 Levocetirizine [Xyzal] 3 Benzonatate [Tessalon] 4 Promethazine with dextromethorphan
1
The nurse is caring for a child who has been prescribed an inhaler for asthma control. The child is having difficulty using the inhaler. What should the nurse do? 1 Teach the child to use a spacer. 2 Tell the parent to hold the inhaler for the child. 3 Ask the healthcare provider to switch to oral medications. 4 Tell the parent that young children should not use inhalers.
1
The parent of a pediatric patient with nasal stuffiness and congestion asks the nurse about cold remedies. Which additional information is the priority for the nurse to obtain? 1 Age 2 Body weight 3 Swallowing ability 4 Developmental stage
1
What should the nurse tell a patient who reports feeling drowsy after beginning drug therapy with diphenhydramine [Benadryl]? 1 "Use caution when driving." 2 "This may worsen over time." 3 "Stop taking the drug at once." 4 "Take a stimulant to combat fatigue."
1
Which instruction should be included in the teaching for a patient for whom fluticasone propionate [Flovent] MDI has been ordered? 1 "Gargle after using your inhaler." 2 "Take the medication immediately at the onset of an attack." 3 "Take your albuterol first, followed by the Flovent 5 minutes later." 4 "Make sure you monitor your finger-stick blood glucose level each morning."
1
Which instruction should the nurse include in the teaching for a patient prescribed cetirizine [Zyrtec] for seasonal allergic rhinitis? 1 "Take the medication daily throughout the allergy season." 2 "Expect a decrease in your nasal congestion in a day or two." 3 "Clean the nasal applicator after use to prevent contamination." 4 "Take a stool softener daily to avoid the side effect of constipation."
1
Which is the most effective antitussive? 1 Codeine [Dicodin] 2 Benzonatate [Tessalon] 3 Diphenhydramine [Benadryl] 4 Dextromethorphan [Robitussin]
1
A nurse should monitor more frequently the blood pressure of a patient with a history of hypertension who takes which medication for allergic rhinitis? 1 Montelukast [Singulair] 2 Pseudoephedrine [Sudafed] 3 Oxymetazoline [Afrin spray] 4 Mometasone [Nasonex spray]
2
A patient complains of worsening nasal congestion despite the use of oxymetazoline [Afrin] nasal spray every 2 hours. What is the nurse's most appropriate response? 1 "Oxymetazoline [Afrin] is not an effective nasal decongestant." 2 "Overuse of nasal decongestants results in rebound congestion." 3 "You are probably displaying an unexpected reaction to oxymetazoline [Afrin]." 4 "Oxymetazoline [Afrin] should be administered every hour for severe congestion."
2
A patient is prescribed naphazoline [Privine] for the treatment of hay fever. Following an assessment, the nurse finds that the patient has hypertension. Which action by the nurse is correct? 1 Lower the dose of naphazoline [Privine]. 2 Report this finding to the primary healthcare provider. 3 Request an order to give naphazoline [Privine] with methyldopa [Aldomet]. 4 Request an order to give naphazoline [Privine] with a monoamine oxidase inhibitor (MAOI).
2
A patient reports to the nurse that after taking guaifenesin [Mucinex] for 1 week, the productive cough still persists. What advice should the nurse give to the patient? 1 "Decrease your fluid intake." 2 "Consult your healthcare provider." 3 "Take loratadine [Claritin] twice a day." 4 "Increase the dose of guaifenesin [Mucinex]."
2
A patient who is taking ipratropium [Atrovent] for asthma is complaining of a dry cough. Which action should the nurse implement first? 1 Administer rescue therapy 2 Listen to the patient's lungs 3 Instruct the patient to drink water 4 Administer dextromethorphan 30 mg
2
A patient who reports nasal congestion is prescribed naphazoline [Privine] 2 drops in each nostril, every 6 hours, for 5 days. The patient reports increased nasal congestion after 10 days. On assessment the nurse learns that the patient had increased the drug frequency to every 3 hours for 10 days. What would the nurse interpret from this information? 1 The patient has developed an allergic reaction. 2 The patient has developed rebound congestion. 3 The patient has developed paradoxical reaction. 4 The patient has experienced a side effect of the drug.
2
A patient with a history of asthma is short of breath and says, "I feel like I'm having an asthma attack." What is the nurse's highest priority action? 1 Calling a code 2 Administering a beta2 adrenergic agonist 3 Administering a long-acting glucocorticoid 4 Asking the patient to describe the symptoms
2
A patient with asthma is scheduled to start taking a glucocorticoid medication with a metered-dose inhaler (MDI). The nurse should give the patient which instruction about the correct use of the inhaler? 1 "After you inhale the medication once, repeat until you obtain symptomatic relief." 2 "Use a spacer with the inhaler and rinse your mouth after each dose is administered." 3 "Breathe in through the nose and hold for 2 seconds just before activating the inhaler." 4 "Wait no longer than 30 seconds after the first inhalation before taking the second one."
2
In discharge teaching, the nurse should emphasize to a patient receiving a beta-agonist bronchodilator the importance of reporting which side effect? 1 Sedation 2 Tachycardia 3 Hypoglycemia 4 Nonproductive cough
2
Using a stepwise approach to managing asthma, a nurse teaches a patient who is at step 1 to use albuterol MDI [Proventil] at which time? 1 Only with a long-acting beta2 agonist (LABA) 2 Whenever needed (PRN) as a quick-relief agent 3 Twice daily combined with an inhaled glucocorticoid 4 If nighttime awakenings occur more than 2 days a week
2
A nurse is planning care for a patient who takes fexofenadine [Allegra] for allergic rhinitis. Which outcome should the nurse anticipate? 1 No complaints of dry mouth 2 Use limited to allergy season 3 Relief of sneezing and itching 4 Absence of rebound congestion
3
A patient comes to the emergency department with urticaria following contact with shrubs. Which type of drug would the nurse expect to be included in the treatment plan? 1 Antitussive 2 Expectorant 3 Antihistamine 4 Decongestant
3
A patient who takes cromolyn for exercise-induced bronchospasms should follow which approach for maximum therapeutic effectiveness? 1 It should be used infrequently because of systemic adverse effects. 2 One 10-mg tablet should be taken at least 2 hours before exercising. 3 It should be administered by inhalation 15 minutes before anticipated exertion. 4 It should be used as a quick-relief agent if exercise triggers asthma symptoms.
3
A patient with motion sickness is prescribed diphenhydramine [Benadryl]. Which side effect should the nurse watch for in the patient? 1 Pruritus 2 Headache 3 Dry mouth 4 Lightheadedness
3
Which finding in a patient taking oxymetazoline [Afrin] nasal spray every 2 hours would indicate that the patient has developed an adverse effect? 1 Itching and skin rash 2 Drowsiness and sedation 3 Congestion and stuffiness 4 Dry mouth and constipation
3
Which instruction should the nurse include when teaching a patient about the proper use of metered-dose inhalers? 1 "After you inhale the medication once, repeat until you obtain relief." 2 "Make sure that you puff out air repeatedly after you inhale the medication." 3 "Hold your breath for 10 seconds if you can after you inhale the medication." 4 "Hold the inhaler in your mouth, take a deep breath, and then compress the inhaler."
3
Which statement by a patient indicates understanding of a nurse's teaching about fluticasone nasal spray [Flonase]? 1 "I realize that I only need to take this when my symptoms are really bad." 2 "I'll gradually stop taking this so I don't have any problems with withdrawal." 3 "This drug will help prevent the inflammation and irritation caused by my allergies." 4 "I'll have to be more careful about not falling because my bones may break more easily."
3
Which symptom of allergic rhinitis is treated with fluticasone [Flonase]? 1 Fluid retention 2 Bronchospasm 3 Nasal congestion 4 Increased blood pressure
3
A nurse is teaching a patient who is to start taking an expectorant. The nurse provides the patient with which instruction? 1 "Take the medication once a day only, usually at bedtime." 2 "Restrict cold fluids to promote reduced mucus production." 3 "Increase your fiber and fluid intake to prevent constipation." 4 "Increase your fluid intake to reduce the viscosity of secretions."
4
A patient is prescribed inhaled corticosteroids. Why would the nurse ask the patient to rinse his or her mouth after each dose? 1 To relieve the patient's dry mouth 2 To minimize the chance of nasal congestion 3 To avoid chances of sore throat and infection 4 To prevent the development of oral candidiasis
4
The nurse is teaching a patient about the use of an expectorant. What is the most important instruction for the nurse to include in the patient teaching? 1 "Take the medication once a day only, at bedtime." 2 "Restrict your fluids in order to decrease mucus production." 3 "Increase your fiber and fluid intake to prevent constipation." 4 "Increase your fluid intake in order to decrease viscosity of secretions."
4
The nurse should include which information regarding the use of antileukotriene agents such as zafirlukast [Accolate] in the patient teaching? 1 "Take the medication as soon as you begin wheezing." 2 "It will take about 3 weeks before you notice a therapeutic effect." 3 "Increase fiber and fluid in your diet to prevent the side effect of constipation." 4 "This medication will prevent the inflammation that causes your asthma attacks."
4
To achieve therapeutic effectiveness, a nurse teaches a patient with chronic asthma to use an inhaled glucocorticoid medication according to which schedule? 1 Only in an emergency 2 2 weeks on, 2 weeks off 3 To abort an asthma attack 4 On a consistent, daily basis
4
Which antihistamine causes sedation in the patient as an adverse drug effect? 1 Fexofenadine [Allegra] 2 Desloratadine [Clarinex] 3 Loratadine [Alavert, Claritin] 4 Diphenhydramine [Benadryl]
4
Which statement should the nurse include in the teaching for a patient who is to be started on zileuton [Zyflo]? 1 "Use your zileuton [Zyflo] inhaler every 12 hours." 2 "Take the zileuton [Zyflo] 2 hours before eating breakfast each day." 3 "Take an extra dose of zileuton [Zyflo] if you have an asthmatic attack." 4 "Have your blood drawn once a month for the next 3 months so that your liver function can be checked."
4
Which are adverse effects of albuterol [Proventil]? Select all that apply. A Tremors B Skin rashes C Tachycardia D Palpitations E Hypoglycemia
a, c, d