NURSU 452 Respiratory Review Quiz

A child is prescribed fluticasone after an acute asthma attack. Which instruction would the nurse give the family about the administration of this medication?

"Watch for white patches in the mouth and report to the health care provider."

A child who weighs 44 lb is prescribed prednisone. The recommended dosage for children is 2 mg/kg/day given in four divided doses. Which amount would the nurse administer to the child in each dose? Express your answer as a whole number.

10 mg

A health care provider prescribes guaifenesin 300 mg four times a day. The dosage strength is 200 mg/5 mL. How many milliliters will the nurse administer for each dose? Record your answer using one decimal place.

7.5 mL

When a client is seen in the emergency department with sudden onset severe dyspnea, coughing, and wheezes, which prescribed treatment would the nurse administer first?

Albuterol per nebulizer

The nurse is preparing to discharge a client who presented to the emergency room for an acute asthma attack. The nurse notes that upon discharge the health care provider has prescribed theophylline 300 mg orally to be taken daily at 9:00 AM. The nurse will teach the client to take the medication on which schedule?

At the specific time prescribed

The nurse administers albuterol to a 4-year-old child. Which intervention would assist the nurse in evaluating the effectiveness of this medication?

Auscultate breath sounds.

The nurse is teaching the parents of a child prescribed a high dose of oral prednisone for asthma. Which information is critical for the nurse to include when teaching about this medication?

It should be stopped gradually.

While caring for a client receiving hydrocortisone therapy, the nurse anticipates a dose adjustment in the client's prescription. Which observation in the client supports this anticipation?

Sudden weight gain of 8 kg

The nurse administers albuterol to a child with asthma. Which common side effect would the nurse monitor for in the child?

Tachycardia

Which action by a client with asthma indicates that the client teaching about use of a peak flow meter has been effective?

Uses a quick relief inhaled medication when peak flow is in the yellow zone

When a client with chronic obstructive pulmonary disease has a new prescription for daily low-dose prednisone, which information will the nurse include when teaching the client?

Report any dark stools to the health care provider.

A client is prescribed albuterol to relieve severe asthma. Which adverse effects will the nurse instruct the client to anticipate? Select all that apply. One, some, or all responses may be correct.

Tremors Palpitations

Which medication is a leukotriene modifier used to manage and prevent allergic rhinitis?

Zileuton Zileuton is a leukotriene modifier used to manage and prevent allergic rhinitis. Ephedrine is an ingredient in decongestants used to treat allergic rhinitis. Scopolamine is an anticholinergic used to reduce secretions. Cromolyn sodium is a mast cell stabilizing medication used to prevent mast cell membranes from opening when an allergen binds to immunoglobulin E (IgE).

Which instructions regarding the use of fluticasone nasal spray are appropriate for client teaching? Select all that apply. One, some, or all responses may be correct.

Use the medication on a regular basis, not PRN. Clear the nasal passages before using the medication. Discontinue use of the medication if nasal infection develops

Which effect would the nurse assess a teenager for if more than the recommended dose of oxymetazoline nasal spray is taken?

Increased nasal congestion

When a client arrives in the emergency department and reports dyspnea, which finding by the nurse indicates that an inhaled bronchodilator may be needed for treatment?

Inspiratory and expiratory wheezes

The nurse is teaching pursed-lip breathing to a client with chronic obstructive pulmonary disease (COPD). The client asks about the benefit of the exercises. Which explanation would the nurse give?

Keeps the airway open longer to decrease the work that goes into breathing

A client with an allergy has been administered a dose of antihistamine. The nurse finds that the client is drowsy and dizzy. Which type of need would the nurse prioritize in the client according to Maslow's hierarchy of needs?

Safety need

A client with type 1 diabetes tells the nurse, "I take guaifenesin cough syrup when I have a cold." Which instruction would the nurse include in client teaching about this medication?

"Include the glucose in the cough syrup when calculating daily carbohydrate allowance."

A client reports nasal discharge, sneezing, lacrimation, and itching all over the body. During an assessment, the client reports exposure to dust and molds. The nurse observes swelling and a pink color at the itching site. Which class of medications would the nurse anticipate administering to treat this client's condition?

Medications containing antihistamines

Which treatment would the nurse anticipate administering to a toddler who has acetaminophen poisoning?

N-acetylcysteine

A child recovering from a severe asthma attack is given oral prednisone 15 mg twice daily. Which intervention would be a priority for the nurse?

Preventing exposure of the child to infection

Which over-the-counter medication would the nurse teach a client taking antihypertensive medication to avoid?

Pseudoephedrine

Which action would the nurse perform when administering fluticasone propionate to a client with asthma? Select all that apply. One, some, or all responses may be correct.

Rinsing the oral cavity with water after use Clients using inhaled glucocorticoids are at an increased risk for oral candidiasis. The nurse would instruct the client to rinse the mouth with water after using the inhaler. The nurse would monitor heart rate and pattern in clients taking beta 2 agonists such as albuterol, which can lead to tachydysrhythmias. Liver function is monitored in clients taking leukotrienes such as zileuton. Blood glucose monitoring is necessary for clients taking oral and intravenous glucocorticoids. Stool softeners are given to clients taking tiotropium because of the medication's anticholinergic side effect of constipation.

An adolescent with a history of asthma is brought to the emergency department in respiratory distress. The primary health care provider admits the adolescent. Which is the priority prescription to implement upon arrival to the unit?

Administering the nebulizer treatment to facilitate breathing