Prep-U Respiratory Drugs

An older client diagnosed with hypertension is requesting an oral nasal decongestant for cold symptoms. Which statement by the nurse best describes the effect of decongestants on blood pressure?

"The administration of a nasal decongestant will increase blood pressure due to vasoconstriction of blood vessels."

The nurse instructs a patient who is using albuterol for exercise-induced bronchospasm to use the inhaler at which time?

15 minutes prior to exercising.

A patient receives guaifenesin. The nurse would expect the drug to begin acting within which time frame?

30 minutes.

1m 35s What medication would be administered to counteract the effect of acetaminophen?

Acetylcysteine.

Atelectasis

Air or fluid accumulation in the pleural space.

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

A client asks, "What is the difference between antitussive medications and expectorants?" What information should the nurse's response be based upon?

Antitussives suppress coughing while expectorants loosen bronchial secretions.

With which condition are the bronchial epithelial cells replaced by a fibrous scar tissue?

Bronchiectasis

A premature newborn diagnosed with respiratory distress syndrome(RDS) has received surfactant therapy. The infant's nursing care plan should include which monitoring interventions to evaluate the effectiveness of the therapy? Select all that apply.

Chest Movement, Adventitious breath sounds, Respirations, and Endotracheal tube placement

The ability to accommodate incoming air is called:

Compliance

A female client is prescribed a first-generation antihistamine for her allergies. The nurse would expect her to experience what adverse effect?

Dry mouth

What are effects of antihistamines?

Dry mouth, drowsiness, blurred vision and urinary retention.

A nurse on rounds observes that a client has been eating food rather hastily. Based on this information the nurse knows that what structure of the respiratory system prevents foreign matter from entering the lower respiratory system?

Epiglottis

A patient has an increased respiratory rate. Which causes an increased respiratory rate?

Increased carbon dioxide

Which respiratory structure contains the vocal cords?

Larynx

An elderly client, diagnosed with chronic obstructive pulmonary disease (COPD), is being considered for corticosteroid therapy. The nurse should anticipate that these drugs may be administered by what routes? Select all that apply

Parenteral and oral.

While reviewing a client's history, an allergy to which of the following would alert the nurse to a possible problem with the use of ipratropium?

Peanuts - The use of ipratropium is contraindicated in the presence of known allergy to the drug or to peanuts or soy products because the vehicle used to make ipratropium, an aerosol, contains a protein associated with peanut allergies.

Which term would the nurse use to describe the delivery of blood to the alveoli?

Pulmonary perfusion

When the use of antihistamines result in dryness of the mouth, the nurse should recommend which to relieve the dryness? Select all that apply.

Take frequent sips of water, offer ice chips, suck on sugarless hard candy.

The nurse is encouraging a client to cough frequently and complete deep breathing exercises. The nurse knows that many factors can cause a decrease of gas exchange for clients. Based on this information, what factors can cause a decrease in gas exchange? Select all that apply.

Thoracic surgery, immobility and pneumonia.

Pseudoephedrine is the only oral decongestant.

True

Albuterol is a short-acting beta-2 agonist (SABA)

True.

Clients with diabetes, heart disease, hypertension, hyperthyroidism, benign prostatic hypertrophy, and glaucoma should contact their health care provider before taking over-the-counter decongestants.

True.

When describing the action of decongestants, a nurse integrates knowledge of this class of drugs, identifying which mechanism?

Vasoconstriction of small blood vessels of the nasal membranes

Which term would be used to describe the movement of air in and out of the body?

Ventilation

The health care provider has ordered promethazine (Phenergan) for a client who is having a severe allergic reaction. The nurse is aware that this medication is also used to treat what condition?

Nausea and vomiting.

A client is receiving theophylline and the nurse is monitoring the client's theophylline level. The most recent result reveals a level of 17 mcg/L. Which adverse effects would the nurse expect to find? Select all that apply.

Nausea, Diarrhea and Headache - Seizure and confusing with levels above 20.

A client with COPD takes theophylline. The nurse identifies that the client is still experiencing severe dyspnea. Upon review of labs, the theophylline level remains nontherapeutic. The nurse evaluates the client for which of the following drugs that may cause decreased theophylline levels?

Nicotine