Saunders Pharm-Respiratory

Zafirlukast is prescribed for a client with bronchial asthma. Which laboratory test does the nurse expect to be prescribed before the administration of this medication?

LFTs

A cromolyn sodium inhaler is prescribed for a client with allergic asthma. The nurse provides instructions regarding the adverse effects of this medication and should tell the client that which undesirable effect is associated with this medication?

bronchospasm

A client has begun using a methylxanthine bronchodilator. What beverage should the nurse plan to teach the client to avoid while taking this medication?

coffee

A clinic nurse is assessing a client who has been on isoniazid for 6 months. Which client complaint should most concern the nurse?

difficulty tying shoes

The nurse is preparing to administer albuterol to a client. Which parameters should the nurse assess before and during therapy?

lung sounds and presence of dyspnea

The nurse has given a client taking ethambutol information about the medication. The nurse determines that the client understands the instructions if the client states that he or she will immediately report which finding?

Difficulty in discriminating the color red from green

the nurse should monitor the client receiving the first dose of albuterol for which side or adverse effect of this medication?

tachycardia

When evaluating an asthmatic client's knowledge of self-care, the nurse recognizes that additional instruction is needed when the client makes which statement?

I use my corticosteroid inhaler each time I feel short of breath.

The nurse is caring for a client receiving an albuterol/ipratropium nebulized breathing treatment. Which report from the client should the nurse note as an expected side effect of this combination medication?

I feel like my heart is racing

A client with a prescription to take theophylline daily has been given medication instructions by the nurse. What statement by the client indicates the need for further education regarding the prescription?

I will take the daily dose at bedtime

which statement made by a client taking montelukast indicates the need for further teaching?

I will take the medication when I first notice I am having trouble breathing.

A client with chronic obstructive pulmonary disease (COPD) is being changed from an oral glucocorticoid to triamcinolone by inhalation. The client asks why this change is necessary. Which statement by the nurse to the client is accurate?

Inhaled glucocorticoids are preferred because of decreased adverse effects.

A client with tuberculosis receiving cycloserine orally twice daily must have blood drawn in 1 week to measure the serum concentration of the medication. The nurse prepares the client for this test by providing which information to the client?

Take the morning dose, and have the blood drawn 2 hours after taking the dose.

A client begins therapy with theophylline. The nurse plans to teach the client to limit the intake of which items while taking this medication?

coffee, cola and chocolate

The primary health care provider (PHCP) has prescribed codeine sulfate for a client with a nonproductive cough to suppress the cough reflex. The nurse should teach the client to monitor for which side effect of the medication?

constipation

Terbutaline is prescribed for a client with bronchitis. The nurse checks the client's medical history for which disorder in which the medication should be used with caution?

diabetes mellitus

A client taking albuterol by inhalation cannot cough up secretions. What should the nurse suggest that the client do to assist in expectoration of secretions?

drink increased amount of fluids

A client is taking cetirizine. The nurse should inform the client of which side effect of this medication?

drowsiness

A client is scheduled to receive acetylcysteine 20% solution diluted in 0.9% normal saline by nebulizer. Which outcome would the nurse expect as a result of the administration of this medication?

thinning of resp secretions

Which is the nurse's priority assessment for monitoring for adverse effects for the client taking isoniazid?

urine color

A client is taking a prescribed course of therapy with ethambutol. The home health nurse assesses the client at each home visit for which adverse effect of this medication?

visual disturbances

client who has been receiving theophylline by the intravenous (IV) route has the medication prescription changed to an immediate-release oral form of the medication. After discontinuing the IV medication, when should the nurse schedule the first dose of the oral medication?

4 hours after discontinuing the IV form

A client with an exacerbation of chronic obstructive pulmonary disease (COPD) has been on oral glucocorticoids and is currently being weaned to triamcinolone by inhalation. The nurse determines that the client understands the potential adverse effects to watch for during this medication change when the client states the need to report which signs and symptoms?

Anorexia, nausea, weakness, and fatigue

the nurse is teaching a client about the effects of diphenhydramine, an ingredient in the cough suppressant prescribed for the client. The nurse should plan to tell the client to take which measure while taking this medication?

Avoid activities requiring mental alertness.

The nurse has a prescription to give a client salmeterol, 2 puffs, and beclomethasone dipropionate, 2 puffs, by metered-dose inhaler. The nurse should administer the medication using which procedure?

Salmeterol first and then the beclomethasone

A client has been started on long-term therapy with rifampin. The nurse should provide which information to the client about the medication?

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

The client questions the nurse as to why the primary health care provider switched the usual prescription from a metered-dose inhaler (MDI) to a dry powder inhaler (DPI). The nurse should respond correctly by providing which facts? Select all that apply. a) Dry powder inhalers have fewer side effects. b) Dry powder inhalers pose no environmental risks. c) Dry powder inhalers can be administered more frequently. d) Dry powder inhalers deliver more medication to the lungs. e) Dry powder inhalers require less hand-to-lung coordination.

b, d, e

Cromolyn sodium is prescribed for the client with allergic asthma. What goal does the nurse expect to achieve by administration of this medication?

Inhibition of the release of mediators from mast cells after exposure to an antigen

A client has been given a prescription for benzonatate. Which observation should the nurse look for to evaluate the effectiveness of the medication?

calming the pt's cough

The nurse is administering a dose of pirbuterol to a client. The nurse should monitor for which side or adverse effect of this medication?

increased HR

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?

peripheral neuritis

The nurse would anticipate that the primary health care provider (PHCP) would add which medication to the regimen of the client receiving isoniazid?

pyridoxine

A client diagnosed with active tuberculosis has been prescribed a combination of isoniazid and rifampin for treatment. The nurse teaches the client to perform which action?

take both meds together once a day

A client has a prescription to take guaifenesin. The nurse determines that the client understands the proper administration of this medication if the client states that she or he will perform which action?

take the tab with a full glass of water

The nurse teaches a client about the effects of diphenhydramine, which has been prescribed as a cough suppressant. The nurse determines that the client needs further instruction if the client makes which statement?

"I will take the medication on an empty stomach."

A client with a documented exposure to tuberculosis is on medication therapy with isoniazid. The nurse is monitoring laboratory results and determines that which laboratory value indicates the need for follow-up?

AST 55

A home care 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. The nurse understands that this is the result of which occurrence?

Paradoxical bronchospasm, which must be reported to the primary health care provider (PHCP)

Rifabutin is prescribed for a client with active Mycobacterium avium complex (MAC) disease and tuberculosis. For which side and adverse effects of the medication should the nurse monitor? SATA a) Signs of hepatitis b) Flu-like syndrome c) Low neutrophil count d) Vitamin B6 deficiency e) Ocular pain or blurred vision f) Tingling and numbness of the fingers

a-c, e

A client is to begin a 6-month course of therapy with isoniazid. The nurse should plan to teach the client to take which action?

report yellow eyes or skin immediately

The nurse is preparing to administer a dose of naloxone intravenously to a client with an opioid overdose. Which supportive medical equipment should the nurse plan to have at the client's bedside

resuscitation equipment

A client has been taking pyrazinamide for 6 months. The nurse determines that the medication is effective if which cultures yield a negative result?

sputum

The primary health care provider prescribes cromolyn for the client with asthma. The nurse identifies that the client correctly understands the purpose of this medication when the client states that the medication will produce which effect?

suppress an allergic response

A client who experiences allergic rhinitis asks the nurse about a nasal corticosteroid. How should the nurse reply

The medication works locally and decreases inflammation."