unit 3 pharmacology exam

A nurse is providing instructions to a client who has a new prescription for albuterol and beclomethasone inhalers for the control of asthma. Which of the following instructions should the nurse include in the teaching?

Administer the albuterol inhaler prior to using the beclomethasone inhaler.

A nurse at an ophthalmology clinic is providing teaching to a client who has open-angle glaucoma and a new treatment regimen timolol and pilocarpine eye drops. Which of the following instructions should the nurse provide?

Administer the meds 5 min apart

A nurse is teaching a client who has a new diagnosis of asthma. Which of the following meds should the nurse instruct the client to use to abort and acute asthma attack?

Albuterol

Which of the following drugs is most immediately helpful in treating a sever acute asthma attack?

Albuterol

A nurse is evaluating teaching on a client who has a new prescription for Montelukast to treat asthma. Which of the following statements by the client indicates an understanding of the teaching?

Ill take this medication once a day in the evening

A nurse is teaching a client about the use of fluticasone to treat perennial rhinitis. Which of the following statements by the client indicates an understanding of the teaching?

It can take as long as 3 weeks before the medication takes a maximum effect.

A nurse is providing discharge teaching to a client who has asthma and a new prescriptions for cromolyn and albuterol, both by nebulizer. Which of the following statements by the client indicates an understanding of the teaching?

I will be sure to take the albuterol before taking the cromolyn

A nurse is preparing to instill eardrops to a 5 year old child. Which of the following techniques should the nurse use?

pull the auricle up and out

A nurse is providing teaching to a client who has asthma and a new prescription for inhaled beclomethasone. Which of the following instructions should the nurse provide?

rinse mouth after administration

A nurse is teaching a client who has a new prescription for beclomethasone. which of the following instructions should the nurse include?

Rinse your mouth after each use of this medication

A nurse is teaching a client about taking diphenhydramine. The nurse should explain to the client that which of the following is an adverse effect?

Sedation

A nurse is teaching a client who has a new prescription for dextromethorphan to suppress a cough. The nurse should instruct the client to monitor for which of the following manifestation as an adverse effect of this medication?

Sedation

A nurse in an emergency department is reviewing the medical record of a client who is being evaluated for angle-closure glaucoma. Which of the following findings are indicative of this condition?

Severe pain around the eyes

A nurse is teaching a client about taking an expectorant to treat a cough. The nurse should explain that this type of medication has which of the following actions?

Stimulates secretions

A client is receiving treatment for asthma with albuterol (Proventil). The nurse teaches the client that while serious adverse side effects are uncommon, the following may occur.

Tachycardia

A client is taking oral amoxicillin to treat otitis media for the past 6 days. The client has told the nurse that "my ear is now back to normal" and asks about stopping the antibiotics. How should the nurse respond?

That's excellent that youre feeling better, but it's important to keep taking the antibiotics until they're all finished"

A client has been using fluticasone (Flavent) inhaler as a component of his asthma therapy. He returns to his health care office complaining of a sore mouth. On inspection the nurse notices white patches in the clients mouth. What is a possible explanation for these findings?

The client has developed a thrush as a result of the fluticasone.

A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching?

The client hold his breath for 10 seconds after inhaling the medication

A nurse is providing discharge teaching to a client who has asthma and a new prescription for fluticasone/salmeterol/ For which of the following adverse effects should the nurse instruct the client to report?

White coating in the mouth

a nurse is caring for a child who is experiencing status asthmaticus. Which of the following interventions is the priority for the nurse to take?

administer a short acting B2-agonist(SABA)

What OTC medication is most likely to be safe and effective in the treatment of pain and fever associated with otitis media?

alternating acetaminophen and ibuprofen

A 65 year client is prescribed Ipratropnum (Atrovent) for the treatment of asthma. Which of the following conditions should be reported to the health care provider before giving this client Ipratropnum?

A reported allergy to peanuts.

What ocular condition is generally treated with prescription for ciprofloxacin eyedrops?

Conjunctivitis

a nurse is caring for a client who is receiving mydriatic eye drops. Which of the following manifestations indicates to the nurse that the client has developed a systematic anticholinergic effect?

Constipation

A nurse is providing discharge instructions to a client who has asthma and a new prescription for Montelukast. The nurse should instruct the client to report which of the following adverse effects to the provider?

Depression

A nurse is teaching a client who has a new prescription for diphenhydramine for allergic rhinitis. The nurse should instruct the client to monitor for which of the following manifestations as and adverse effect of this medication?

Dry mouth Drowsiness Urinary hestation

A nurse is teaching the family of a child who has cystic fibrosis and a new prescription for acetylcysteine. Which of the following information should the nurse include in the instructions?

Expect this medication to smell like rotten eggs.

The client with elevated intraocular pressure is at risk for what ocular condition?

Glaucoma

A nurse is reviewing the medical record of a client who reports taking pseudoephedrine for sinus congestion as needed. The nurse should identify that pseudoephedrine is contraindicated for which of the following client conditions.

Hypertension

Which medication will be administered to facilitate an ophthalmic examination?

Phenylephrine

a nurse is planning care for a client who has a detached retina and is preoperative for a surgical repair. The nurse should prepare to administer which of the following medications?

Phenylephrine

A nurse in a provider's office is instructing a guardian of a toddler how to administer ear drops. Which of the following instructions should the nurse include?

Place the child on the unaffected side when you are ready to administer the med: Warm the med by gently rolling it between your hands for a few minutes: Gently shake med that is in suspension form: Keep the child on their side for 5 min after instillation of the ear drops

A client who received a prescription for Zafirlukast (Accolate) returns to his provider's office after 3 days, complaining that "the drug is not working" She reports mild but continued dyspnea and has to maintain consistent use of her bronchodilator inhaler pirbuterol (Maxair). What does the nurse suspect is the cause of the failure of the Zafirlukast?

The drug has not had sufficient time of use to have full effects

A nurse is teaching a client who has a new prescription for brimonidine ophthalmic drops and wears soft contact lenses. Which of the following instructions should the nurse include in the teaching?

This medication can absorb into your contacts

A nurse is teaching a client about preventing otitis externa. Which of the following instructions should the nurse include?

Tip the head to the side to remove water from ears after showering

A nurse is providing instructions to a client who has a new prescription for albuterol, PO. Which of the following instructions should the nurse include?

Tremors are an adverse effect of this medication.

A child with glaucoma is being treated with short acting mydriatics. Which cycloplegic will be administered with the mydriatic agent?

Tropicamide

A client with asthma has a prescription for two inhalers (albuterol and beclomethasone). How should the nurse instruct the client on the proper use of the inhalers?

Use the albuterol inhaler, wait 5-10 min, then use the beclomethasone inhaler

A client with asthma has a prescription for two inhalers ,albuterol ( Proventil, Vospire) and beclamethosone (QVAR).How should the nurse instruct this client on the proper use of the inhalers?

Use the albuterol inhaler, wait 5-10 minutes ,then use the beclomethasone inhaler.

A nurse is teaching a client who has a prescription for long-term use of oral prednisone for treatment of chronic asthma. The nurse should instruct the client to monitor for which of the following manifestations as an adverse effect of this medication

Weight gain

A nurse is providing teaching to a client who has emphysema and anew prescription for theophylline. Which of the following instructions should the nurse provide?

avoid caffeine while taking this medication

What is the expected result of timolol maleate therapy?

decreased intraocular pressure

A youngster has just returned home from the family's tropical vacation and is now reporting worsening tenderness in the right ear. When the child is diagnosed with otitis externa, what causative factor of this infection should the nurse focus upon?

frequent swimming and water sports while the child was on vacation

Which medical diagnosis requires that phenylephrine be administered continuously?

hypertension

A nurse is caring for a client who has been taking phenylephrine nasal drops for the past 10 days for sinusitis. The nurse should assess the client for which of the following manifestations as an adverse effect of this medication?

nasal congestion

A nurse is instructing a client who has a new prescription for timolol how to insert eye drops. The nurse should instruct the client to press on which of the following areas to prevent systemic absorption of the medication

nasolacrimal duct

A client is receiving treatment for asthma with albuterol. The nurse teaches the client while serious adverse effects are uncommon, the following may occur?

tachycardia nervousness headache