Ch 32 Lower Resp Drugs

The drug Advair is a combo of which druge catgories

coricosterois, longacting beta2 agonists

When the SABA drusg are admin to older adults, there is a greater increased risk of

cv effects

A client who is experiencing an acute asthmatic attack receives prescribed therapy with a bronchodilator. As part of the plan of care, the nurse would continue to assess which of the following every 4 hours? Select all that apply

A) Intake C) Output D) Lung sounds E) Accessory muscle use

17. A client is prescribed zileuton (Zyflo). The nurse instructs the client to contact the primary health care provider if which of the following occur? Select all that apply.

A) Jaundice B) Pruritus C) Fatigue

The drug Advair is a combo of different med. Which drigs are in this inhaler

fluticasone, salmeterol

A client is prescribed inhaled corticosteroid therapy along with bronchodilator therapy. Which of the following points should the nurse include in the teaching plan?

take corticosteroid several minutes before bronchodilator therapy

A client with asthma has been prescribed an antiasthmatic drug. Before administering the drug, the nurse assesses the respiratory rate of the client. The nurse notifies the primary health care provider based on which finding?

10 breaths/min

32. A nurse is providing care to a client receiving theophylline. The client has received two loading doses and the nurse is evaluating the client's theophylline levels. Which finding would the nurse interpret as a therapeutic drug level?

13

After teaching a group of nursing students about xanthine derivatives, the instructor determines that the teaching was successful when the students state which of the following? Select all that apply.

A) Xanthine derivatives cause flushing. E) Xanthine derivatives stimulate the CNS to promote bronchodilation.

short-acting beta-2 agonist

Albuterol

The nurse is reviewing the history of a client who is prescribed a long-acting beta-2 agonist. Which of the following would alert the nurse to the need to administer this drug cautiously to the client? Select all that apply.

B) Hypertension C) Glaucoma D) Hyperthyroidism E) Diabetes

inhaled corticosteroid

Beclomethasone

inhaled corticosteroids.

Beclomethasone and mometasone

A group of nursing students are reviewing information about mast cell stabilizers. The students demonstrate understanding of the information when they identify which of the following as an example?

Cromolyn

8. A nurse is developing a teaching plan for a client who is to use a dry powder inhaler. Which of the following would the nurse include in the teaching plan? Select all that apply.

D) Hold breath for 10 seconds. E) Inhale quickly.

example of a leukotriene modifier.

Montelukast

The nurse is reviewing the medication record of a client with asthma and notes that the health care provider has prescribed a monoclonal antibody as part of the treatment plan. The nurse would anticipate administering which drug?

Omalzumab

Cholinergic blocking drug used to treat bronchospasm associated with COPD.

Tiotropium

A client receives a loading dose of theophylline to treat acute respiratory symptoms. When assessing the client, the nurse would immediately notify the primary health care provider for which of the following

abd cramps

The body reacts to a trigger and stimulates the SNS causing bronchoconstriction and inflammation. Which neurotransmitter is stumulated

norepinephrine

The nurse correctly admin montelukast

once daily in the evening

26. A client who is receiving aminophylline complains of heartburn. Which of the following instructions should the nurse provide the client to help alleviate the condition?

raise the head of the bed

20. A nurse is caring for a 30-year-old client who is receiving albuterol for asthma. The client complains of feeling dizzy, especially when he stands up after sitting. The nurse suspects that a possible interaction with another drug could be causing the client's problem. Which of the following drugs should the nurse consider as a possible cause?

Methyldopa

A client with chronic asthma comes to the clinic for a follow-up visit. A nurse should question the client about which of the following? Select all that apply.

A) Allergies B) Frequency of attacks C) Severity of attacks D) Antiasthma drugs currently being taken E) Antiasthma drugs taken in the past

When describing the drugs used to treat lower respiratory system conditions, the nursing instructor discusses chronic obstructive pulmonary disease (COPD). Which condition would the instructor include when discussing this condition related to the use of these drugs? Select all that apply

A) Asthma B) Chronic bronchitis

Before administering a prescribed bronchodilator to a client experiencing acute breathing distress, which of the following would be appropriate for the nurse to assess? Select all that apply.

A) Blood pressure C) Pulse D) Lung sounds E) Respiratory rate

6. A client is prescribed an inhaled corticosteroid. The nurse would instruct the client about which of the following as a possible adverse reaction? Select all that apply.

A) Fungal infection B) Pharyngeal irritaion

3. A client is receiving theophylline. The nurse checks the client's serum theophylline level and finds it to be less than therapeutic. The nurse reviews the client's medical record, noting that which of the following might be a reason for this? Select all that apply.

A) Nicotine D) Phenytoin E) Ketoconazole

16. A pediatric client is prescribed cromolyn. The nurse understands that this drug can be administered in which manner? Select all that apply.

A) Via a nebulizer B) Orally C) Nasal spray D) Metered-dose inhaler

A client is prescribed albuterol for bronchospasm in chronic bronchial asthma. Which of the following nursing diagnoses would the nurse expect to see on the care plan as a result of the adverse reaction of albuterol?

Anxiety

Before leaving the hospital after an acute asthma attack, a client is given a prescription for fluticasone/salmeterol (Advair) 250/50 to inhale one puff twice a day. The nurse completing the client's discharge teaching should tell the client which of the following? Select all that apply

B) Continue to carry a rescue inhaler. C) Check peak flow daily. D) Rinse mouth after each use.

A nurse is developing a teaching plan about measures to reduce the risk of infection with Candida albicans from antiasthma therapy. The nurse includes this information because the client is prescribed which of the following? Select all that apply

B) Cromolyn (Gastrocrom) C) Fluticasone (Flovent) E) Budesonide/formoterol (Symbicort)

5. A client with exercise-induced bronchospasm calls the physician's office to obtain a refill for his breathing medication. The client would most likely be prescribed which of the following? Select all that apply.

B) Levalbuterol (Xopenex) E) Bitolterol (Tornalate)

2. The nurse instructs a client with asthma to always carry a rescue inhaler or quick-relief medication with him at all times. Which of the following would the client most likely carry? Select all that apply.

B) Metaproterenol (Alupent) D) Albuterol (Proventil)

18. The nurse teaches a client receiving an inhaled corticosteroid about the possibility of developing oral thrush. Which of the following would the nurse include in the teaching plan as a way to reduce this risk? Select all that apply.

B) Performing strict oral hygiene C) Cleaning the inhaler per package instructions D) Using proper technique when administering dose

9. A client is demonstrating how to use a peak flow meter. The nurse determines that the client is successful when he does which of the following? Select all that apply.

B) Stands upright to allow the best inhalation possible C) Makes sure indicator is at lowest level on scale D) Makes sure lips are sealed tightly around the mouthpiece

During stable chronic phases of asthma, the nurse should advise the client to monitor which of the following? Select all that apply.

B) Wheezing D) Coughing E) Peak flow changes

long-acting beta agonists (LABAs)

Salmeterol and formoterol

xanthine derivative.

Theophylline

A nurse is teaching a client who is prescribed albuterol about the adverse reactions associated with the drug. Which of the following symptoms, if experienced, should the nurse instruct the client to report to the health care provider?

h/a and flushing

A group of nursing students are reviewing information about leukotriene modifiers. The students demonstrate understanding of this class of drugs when they identify that these drugs are given by which route?

orallly

A 10-year-old child with asthma is prescribed high doses of an inhaled corticosteroid. The nurse would discuss which of the following with the child and parents as being affected?

rate of growth

When admin aminophylline, a xanthine derivative bronchodilating drug, the nurse monitors the client for adverse which include

restlessness and nervousness

Which of the following actions are accomplished when using bronchodilators

reverse brochoconstriction

Which lab tests would the nurse expect to be ordered for a client taking theolair

serum theophylline levels

A client has been admitted to a health care facility with acute bronchospasm. The primary health care provider prescribes the drug epinephrine. The nurse anticipates administering this drug by which route?

subcut

A nurse is caring for a client who is receiving cromolyn orally. Which of the following instructions would the nurse include in the client's teaching plan

take drug at least 30 minutes before meals