Chapter 51: Respiratory Medications
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? 1. Insomnia 2. Constipation 3. Hypotension 4. Bronchospasm
Answer: 4.Bronchospasm
The nurse is teaching a client who is beginning antiviral therapy for influenza. Which statement by the client indicates an understanding of the instructions? 1. "I must take the medication exactly as prescribed" 2. "Once I start the medication, I will no longer be contagious" 3. "I will not get any colds or infections while taking this medication" 4. "This medication has minimal side effects and I can return to normal activities"
Answer: 1. "I must take the medication exactly as prescribed"
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 effects of this combination medication? 1. "I feel like my heart is racing" 2. "I feel more bloated than usual" 3. "My eyes have been watering lately" 4. "I haven't had a bowel movement in 4 days"
Answer: 1. "I feel like my heart is racing"
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 teaching if the client makes which statement? 1. "I will take the medication on an empty stomach" 2. "I won't drink alcohol while taking this medication" 3. "I won't do activities that require mental alertness" 4. "I will use sugarless gum, candy, or oral rinse to decrease dryness in my mouth"
Answer: 1. "I will take the medication on an empty stomach"
A client has been taking isoniazid for 2 months. The client complains to the nurse about numbness, paresthesia, and tingling in the extremities. The nurse interprets that the client is experiencing which problem? 1. Hypercalcemia 2. Peripheral neuritis 3. Small blood vessel spasm 4. Impaired peripheral circulation
Answer: 2. Peripheral neuritis
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? 1. Use alcohol in small amounts only 2. Report yellow eyes or skin immediately 3. Increase intake of Swiss or aged cheeses 4. Avoid vitamin supplements during therapy
Answer: 2. Report yellow eyes or skin immediately.
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? 1. Beclomethasone first and then salmeterol 2. salmeterol first and then the beclomethasone 3. Alternating a single puff of each, beginning with salmeterol 4. Alternating a single puff of each, beginning with the beclomethasone
Answer: 2. 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? 1. Should always be taken with food or antacids 2. Should be double-dosed if 1 dose is forgotten 3. Causes orange discoloration of sweat, tears, urine, and feces 4. May be discontinued independently if symptoms are gone in 3 months
Answer: 3. Causes orange discoloration of sweat, tears, urine, and feces
Terbutaline is prescribed for a client with bronchitis. Which disorder in the client's medical history requires caution by the nurse? 1. Osteoarthritis 2. Hypothyroidism 3. Diabetes mellitus 4. Polycystic disease
Answer: 3. Diabetes mellitus
A client with tuberculosis is starting antituberculosis therapy with isoniazid. Before giving the client the first dose, the nurse should ensure that which baseline study has been completed? 1. Electrolyte levels 2. Coagulation times 3. Liver enzyme levels 4. Serum creatinine level
Answer: 3. Liver enzyme levels
Zafirlukast is prescribed for a patient with bronchial asthma. Which laboratory test does the nurse expect to be prescribed before the administration of this medication? 1. Platelet count 2. Neutrophil count 3. Liver function test 4. Complete blood cell count
Answer: 3. Liver functioning test
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? 1. Nasogastric tube 2. Paracentesis tray 3. Resuscitation equipment 4. Central line insertion tray
Answer: 3. Resuscitation equipment
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 he or she will perform which action? 1. Take an extra dose if fever develops 2. Take the medication with meals only 3. Take the tablet with a full glass of water 4. Decrease the amount of daily fluid intake
Answer: 3. Take the tablet with a full glass of water
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 they will immediately report which finding? 1. Impaired sense of hearing 2. Gastrointestinal side effects 3. Orange-red discoloration of body secretions 4. Difficulty in discriminating the color red from green
Answer: 4. Difficulty in discriminating the color red from green
A client begins therapy with theophylline. the nurse plans to teach the client to limit the intake of which items while taking this medication? 1. Coffee, cola, chocolate 2. Oysters, lobster, and shrimp 3. Melons, oranges, and pineapple 4. Cottage cheese, cream cheese, and dairy creamers
Answers: 1. Coffee, cola, and chocolate
Rifabutin is prescribed for a client with active Mycobacterium avium complex (MAC) disease with TB. The nurse should monitor for which side/adverse effects of the medication? (SATA) 1. Signs of hepatitis 2. Flu-like syndrome 3. Low neutrophil count 4. Vitamin B6 deficiency 5. Ocular pain or blurred vision 6. Tingling and numbness of the fingers
Answers: 1. Signs of hepatitis 2. Flu-like syndrome 3. Low neutrophil count 5. Ocular pain or blurred vision
The nurse has just administered the first dose of omalizumab to a client. Which statement by the client alerts the nurse of a life-threatening effect? 1. "I have a severe headache" 2. "My feet are quite swollen" 3. "I am nauseated and may vomit" 4 "My lips and tongue are swollen"
Answers: 4. "My lips and tongue are swollen"
