Chapter 55 PrepU

The nurse assesses the serum theophylline of a client. Which finding would the nurse identify as being therapeutic? 25 mcg/mL 15 mcg/mL 5 mcg/mL 30 mcg/mL

15 mcg/mL

When teaching a client about his prescribed asthma therapy, the nurse understands that which medications may increase the risk of asthma-related death? Mast cell stabilizers Inhaled corticosteroids (ICSs) Long-acting beta-2 agonists Short-acting beta agonists (SABAs)

Long-acting beta-2 agonists

A male patient is to begin treatment for pneumonia with an albuterol (Ventolin) inhaler. The nurse will advise the patient that he will most likely experience which common adverse effects of the drug? Dyspepsia Muscle cramps Headache Throat irritation

Throat irritation

A high school student was diagnosed with asthma when he was in elementary school and has become accustomed to carrying and using his "puffers". In recent months, he has become more involved in sports and has developed a habit of administering albuterol up to 10 times daily. The nurse should teach the student that overuse of albuterol can lead to community-acquired pneumonia. rebound bronchoconstriction. severe anticholinergic effects. permanent liver damage.

rebound bronchoconstriction.

The nurse has finished teaching a 15-year-old client how to use an inhaler to treat asthma. What statement by the client suggests an understanding of the teaching? "I need to take three short, quick breaths to inhale the medication." "I should take a deep breath, hold it while I administer the medication, and then exhale." "I need to wait at least 30 minutes after the first inhalation before taking a second." "I need to shake the inhaler well before taking the medication."

"I need to shake the inhaler well before taking the medication."

A client has been admitted to a health care facility with asthma. The nurse is to administer theophylline to the client. To which clients can the nurse safely administer theophylline? A 43-year-old male with hypertension A 65-year-old female with hepatic disease A 65-year-old male with asthma An 83-year-old female with cardiac disease

A 65-year-old male with asthma

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? Flunisolide first, wait five minutes and then follow with albuterol Albuterol followed immediately by flunisolide Flunisolide followed immediately by albuterol Albuterol first, wait five minutes and then follow with flunisolide

Albuterol first, wait five minutes and then follow with flunisolide

Which of the following would a nurse identify as a surfactant? Beractant Zileuton Theophylline Cromolyn

Beractant

A client is experiencing an acute asthmatic attack. Which agent would be most effective? Beta-2 selective adrenergic agonist Mast cell stabilizer Leukotriene receptor antagonist Inhaled steroid

Beta-2 selective adrenergic agonist

A nurse would expect to increase the dosage of theophylline if the client has a current history of which of the following? Hyperthyroidism Alcohol intake Gastrointestinal upset Cigarette smoking

Cigarette smoking

A nurse is providing discharge planning for a 45-year-old woman who has a prescription for oral albuterol. The nurse will question the patient about her intake of which of the following? Salt Vitamin C Coffee Alcohol

Coffee

The nurse is providing education to a client who has been prescribed an antiasthmatic drug. The nurse should instruct the client to avoid excessive intake of what beverage? Coffee Grapefruit juice Green tea Acai juice

Coffee

A nurse is providing health education to a client recently diagnosed with asthma and prescribed albuterol and ipratropium. Which of the client's statements suggests a need for clarification by the nurse? "I'll try to make sure that I drink plenty of fluids each day." I'll keep taking my medications until I'm not experiencing any more symptoms." "I'll make sure I don't take my inhalers more often than they've been prescribed." "I'm a heavy coffee drinker, but I know that I now know I need to cut down on this."

I'll keep taking my medications until I'm not experiencing any more symptoms."

A client is prescribed salmeterol. The nurse would expect this drug to be administered by which route? Intravenous Subcutaneous Oral Inhalation

Inhalation

The nurse is providing education to a client with asthma on the therapeutic action of inhaled corticosteroid agents. How will the nurse describe the action? Inhaled corticosteroid agents reduce respiratory rate. Inhaled corticosteroid agents reduce bronchodilation. Inhaled corticosteroid agents will depress the central nervous system. Inhaled corticosteroid agents reduce airway inflammation.

Inhaled corticosteroid agents reduce airway inflammation.

The nurse is providing care for a newborn who has received an instillation of surfactant. What assessment data indicates the infant is experiencing adequate oxygen perfusion? Select all that apply. Breath sounds normal Skin is pink over entire body Infant temperature within normal limits Chest moves bilaterally with respirations Skin warm to the touch

Skin is pink over entire body Skin warm to the touch

The nurse is describing how aminophylline achieves its effect. Which would the nurse incorporate into the description? Stabilization of mast cell membranes Stimulation of beta-adrenergic receptors Reduction of airway hyperresponsiveness Stimulation of the central nervous system

Stimulation of the central nervous system

After reviewing information about drugs used to treat lower respiratory system conditions, a group of nursing students demonstrate understanding of the information when they identify which as an example of a short-acting beta-2 agonist (SABA)? Arformoterol Albuterol Formoterol Salmeterol

Albuterol

The nurse is reviewing a client's morning blood work and notes a theophylline level of 22.2 mcg/mL (123.21 µmol/L). What action should the nurse take? Inform the health care provider that the client has toxic theophylline levels. Withhold the scheduled dose of theophylline pending the next day's blood work results. Inform the health care provider that an increase in the client's dose of theophylline may be necessary. Administer the scheduled dose of theophylline with as needed (PRN) dose of a bronchodilator.

Inform the health care provider that the client has toxic theophylline levels.

The nurse instructs a patient who is using albuterol for exercise-induced bronchospasm to use the inhaler at which time? In the morning of the day when exercise is planned Immediately on beginning to exercise 15 minutes prior to exercising One hour before exercise

15 minutes prior to exercising

Mr. Ashum is prescribed an albuterol inhaler as part of his treatment regimen for asthma. What is the mechanism of action for this medication? Albuterol causes relaxation of the bronchial smooth muscles. Albuterol blocks the stimulation of the beta-2 receptors. Albuterol causes stimulation of the bronchial tissue. Albuterol decreases vital capacity.

Albuterol causes relaxation of the bronchial smooth muscles.

A client is admitted to the emergency department with inspiratory stridor and air hunger. When anticipating treatment, the nurse will prepare which medication for administration? Epinephrine Cromolyn Ipratropium bromide Pseudoephedrine

Epinephrine

A newborn, experiencing ineffective alveolar expansion, is receiving treatment. What intervention should the nurse implement to assure the administration of the prescribed medication has been effective? Changing the newborn's position frequently to assure effective distribution of medication Supply supplemental oxygen as prescribed Suctioning the infant every 30 minutes for 2 hours after the treatment has been initiated Monitoring respirations for bilateral chest movement

Monitoring respirations for bilateral chest movement