Pharm 31-32

A client suffers from motion sickness. Which of the following would the nurse anticipate the primary health care provider to prescribe? Select all that apply. A) Promethazine (Phenergan) B) Diphenhydramine (Benadryl) C) Levocetirizine (Xyzal) D) Azelastine (Astelin) E) Pseudoephedrine (Sudafed)

A) Promethazine (Phenergan) B) Diphenhydramine (Benadryl)

When describing the actions of upper respiratory system drugs, a nursing instructor explains that which of the following exerts its effect by increasing the production of secretions, thereby decreasing the viscosity? Select all that apply. A) Benzonatate B) Guaifenesin C) Codeine D) Potassium iodide E) Dextromethorphan

A) Benzonatate D) Potassium iodide

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 B) Blood glucose C) Pulse D) Lung sounds E) Respiratory rate

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

Based on the nurse's understanding of decongestants, the nurse would expect to administer this drug cautiously to a client with which of the following? Select all that apply. A) Diabetes B) Glaucoma C) Hypotension D) Hypothyroidism E) Arthritis

A) Diabetes B) Glaucoma

A nurse is assigned to care for a client with bronchial irritation. The client is prescribed diphenhydramine. Before administering the drug, which of the following would the nurse do? A) Document color and amount of any sputum present. B) Record the previous prescriptions. C) Take vital signs every 4 hours. D) Assess the client's cardiovascular status.

A) Document color and amount of any sputum present.

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? A) 10 breaths/min B) 14 breaths/min C) 18 breaths/min D) 22 breaths/min

A) 10 breaths/min

A nurse is caring for a client with thick sputum who is having difficulty bringing up mucus. Which nursing diagnosis would the nurse most likely identify? A) Ineffective Airway Clearance B) Acute Pain C) Risk for Injury D) Impaired Oral Mucous Membranes

A) Ineffective Airway Clearance

A client has been prescribed a nasal decongestant for nasal stuffiness due to a common cold. The client is also taking an antidepressant that is a monoamine oxidase inhibitor. The nurse would warn the client about which of the following? A) Hypotension B) Severe headache C) Sedation D) Bradycardia

B) Severe headache

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 B) Blood pressure C) Output D) Lung sounds E) Accessory muscle use

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

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 D) Dizziness E) Restlessness

A) Jaundice B) Pruritus C) Fatigue

A nursing instructor is describing the advantages of using a second-generation antihistamine over a first-generation antihistamine. Which of the following would the instructor most likely include? Select all that apply. A) Less sedation B) Fewer anticholinergic effects C) Less nausea D) Can be used during pregnancy E) Can be used during lactation

A) Less sedation B) Fewer anticholinergic effects

After teaching a group of nursing students about antihistamines, the instructor determines that the teaching was successful when the students identify which of the following as less sedating? Select all that apply. A) Loratadine (Claritin) B) Fexofenadine (Allegra) C) Cetirizine (Zyrtec) D) Brompheniramine (Lodrane) E) Clemastine (Tavist)

A) Loratadine (Claritin) B) Fexofenadine (Allegra) C) Cetirizine (Zyrtec)

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 B) Allopurinol C) Verapamil D) Phenytoin E) Ketoconazole

A) Nicotine D) Phenytoin E) Ketoconazole

The nurse understands that codeine-containing antitussives should be used cautiously in clients with which of the following conditions? Select all that apply. A) Pregnancy B) Convulsive disorders C) Prostatic hypertrophy D) Hyperlipidemia E) Type 2 diabetes

A) Pregnancy B) Convulsive disorders C) Prostatic hypertrophy

Eucalyptus is an herbal product that can be used as a decongestant and expectorant. In which of the following client populations would the nurse identify a contraindication for its use? Select all that apply. A) Pregnant females B) Children younger than 2 years of age C) Lactating females D) Postmenopausal females E) Men

A) Pregnant females B) Children younger than 2 years of age C) Lactating females

The nurse would be especially alert for the development of which of the following when administering an antihistamine to an older adult? Select all that apply. A) Hypotension B) Hypertension C) Dry mouth D) Insomnia E) Sedation

A) Hypotension C) Dry mouth E) Sedation

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

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

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? A) Anxiety B) Risk of Impaired Oral Mucous Membranes C) Ineffective Tissue Perfusion D) Risk of Injury

A) Anxiety

Before administering an antihistamine to a client, which of the following would the nurse include in the preadministration assessment? Select all that apply. A) Asking about symptoms B) Checking visual acuity C) Asking about prescription medications D) Auscultating bowel sounds E) Auscultating heart sounds

A) Asking about symptoms C) Asking about prescription medications

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) Pulmonary embolism C) Pulmonary hypertension D) Chronic bronchitis E) Pneumonia

A) Asthma D) Chronic bronchitis

A client has a nursing diagnosis of Ineffective Airway Clearance. Which of the following would the nurse include in the client's plan of care? Select all that apply. A) Encouraging increased fluid intake B) Assisting the client in taking deep, diaphragmatic breaths C) Discouraging client movement D) Instructing the client to avoid coughing E) Encouraging the client to change positions

A) Encouraging increased fluid intake B) Assisting the client in taking deep, diaphragmatic breathsE) Encouraging the client to change positions

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 irritation C) Blurred vision D) Bradycardia E) Insomnia

A) Fungal infection B) Pharyngeal irritation

When assessing an older client who is receiving an antihistamine, the nurse integrates knowledge of which of the following as contributing to the client's higher risk of injury? Select all that apply. A) Hearing loss B) Steady gait C) Visual impairment D) Hypertension E) Diabetes

A) Hearing loss C) Visual impairment

A client is suffering from rebound congestion. Which of the following would the nurse expect to do to help the client experience relief from rebound congestion? Select all that apply. A) Suggest the client switch from a topical decongestant to an oral product. B) Recommend the client switch from an oral decongestant to a topical product. C) Tell the client to abruptly discontinue the decongestant product. D) Advise the client to gradually discontinue the decongestant product. E) Suggest a saline irrigation of the nasal passages in place of the decongestant.

A) Suggest the client switch from a topical decongestant to an oral product. D) Advise the client to gradually discontinue the decongestant product. E) Suggest a saline irrigation of the nasal passages in place of the decongestant.

Before administering an antitussive to a client, which of the following would the nurse assess? Select all that apply. A) Temperature B) Sputum presence C) Type of cough D) Bowel sounds E) Heart sounds

A) Temperature B) Sputum presence C) Type of cough

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 E) Subcutaneous injection

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

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. B) The action of xanthine derivatives leads to bradycardia. C) Xanthine derivatives cause a reduction in airway inflammation. D) Xanthine derivatives cause hypoglycemia. E) Xanthine derivatives stimulate the CNS to promote bronchodilation.

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

When teaching a client about using a decongestant in a nasal spray form, which instruction would the nurse include? Select all that apply. A) "Recline on a bed and hang your head over the edge." B) "Sniff hard for a few minutes after administration." C) "Make sure the tip of the container is touching the nasal mucosa." D) "Do not share the container with anyone except family members." E) "Know that nasal burning or stinging may occur."

B) "Sniff hard for a few minutes after administration." E) "Know that nasal burning or stinging may occur."

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? A) Constipation B) Abdominal cramps C) Bradycardia D) Mental depression

B) Abdominal cramps

After administering a decongestant, which of the following would the nurse include in the ongoing assessment? Select all that apply. A) Heart sounds B) Blood pressure C) Level of congestion D) Therapeutic effect E) Pain assessment

B) Blood pressure C) Level of congestion D) Therapeutic effect

A client has been prescribed a decongestant drug for congestion associated with rhinitis. When teaching the client about this drug, which of the following would the nurse include as a possible adverse reaction? A) Decreased pulse rate B) Blurred vision C) Drowsiness D) Dryness of throat

B) Blurred vision

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. A) Take the medication as needed. B) Continue to carry a rescue inhaler. C) Check peak flow daily. D) Rinse mouth after each use. E) Shake meter well before using.

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

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? A) Beclomethasone B) Cromolyn C) Albuterol D) Montelukast

B) Cromolyn

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. A) Albuterol (Ventolin) B) Cromolyn (Gastrocrom) C) Fluticasone (Flovent) D) Tiotropium (Spiriva) E) Budesonide/formoterol (Symbicort)

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

Assessment of a client reveals that he is taking phenelzine (Nardil), a monoamine oxidase inhibitor, for depression. The client reports that he just started using dextromethorphan over the counter without consulting his primary health care provider. The nurse would be alert for which of the following? Select all that apply. A) Hypertension B) Fever C) Coma D) Constipation E) Shortness of breath

B) Fever C) Coma

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. A) Hyperlipidemia B) Hypertension C) Glaucoma D) Hyperthyroidism E) Diabetes

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

A client taking metoprolol (Lopressor) 50 mg one tablet twice daily begins taking over-the-counter pseudoephedrine. The nurse would assess for which of the following? Select all that apply. A) Hyperglycemic episode B) Hypertensive episode C) Rebound congestion D) Hypoglycemic episode E) Bradycardic episode

B) Hypertensive episode E) Bradycardic episode

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. A) Beclomethasone (Qvar) B) Levalbuterol (Xopenex) C) Theophylline (Theo-Dur) D) Mometasone (Asmanex) E) Bitolterol (Tornalate)

B) Levalbuterol (Xopenex E) Bitolterol (Tornalate)

After administering an antitussive, the nurse would continue to assess which of the following? Select all that apply. A) Heart sounds B) Lung sounds C) Frequency of cough D) Therapeutic effect E) Pain assessment

B) Lung sounds C) Frequency of cough D) Therapeutic effect E) Pain assessment

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. A) Salmeterol (Serevent) B) Metaproterenol (Alupent) C) Tiotropium (Spiriva) D) Albuterol (Proventil) E) Formoterol (Foradil)

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

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. A) Need to avoid eating after administration B) Performing strict oral hygiene C) Cleaning the inhaler per package instructions D) Using proper technique when administering dose E) Administering a dose only every other day

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

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? A) Eat small, frequent meals. B) Raise the head of the bed. C) Limit fluid intake with meals. D) Use strict oral hygiene.

B) Raise the head of the bed.

After teaching a client about his upper respiratory drug therapy, the nurse determines that additional teaching is needed when the client identifies which of the following as a reason to notify his primary health care provider? A) Cough changes from nonproductive to productive. B) Sputum appears clear. C) Sputum increases. D) Shortness of breath occurs.

B) Sputum appears clear.

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. A) Inhales as forcibly as possible 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 E) Measures peak flow rate at different times each day

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

A client with a nonproductive cough has been prescribed dextromethorphan HBr LiquiCaps. What instructions should the nurse provide the client to promote an optimal response to therapy? A) Take the drug with a glass of milk. B) Swallow the whole tablet and do not chew it. C) Dissolve the tablet in water and take the drug. D) Take the drug on an empty stomach.

B) Swallow the whole tablet and do not chew it.

During stable chronic phases of asthma, the nurse should advise the client to monitor which of the following? Select all that apply. A) Blood pressure B) Wheezing C) Respiratory rate D) Coughing E) Peak flow changes

B) Wheezing D) Coughing E) Peak flow changes

A 21-year-old client complains of a mild stinging sensation on using a nasal spray decongestant. Which response by the nurse would be most appropriate? A) "You need to stop the medication immediately." B) "The dose is probably too strong and needs to be reduced." C) "This sensation is common and usually disappears with continued use." D) "We better contact your primary health care provider right away."

C) "This sensation is common and usually disappears with continued use."

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? A) 5 mcg/L B) 8 mcg/L C) 13 mcg/L D) 20 mcg/L

C) 13 mcg/L

A client complains of increased sedation after the initiation of chlorpheniramine to treat her allergies. Which of the following would the nurse suggest to the client to treat her allergy symptoms that would result in less sedation? Select all that apply. A) Diphenhydramine (Benadryl) B) Clemastine (Tavist) C) Loratadine (Claritin) D) Cetirizine (Zyrtec) E) Phenylephrine (Neo-Synephrine)

C) Loratadine (Claritin) D) Cetirizine (Zyrtec)

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? A) Zafirlukast B) Zileuton C) Omalizumab D) Salmeterol

C) Omalizumab

The nurse understands that an expectorant is administered cautiously to a client with which condition? A) Renal impairment B) Persistent headache C) Persistent cough D) Seizure disorder

C) Persistent cough

A nurse is assigned to care for a client with a nonproductive cough. The client has been prescribed codeine sulfate. The nurse understands that this drug is contraindicated in which client? A) Client with head injury B) Client with COPD C) Premature infant D) Clients with asthma

C) Premature infant

. 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? A) Intravenous B) Intramuscular C) Subcutaneous D) Intradermal

C) Subcutaneous

A client is prescribed inhaled corticosteroid therapy along with bronchodilator therapy. Which of the following points should the nurse include in the teaching plan? A) "Stop corticosteroid therapy immediately if you notice any adverse effects." B) "Before each dose of corticosteroid, rinse the mouth thoroughly with water." C) "The corticosteroid drug provides rapid relief during an asthma attack." D) "Take the corticosteroid several minutes after the bronchodilator dose."

D) "Take the corticosteroid several minutes after the bronchodilator dose."

A client with vasomotor rhinitis has been prescribed an antihistamine. The client is eager to know whether the prescribed antihistamine may cause excessive sedation. Which antihistamine would the nurse identify as having very little sedative effect? A) Brompheniramine B) Clemastine C) Chlorpheniramine D) Azelastine

D) Azelastine

A client with allergic rhinitis is prescribed an antihistamine. The nurse instructs the client to suck on sugarless hard candy to address which of the following? A) Drowsiness and sedation B) Thickening of the bronchial secretions C) Altered sensation of taste D) Dryness of the oral mucosa and the throat

D) Dryness of the oral mucosa and the throat

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? A) Fall in blood pressure B) Increased nighttime urination C) Hearing impairment or deficit D) Headache and flushing

D) Headache and flushing

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. A) Place device in water to clean. B) Swallow capsules provided. C) Hold inhaler 1 to 2 inches from mouth. D) Hold breath for 10 seconds. E) Inhale quickly.

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

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? A) Warfarin B) Uterine stimulants C) Methylxanthines D) Methyldopa

D) Methyldopa

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? A) Nebulization B) Metered-dose inhaler C) Nasal spray D) Orally

D) Orally

The nurse is preparing to administer a drug that acts by reducing the swelling in the nasal passages by vasoconstriction. Which of the following might the nurse be administering? Select all that apply. A) Loratadine B) Guaifenesin C) Dextromethorphan D) Phenylephrine E) Oxymetazoline

D) Phenylephrine E) Oxymetazoline

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? A) Blood pressure B) Skin turgor C) Urine output D) Rate of growth

D) Rate of growth

A client is prescribed an antitussive for home use. Which of the following should a nurse include in the client's teaching plan? Select all that apply. A) Decreasing fluid intake during treatment with an antitussive B) Encouraging the use of sedatives during treatment C) Drinking fluids at least 30 minutes after taking a lozenge form D) Swallowing oral antitussive capsules whole E) Avoiding respiratory irritants during antitussive treatment

D) Swallowing oral antitussive capsules whole E) Avoiding respiratory irritants during antitussive treatment

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? A) Do not take the drug at bedtime. B) Swallow the drug without chewing. C) Take the drug with food or milk. D) Take the drug at least 30 minutes before meals.

D) Take the drug at least 30 minutes before meals