Unit 2 quiz

A cough productive of mucopurulent or blood streaked sputum is a cardinal sign of lung cancer

True

Emphysema is a common cause of disability and the most common obstructive lung disorder

True

Negative results on the examination of sputum smears do not always indicate the absence of disease

True

A nurse is providing discharge teaching to a client who has asthma and 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 use both medications immediately after exercising." "If my breathing begins to feel tight, I will use the cromolyn immediately." "I will be sure to take the albuterol before taking the cromolyn." "I will administer the medications 10 minutes apart."

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

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?

"I'll take this medication once a day in the evening."Montelukast, a leukotriene modifier, is used to prevent asthma exacerbations. The client should take it on a daily basis once a day in the evening.

A nurse is preparing to administer ceftriaxone (Rocephin) 400 mg IM every 12 hr. Available is ceftriaxone injection 350 mg/mL. How many mL should the nurse administer per dose?

1.1

A nurse is preparing to administer methylprednisolone sodium succinate (Solu-Medrol) 120 mg IV bolus every 6 hr. Available is methylprednisolone sodium succinate injection 80 mg/mL. How many mL should the nurse administer per dose?

1.5

A nurse is preparing to administer phenytoin (Dilantin) 100 mg IV bolus every 8 hr. Available is phenytoin injection 50 mg/mL. How many mL should the nurse administer per dose?

2

A nurse is preparing to administer furosemide (Lasix) 40 mg IV bolus stat. Available is furosemide injection 10 mg/mL. How many mL should the nurse administer?

4

A nurse is caring for a client who is postoperative hip arthroplasty and has a new prescription for enoxaparin 1 mg/kg/dose subcutaneous every 12 hr. The client weighs 95 lbs. How many mg should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

43.2 mg

A nurse is preparing to administer lactated Ringer's 400 mL IV bolus to infuse over 3 hr. The drop factor of the manual IV tubing is 20 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

44 gtt/min

A nurse is preparing to administer metoprolol 5 mg IV bolus to a client for heart rate control. Available is metoprolol injection 1 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

5 mL

A nurse is caring for a child who has asthma and a prescription for montelukast granules. Which of the following instructions should the nurse provide the client's parent on administering the medication?

Administer the medication 2 hr before exercise.Montelukast should be given daily during the evening, except being used for exercise-induced bronchospasm. It should then be given 2 hr before exercise, and not given again for 24 hr.

A nurse is teaching a client who has been taking prednisone to treat asthma and has a new prescription to discontinue the medication. The nurse should explain to the client to reduce the dose gradually to prevent which of the following effects?

Adrenocortical insufficiency

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

Albuterol

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

Avoid caffeine while taking this medication.The nurse should instruct the client that caffeine should be avoided while taking theophylline, as it can increase central nervous system stimulation.

A nurse is caring for a client who has active TB and is to be started on IV rifampin therapy. The nurse should instruct that this medication can cause which of the following adverse effects?

Body secretions turning a red-orange color

1. 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? A. "I'll rinse my mouth after taking this medication. "B. "I'll take this medication when I get an asthma attack. "C. "I'll take this medication once a day in the evening. "D. "I'll use a spacer device when I inhale this medication."

C. "I'll take this medication once a day in the evening."

A nurse is caring for a client who is taking lisinopril. Which of the following outcomes indicates a therapeutic effect of the medication?

Decreased Blood Pressure

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?

DepressionMontelukast can cause neuropsychiatric effects such as depression, behavior changes, hallucinations, and suicide ideation. The nurse should instruct the client to report such adverse effects. A change in medication might be prescribed.

Stridor

High pitched, harsh sound during respiration, indicative of airway obstruction

A nurse is providing teaching to a client who has a new prescription for lisinopril. Which of the following statements by the nurse indicates an understanding of the teaching?

I should report a cough to my provider.

A nurse is teaching a client who has a new prescription for hydrochlorothiazide for management of hypertension. Which of the following instructions should the nurse include?

Monitor for leg cramps. (can be a sign of hypokalemia)

A nurse is caring for a client who has a new prescription for propranolol. The nurse should monitor the client for which of the following adverse reactions to this medication?

Postural Hypotension

A nurse is admitting a client who is having an exacerbation of his asthma. When reviewing the provider's orders, the nurse recognizes that clarification is needed for which of the following medications?

Propanolol

A nurse is providing instruction to a new nurse about caring for clients who are receiving diuretic therapy to treat heart failure. The nurse should explain that which of the following medications puts clients at risk for both hyperkalemia and hyponatremia.

Spironolactone

A nurse is administering nasal decongestant drops for a client. Which of the following actions should the nurse take?

Tell the client to blow her nose gently before the instillation.

A nurse is caring for a client who is taking montelukast. Which of the following outcomes indicates a therapeutic effect of the medication?

The client experiences an increased ease of breathing.Montelukast is a bronchodilator that is prescribed for clients who have chronic asthma or seasonal rhinitis. Therapeutic effects of the medication are an increased ease of breathing.

A nurse is teaching an adolescent about medication therapy with oral acetylcysteine. Which of the following information should the nurse include in the teaching?

This medication has a very unusual odor

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 to the provider?

White coating in the mouth

1. A nurse is teaching a client who has asthma how to use a metered-dose inhaler (MDI). The nurse identifies the sequence of steps the client should follow. a. Inhale deeply and then exhale completely b. Place lips firmly around mouthpiece c. Breathe in deeply over 2-3 seconds while pushing down on the canister d. Hold breath for 10 seconds e. Exhale slowly through pursed lips f. Wait 60 seconds between each puff

a. Inhale deeply and then exhale completely b. Place lips firmly around mouthpiece c. Breathe in deeply over 2-3 seconds while pushing down on the canister d. Hold breath for 10 seconds e. Exhale slowly through pursed lips f. Wait 60 seconds between each puff

A nurse is caring for a client who has HF and a new prescription for furosemide. For which of the following adverse effects should the nurse monitor?

hypokalemia

A nurse is caring for a client who receives furosemide to treat heart failure. Which of the following laboratory values should the nurse monitor for this client due to this medication?

potassiumRationale: loop diuretic, promotes the excretion of potassium

Perfusion

refers to the Blood supply to the lungs, through which the lungs receive nutrients and oxygen

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