Advanced Pharmacology Chapter 31-32 Quiz
A patient with asthma has been prescribed an antiasthmatic drug. Before administering the drug, the nurse assesses the respiratory rate of the patient. Which of the following rates are considered as an abnormal respiratory rate?
10 breaths/min
A patient with acute respiratory symptoms is receiving a loading dose of theophylline. Which of the following signs of toxicity should alert the nurse to notify the primary health care provider immediately?
Abdominal cramps
A patient is prescribed Ventolin (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 effect of albuterol?
Anxiety
A patient has been prescribed a decongestant drug for congestion associated with rhinitis. Which of the following possible side effects of the drug should the nurse caution the patient about?
Blurred vision
What advice would the nurse give to a patient for whom an antitussive has been prescribed for use at home?
Do not exceed the recommended dose.
A patient is being discharged from a health care facility. The patient is required to continue with antitussive therapy at home. Which of the following points should the nurse include in the patient's teaching plan?
Do not take the drug with tranquilizers
A nurse is assigned to care for a patient with bronchial irritation. The patient is to be administered diphenhydramine HCl. Which of the following activities should the nurse perform before administering the drug to a patient?
Document color and amount of any sputum present
A nurse is required to educate a patient prescribed albuterol on the adverse effects associated with the drug. Which of the following symptoms, if experienced, should the nurse instruct the patient to report to the health care provider?
Headache and flushing
A patient with vasomotor rhinitis has been prescribed an antihistamine. The patient wants to know whether the prescribed antihistamine will cause excessive sedation. Which of the following antihistamines has very little sedative effect?
Loratadine
Which of the following instructions would you question if included in the teaching plan for a patient who has been prescribed a nasal decongestant?
Nasal sprays may be used as often as necessary to control the symptoms of congestion.
In which of the following conditions should a nurse use expectorant drugs with caution?
Persistent cough
A patient on aminophylline complains of heartburn. Which of the following instructions should the nurse provide the patient to help alleviate the condition?
Raise the head of the bed
A 10-year-old child with asthma is prescribed prednisone. Which of the following does the nurse know is affected by this medication?
Rate of growth
A 15-year-old patient is prescribed an antihistamine for allergic rhinitis. However, antihistamines used to treat allergic reactions may themselves cause allergy. The nurse needs to educate the patient to be aware of symptoms suggesting allergy. Which of the following is an allergic reaction to antihistamines?
Skin rash and urticaria
A patient has been admitted to a health care facility with acute bronchospasm. The physician prescribes epinephrine. Which of the following routes should the nurse use to administer the drug?
Subcutaneous
A 62-year-old patient has been prescribed an antihistamine to alleviate vasomotor rhinitis. He complains that he has gastric irritation on taking the tablet. Which of the following instructions should the nurse provide to help alleviate the patient's condition?
Take the tablet with food
Which of the following is a danger associated with depression of the cough reflex?
The antitussive may cause a pooling of secretions in the lungs.
Why are antihistamines not routinely given to patients who have lower respiratory disorders?
The drying effects of these drugs on the respiratory tract may cause secretions to thicken.
A 21-year-old patient complains of a mild stinging sensation on using a nasal spray containing a nasal decongestant. Which of the following should the nurse tell the patient?
This sensation usually disappears with continued use
Which of the following best describes what occurs when a patient experiences a bronchospasm?
a decrease in the lumen of the bronchi
When the mucolytic acetylcysteine (Mucomyst) is given to a patient by nebulization, which of the following would the nurse will expect to occur?
a decrease in the viscosity of the sputum
A nurse is caring for a patient who has been prescribed a nasal decongestant. Which of the following factors should the nurse assess before administering the drug?
blood pressure
Which of the following may occur with excessive use of the sympathomimetics by inhalation?
bronchospasm
Which of the following is an example of a mast cell stabilizer?
cromolyn (Intal)
A nurse assistant asks how medicine that is taken to help raise sputum works. The nurse can explain that the action of an expectorant increases mucus production, thereby ___________.
decreasing the viscosity of the mucus
Which of the following describes the action of centrally acting antitussives?
drugs that depress the cough center of the medulla
When antihistamines are administered with CNS depressants, the nurse monitors the patient for _____.
excessive sedation
Which medication increases mucus production and decreases the viscosity of the mucus?
expectorant
True or false, expectorants are used to treat a persistent cough?
false
What is the most important action by the nurse if acetylcysteine is to be inserted into a tracheostomy?
have suction equipment available
When an expectorant, such as guaifenesin (Hytuss), is given to a patient, which of the following would the nurse expect to observe?
increased mucus production and decreased viscosity of the mucus
Which antiasthma drug is not used to manage an acute asthma attack?
montelukast sodium (Singulair)
What action by the nurse would be most appropriate when caring for a patient who has a productive cough?
observe and record the appearance and amount of the sputum
If the patient complains of dry mouth when taking the antihistamine, the nurse ____________.
offers the patient frequent sips of water
What may happen with overuse of topical nasal decongestants?
rebound nasal congestion
Which of the following adverse reactions might the nurse observe in a patient who is taking an antitussive with codeine?
respiratory depression and sedation
Which of these drugs, if ordered, would the nurse withhold for a patient who has acute asthma attack?
salmeterol (Serevent)
A patient has been prescribed a nasal decongestant for nasal stuffiness due to a common cold. The patient is also taking a drug from the monoamine oxidase inhibitors class for the treatment of depression. Which of the following interactions between the two drugs should the nurse warn the patient about?
severe headache
A patient is prescribed inhalational corticosteroid therapy along with bronchodilator therapy. Which of the following points should the nurse include in the patient's teaching plan?
take the corticosteroid several minutes after the bronchodilator dose
Which of the following conditions would indicate that the patient might require a decongestant?
to enhance drainage of the sinuses
True of false, a bronchospasm is when the smooth muscle contracts and decreases the lumen of the bronchi.
true
True or false, singulair is administered in the evening?
true
