Exam 1 - Clinical Science II
A client asks the nurse how benzonatate (Tessalon) works to suppress her cough. Which response should the nurse provide the client? A. "Anesthetizes the receptor sites of the lungs" B. "Anticholinergic effects decrease the cough reflex" C. "Raises the cough threshold in the CNS" D. "Reduces the viscosity of the mucus"
a
A nurse is assessing a client who has administered ondansetron IV one hour ago. Which of the following findings should the nurse recognize as an adverse effect of this drug? a. Dizziness b. Bradycardia c. Tardive dyskinesia d. Dyspepsia
a
A nurse is caring for a client who is taking allopurinol to treat gout and has a new prescription for Azathioprine to treat ulcerative colitis. For which of the following reasons should the nurse clarify these prescriptions with the provider? a. Allopurinol delays the conversion of azathioprine and can lead to toxicity. b. Azathioprine increases the effectiveness of allopurinol. c. Allopurinol increases the metabolism of azathioprine and can require an increased dosage. d. Azathioprine decreases the effectiveness of allopurinol.
a
A nurse is caring for a male client asked the nurse about taking alosetron for irritable bowel syndrome with diarrhea (IBS-D) lasting three months. Which of the following information should the nurse provide the clients about alosetron? a. The drug is prescribed to female clients who have IBS-D lasting more than 6 months. b. The drug is prescribed to clients who have chronic diarrhea lasting more than 12 months. c. The drug is most beneficial for male clients who have inflammatory bowel disease. d. The drug is most beneficial in treating clients who have constipation -predominant IBS (IBS-C).
a
A nurse is monitoring plasma drug levels in a client who is taking theophylline. Which of the following findings should the nurse expect to see if the clients drug level indicates toxicity? a. Seizures b. Constipation c. Normal sinus rhythm d. Somnolence
a
A nurse is preparing to administer phenylephrine to a client. The nurse should identify that which of the following manifestations is an adverse effect of this drug? a. Headache b. Sleepiness c. Hypotension d. Constipation
a
A nurse is teaching a client who has a new prescription for methotrexate. The nurse should instruct the client to monitor for manifestations of which of the following conditions? a. Gout b. Constipation c. Insomnia d. Hirsutism
a
A nurse is teaching a client who has a new prescription for sulfasalazine which of the following statements should the nurse make a. "Use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn." b. "The medication can stain your contact lenses green." c. "The medication can color your urine dark brown." d. "Take an iron supplement when you take sulfasalazine to prevent anemia."
a
A nurse is teaching a client who has a prescription for albuterol via inhaler and fluticasone/salmeterol via inhaler for asthma management. For which of the following reasons should the nurse instruct the client to use the albuterol inhaler before using the fluticasone inhaler? a. Albuterol will increase the absorption of fluticasome b. Albuterol will decrease inflammation c. Albuterol will reduce nasal secretions d. Fluticasone will reduce the adverse effects of albuterol
a
A nurse is teaching a client who is taking prednisone for acute asthma exacerbation. Which of the following instructions should the nurse include? a. "Avoid taking nonsteroidal anti-inflammatory drugs." b. "Rinse your mouth after taking the medication to prevent a yeast infection." c. "Stop taking the medication if you become nauseous." d. "Change position slowly when standing up."
a
For which class of prescription should the nurse monitor a client for a fungal infection of the throat? A. Inhaled corticosteroid B. Mast cell inhibitors C. Inhaled beta-adrenergic agonists D. Methylxanthines
a
For which of the following reasons should a client attach a spacer to a metered dose inhaler? a. To increase amount of drug delivered to the lungs b. To increase amount of drug delivered to the oropharynx c. To increase the amount of drug delivered on exhalation d. To increase speed of drug delivery into the mouth
a
For which of the following reasons should a nurse instruct a client to avoid guaifenesin with combination over the counter products? a. Over-the-counter cold products can also contain guaifenesin b. Blood glucose levels are increased c. Rebound congestion is likely d. Drug tolerance is likely
a
The educator has reviewed the role of histamine receptors associated with allergic symptoms with a nurse. Which statement made by the nurse indicates further instruction is needed? A. "H1 receptors are found in the stomach." B. "H1 receptors are responsible for allergic symptoms." C. "H2 receptors increase mucus secretion in the stomach." D. "H2 receptors are responsible for peptic ulcers."
a
The nurse has completed client education about the use of a metered-dose inhaler (MDI) and spacer. Which statement made by the client indicates further teaching is required? A. "I should keep the spacer moist between uses by storing it in a plastic zip bag." B. "It is important that I drink plenty fluids while I am using the metered-dose inhaler (MDI)." C. "After each use of my metered-dose inhaler (MDI) I will rinse my mouth." D. "While I depress the canister I will make sure that I inhale slowly."
a
The nurse has provided education for a client prescribed zafirlukast (Accolate). Which statement made by the client indicates an understanding of the information? A. "This decreases the inflammation in my lungs." B. "Zafirlukast will activate my fight-or-flight response." C. "I can use this prescription for acute asthma attacks." D. "This prescription will dilate my airways so I can breathe better."
a
The nurse should recognize that diphenoxylate/atropine should be used with caution for a client who has which of the following conditions? a. Inflammatory bowel disease b. Thrombophlebitis c. Agranulocytosis d. Immunization with a live virus vaccine within the last 6 weeks.
a
Which are leukotriene modifiers primarily used for? A. Prophylaxis of asthma symptoms B. Status asthmaticus C. Bronchodilation in asthma D. Treat infection
a
Which assessment finding should the nurse be most concerned about for a client receiving pseudoephedrine (Sudafed)? A. Heart rate 82 and irregular B. Complaints of a dry mouth C. Respiratory rate of 22 D. Temperature of 100°F
a
Which histamine receptor is blocked by the action of an antihistamine? A. H1 receptor site B. B1 receptor site C. H2 receptor site D. B2 receptor site
a
Which information should the nurse include when discussing inhalation therapy as part of a treatment plan for the client's asthma? A. Inhalation therapy is effective because it goes to the direct site of action in the respiratory tract. B. Inhalation therapy is effective because it provides around-the-clock therapy, as opposed to oral medications. C. Inhalation therapy is effective because it provides both systemic and local relief of symptoms. D. Inhalation therapy is the preferred treatment for adolescents because it is easier for them to manage.
a
Which information should the nurse include when discussing the appropriate dosing and administration needs for self-administering prescriptive therapy? A. "Take your antihistamine as soon as you begin experiencing allergy symptoms." B. "Drink water when you take cough syrup." C. "Clear your nasal passages by blowing prior to using your nasal spray." D. "Avoid drinking liquids with expectorants."
a
Which laboratory test should the nurse monitor for a client receiving albuterol (Proventil) reporting fatigue and palpitations? A. Electrolytes B. Hemoglobin C. Arterial blood gases D. Amylase
a
Which should the nurse recognize is a long-term control prescription used to treat asthma? A. Mast cell stabilizers B. Systemic corticosteroids C. Anticholinergics D. Intermediate acting beta2-adrenergic agonists
a
Which should the nurse understand about the use of albuterol (VoSpire ER)? A. A short-acting beta agonist B. Used as needed for acute episodes C. The effects can last up to 12 hours D. Most frequently prescribed for chronic asthma
a
Which information should the nurse include in the education for a client with asthma? Select all that apply. A. Drink additional fluids. B. Eat small, frequent meals. C. Sleep in a warm room. D. Complete activity in the morning and rest in the afternoon. E. Avoid foods high in protein.
a,b,
A client asks the nurse, "Is there anything that I can take for my seasonal allergies?" Which information should the nurse provide to the client? Select all that apply. A. "Some antihistamines can help prevent the onset of allergies." B. "Some patients find that intranasal corticosteroids help prevent their allergies." C. "Drugs that are mast cell stabilizers may help you avoid your seasonal allergies." D. "Oral decongestants can help you prevent allergies." E. "Nasal decongestants are very good at preventing allergic response."
a,b,c
Which assessment findings should the nurse anticipate for a client experiencing allergic rhinitis? Select all that apply. A. Tearing eyes B. Itching throat C. Nasal congestion D. Sneezing E. Coughing
a,b,c,d
A client asks the nurse what has caused her allergic rhinitis. Which statements should the nurse include in the discussion? Select all that apply. A. "Allergic rhinitis can occur after exposure to animal dander." B. "Tobacco smoke can cause allergic rhinitis." C. "Exposure to pollens from weeds and grass causes an allergic rhinitis." D. "Asthma is associated with allergic rhinitis." E. "There is a strong genetic predisposition for allergic rhinitis."
a,b,c,e
Which assessment questions should the nurse ask the parents of a young child diagnosed with asthma? Select all that apply. A. "Has your child eaten any new foods?" B. "Does anyone smoke in the home?" C. "Have any chemicals been used in your home?" D. "Has your child recently traveled to any warm climates?" E. "Have you changed the laundry soap recently?"
a,b,c,e
The nurse has provided education for a client diagnosed with asthma. Which statements made by the client indicate that further teaching is required? Select all that apply. A. "My albuterol inhaler should be taken routinely to prevent asthma attacks." B. "I should plan to take a corticosteroid for the rest of my life." C. "My cromolyn inhaler (Intal) will help prevent an asthma attack." D. "I'll use my montelukast (Singulair) inhaler every day." E. "My therapy will include both oral and inhaled drugs."
a,b,d
Which disorders are antihistamines used to treat? Select all that apply. A. Insomnia B. Vertigo C. Cystic fibrosis D. Parkinson's disease E. Nasal congestion
a,b,d
Which should the nurse monitor for a young child prescribed a corticosteroid for asthma? Select all that apply. A. Height B. Bone density C. IQ D. Weight E. EKG
a,b,d
A patient has been prescribed benzonatate (Tessalon). What medication education should the nurse provide? Select all that apply. A. "This medication should help relieve your cough." B. "Do not chew this medication." C. "This medication may increase your blood pressure." D. "You may be nauseated when taking this medication." E. "Adverse effects are uncommon, but you may develop a headache."
a,b,d,e
Which foods should the nurse associate with triggering an asthma? Select all that apply. A. Cured meat B. Dairy products C. Grapefruit juice D. Nuts E. Shellfish
a,b,d,e
A nurse is explaining the process of respiration to a client. Which information should be given? Select all that apply. A. "Moving air in and out of the lungs is called ventilation." B. The smooth muscle in the alveoli helps to pull air into the lungs. C. Exchange of oxygen and carbon dioxide occurs across a thin capillary membrane. D. Respiration is not effective without perfusion. E. Your basic respiratory drive is determined by your brain.
a,c,d,e
Which assessment should the nurse conduct for the client receiving beclomethasone (Beconase) nasal spray? Select all that apply. A. Assess the client's mouth for any sign of fungal infection. B. Assess the client's blood glucose prior to administration of nasal spray. C. Assess if the client has blown his nose prior to administration of nasal spray. D. Assess if the client has had a change in taste. E. Assess the client for any hoarseness or change in voice.
a,c,d,e
A nurse is planning care for a client who is receiving chemotherapy and has a new prescription for ondansetron which of the following actions should the nurse plan to take select all that apply a. Infuse the drug 30 min prior to chemotherapy. b. Administer the drug when the client reports nausea. c. Infuse the drug slowly over 15 min. d. Administer the drug immediately following chemotherapy. e. Repeat the dose 4 hr after chemotherapy.
a,c,e
A nurse is teaching a client about the adverse effects of pseudoephedrine. Which of the following should the nurse include (Select all) a. Restlessness b. Bradycardia c. Insomnia d. Muscle pain e. Anxiety
a,c,e
A client has been prescribed a leukotriene modifier. Which assessment finding would cause the nurse to question this prescription? Select all that apply. A. A client 72 years old. B. Type II diabetic. C. A client with chronic kidney disease. D. The client has chronic hepatitis C. E. The client has a history of a CVA 2 years ago.
a,d
Which information should the nurse include in the education for a client prescribed an intranasal corticosteroid? Select all that apply. A. "You may feel a burning sensation when using this drug." B. "This prescription will be most effective if used only when symptoms are present." C. "Squeeze the container cautiously so you do not inadvertently administer too much of a dose." D. "This prescription may dry out your nasal passages enough to cause nosebleed." E. "Avoid eating licorice while taking this prescription."
a,d,e
A client asks the nurse why he cannot take his monoamine oxidase inhibitor (MAOI) with diphenhydramine (Benadryl). Which response should the nurse provide? A. "The MAOI prescription decreases the effectiveness of diphenhydramine (Benadryl)." B. "You may develop a hypertensive crisis." C. "You are at risk for the development of seizures." D. "The diphenhydramine (Benadryl) interferes with the therapeutic effect of the MAOI."
b
A client asks the nurse why they must continue to take their asthma prescription when they have not had an asthma attack in several months. Which response should the nurse provide the client? A. "The prescription should be taken indefinitely to prevent future asthma attacks." B. "The prescription is still needed to decrease inflammation in your airways and help prevent an attack." C. "The prescription should be taken for at least a year and if you have not had an asthma attack within that year you will be able to stop taking your prescription." D. "The prescription needs to be taken or your lungs can become increasingly damaged if you continue to have asthma attacks."
b
A client prescribed an albuterol (Proventil) via inhaler asks the nurse why they can't just take a pill. Which response should the nurse provide? A. "The prescription cannot be absorbed in the GI tract because the acid in the stomach will destroy it." B. "When you inhale the prescription the blood supply in the lungs absorb it rapidly resulting in quicker effects." C. "Oral prescriptions will not relieve your symptoms you must have an inhaled prescription for relief of symptoms." D. "Oral prescriptions produce too many side effects."
b
A client prescribed beclomethasone (Beconase) intranasally asks the nurse whether the prescription is safe. Which response should the nurse provide the client? A. "Intranasal glucocorticoids will provide immediate relief." B. "Intranasal glucocorticoids produce almost no serious adverse effects." C. "Intranasal glucocorticoids are safe if they are not used too long." D. "Intranasal glucocorticoids are safe only if used once a day."
b
A client receiving ipratropium (Atrovent) tells the nurse they are going to stop taking their prescription because of the bitter taste left in their mouth after its use. Which response should the nurse provide the client? A. "This is a common side effect that will go away over time." B. "You can decrease that side effect by rinsing your mouth after use." C. "A bitter taste may indicate you are experiencing a serious side effect." D. "You may be administering to high of a dose."
b
A client with nasal congestion tells the nurse that his symptoms have worsened since he has been using oxymetazoline (Afrin). Which question should the nurse ask the client? A. "Have you checked the expiration date on the prescription?" B. "How long have you been using the prescription?" C. "Are you using any other inhaled prescriptions?" D. "Have you experienced a recent fever?"
b
A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the clients phosphorus levels when administering which of the following drugs? a. Omeprazole b. Aluminum hydroxide c. Sucralfate d. Ranitidine
b
A nurse is reviewing the medical record of a client who has a new prescription for ranitidine. The nurse should recognize that which of the following drugs interact with ranitidine? a. Phenobarbital sodium b. Ketoconazole c. Lisinopril d. Hydrochlorothiazide
b
A nurse is teaching a client about ipratropium. Which of the following instructions should the nurse include? a. Do not drink anything for 30 min after using the drug b. Wait 5 min between using the drug and another inhaled drug c. This drug is used to thin respiratory secretions d. Check pulse rate after inhaling the drug
b
A nurse is teaching a client about the use of an expectorant to treat a cough. The nurse should include that an expectorant has which of the following therapeutic effects? a. Suppresses the cough stimulus b. Reduces surface tension c. Reduces inflammation d. Dries mucous membranes
b
A nurse is teaching an adult client about diphenhydramine. The nurse should inform the client to expect which of the following adverse effects while taking this drug? a. Muscle tremors b. Drowsiness c. Excitation d. Insomnia
b
A nurse should identify that dextromethorphan can have which of the following effects when combined with morphine? a. Reduced antitussive effect of dextromethorphan b. Potentiation of depression of CNS actions c. Increased renal reabsorption of the dextromethorphan d. Delayed analgesic effect of the opioid.
b
For which should the nurse monitor a client suspected of abusing dextromethorphan (Delsym)? A. Nephrotoxicity B. CNS toxicity C. Hepatoxicity D. Cardiotoxicity
b
Legal restrictions apply to the purchase of pseudoephedrine (Sudafed) because of which of the following risks? a. Respiratory depression b. Drug abuse c. Drug tolerance d. Rebound congestion
b
The nurse should recognize that sulfasalazine is contraindicated for clients who have which of the following conditions? a. Pancreatitis b. Aspirin Sensitivity c. Bronchitis d. GERD
b
Which information should the nurse include in the teaching for a client prescribed dextromethorphan (Delsym)? A. Dextromethorphan can be used with a chronic cough. B. Avoid grapefruit juice. C. The prescription may have a slow onset of action. D. Decrease your alcohol intake while taking this prescription.
b
Which prescription is used to prevent allergic rhinitis? A. Oral corticosteroids B. Intranasal corticosteroids C. Oral decongestants D. Intranasal decongestants
b
Which priority question should the nurse ask a client prior to the administration of ipratropium (Atrovent)? A. "Do you have diabetes mellitus?" B. "Are you allergic to soy?" C. "Do you have seizures?" D. "Do you have gout?"
b
A nurse is teaching a client about ipratropium. The nurse should include that this drug has which of the following adverse effects. Select all. a. Muscle tremors b. Urinary retention c. Dry mouth d. Insomnia e. Tachycardia
b,c
The nurse is reviewing the major functions of the upper respiratory tract with a client. Which information should the nurse include? Select all that apply. A. Inward airflow from the trachea branches off to the two bronchi. B. The nose warms the air before it reaches the lungs. C. The nasal mucosa is the first line of immunological defense. D. Activation of the parasympathetic nervous system constricts arterioles in the nose. E. Activation of the sympathetic nervous system constricts arterioles in the nose.
b,c,e
A client with COPD tells the nurse, "I don't see why I need to stop smoking because the damage to my lungs is already done." Which statement should the nurse provide the client? A. "You should at least try because smoking is associated with other diseases." B. "If you stop smoking, your lungs have a good chance of improving quickly." C. "Your symptoms may be lessened if you aren't smoking." D. "If you stop smoking the disease process will not advance."
c
A nurse is caring for a client who has a new prescription for alosetron to treat irritable bowel syndrome. The nurse should instruct the client to report which of the following adverse affects of the drug? a. Headache b. Drowsiness c. Abdominal pain d. Sore throat
c
A nurse is caring for a client who is having difficulty mobilizing thick respiratory secretions. Which of the following drugs should the nurse expect to administer to the client? a. Ipratropium b. Beclomethasone c. Acetylcysteine d. Azelastine
c
A nurse is caring for a client who is taking codeine. The nurse should identify that which of the following assessments is priority to make? a. Blood pressure b. Apical heart rate c. Respirations d. Level of consciousness
c
A nurse is providing teaching to a client who has a new prescription for loperamide. Which of the following instruction should the nurse include? a. Dissolve the powder thoroughly in 8 oz of water b. Take with diphenhydramine to prevent extrapyramidal effects. c. Avoid activities that require alertness. d. Take 30 min before activities that trigger nausea.
c
A nurse is teaching a client about the use of a mucolytic to treat a cough. The nurse should include that a mucolytic has which of the following therapeutic effects? a. Suppresses the cough stimulus b. Reduces inflammation c. Thins and loosens mucus d. Dries secretions
c
A nurse is teaching a client about the use of antihistamines to treat allergic rhinitis. The nurse should explain that these drugs are effective because they perform which of the following actions? a. Decrease viscosity of nasal secretions. b. Block H2 receptors. c. Prevent histamine from binding to receptors. d. Reduce nasal congestion.
c
A nurse is teaching a client about the use of beclomethasone to treat asthma. The nurse should explain that the drug has which of the following therapeutic effects? a. Thins mucus b. Relaxes bronchial smooth muscles c. Decreases inflammation d. Increases the cough threshold
c
A nurse is teaching a client about using intranasal glucocorticoids. Which of the following instructions should the nurse give? a. Start at a low dose and gradually increase it. b. Take the drug as needed for nasal congestion. c. Allow at least 2 weeks for the full therapeutic effect. d. Use the drug prior to exercise.
c
For which adverse effect should the nurse assess a client receiving a methylxanthine? A. "Have you experienced any weight loss?" B. "Have you experienced any urinary retention?" C. "How have you been sleeping?" D. "Have you experienced any recent coughing?"
c
The nurse has completed the education for a client prescribed an antihistamine. Which statement made by the client indicates an understanding of the information? A. "I can still have my after-dinner drink." B. "I may experience diarrhea while taking this prescription." C. "This medication could make me very sleepy." D. "This prescription is safe because it is sold over-the-counter (OTC)."
c
The nurse has completed the education for a client prescribed diphenhydramine (Benadryl) for allergies. Which statement made by the client indicates an understanding of the teaching? A. "If this medication makes my nose run, I can use a nasal spray." B. "I need to watch my intake of sodium with this medication." C. "Drowsiness is common but should lessen over time." D. "I cannot take this medication with pseudoephedrine (Sudafed)."
c
The nurse teaches a client about the difference between oral and nasal decongestants. The nurse evaluates that learning has been effective when the client makes which statement? A. "Oral and nasal decongestants can cause rebound congestion." B. "Oral decongestants are the most effective at relieving severe congestion." C. "Oral decongestants can cause hypertension." D. "Intranasal decongestants are safe to use for a few weeks."
c
Which condition is an adverse effect of a beta-adrenergic agonist? A. Runny nose B. Constipation C. Tachycardia D. Bradycardia
c
Which describes the purpose for the use of an opioid antitussive? A. Break down mucus B. Relieve mild cough C. Relieve severe cough D. Decrease nasal congestion
c
Which information should the nurse include in the client education for the administration of an intranasal decongestant? A. "Clear the nasal passage after administering the intranasal decongestant." B. "Wait 15 minutes in between additional nasal sprays." C. "Spit out any excess intranasal decongestant that drains in the mouth." D. "Limit the use of the nasal decongestant to 2 weeks."
c
Which information should the nurse include in the teaching of a client with chronic bronchitis prescribed breathing treatments with acetylcysteine (Mucomyst)? A. "Stop the treatment if you start to cough." B. "Do not use the prescription if you notice it has a foul odor." C. "You may experience nausea while using this drug." D. "This drug is used to decrease bronchospasms."
c
Which statement is true regarding dry powder inhalers (DPI)? A. The prescription has to be reconstituted prior to administration. B. The is canister must be pressed for the prescription to be delivered. C. The device is activated by inhalation. D. The prescription is delivered by fine mist
c
A client tells the nurse, "My healthcare provider told me that I have COPD and might develop emphysema. I always thought I had chronic bronchitis." Which response should the nurse provide the client? Select all that apply. A. "Are you certain you do not have asthma?" B. "Chronic bronchitis has no relation to COPD." C. "COPD is either asthma, chronic bronchitis, or emphysema, or a combination of those disorders." D. "As COPD progresses, it becomes emphysema." E. "Both diagnoses are correct."
c,d,e
A nurse is providing teaching to a client who has a new prescription for dimenhydrinate to prevent motion sickness. Which of the following instructions should the nurse include? (select all that apply) a. Sit upright for 30 min after taking the drug. b. Avoid antacids. c. Take the drug 30 to 60 min before activities that trigger nausea. d. Avoid activities that require alertness. e. Increase fluid and fiber intake.
c,d,e
Which information should the nurse include in the education for the client prescribed inhaled ipratropium (Atrovent)? Select all that apply. A. Wait 15 minutes between inhaled dosages. B. The prescription may also be used for acute asthma attacks. C. Report any increased dyspnea. D. Report any changes in urinary pattern. E. Use the medication consistently, not occasionally.
c,d,e
Which long-term control prescriptions have an anti-inflammatory mechanism of action? Select all that apply. A. Immunomodulators B. Methylxanthines C. Mast cell stabilizers D. Leukotriene modifiers E. Inhaled corticosteroids
c,d,e
A client asks the nurse when she should use an antitussive. Which response should the nurse provide the client? A. "When you are coughing up secretions" B. "When your temperature is 101.2°F." C. "When have been diagnosed with a respiratory infection." D. "When you have a dry cough and cannot rest."
d
A nurse is caring for a client who has a new prescription for ranitidine to treat Gerd. The nurse should instruct the client to wait at least one hour between taking ranitidine and which of the following over the counter drugs? a. Ginkgo biloba b. Antidiarrheals c. St. John's Wort d. Antacids
d
A nurse is teaching a client about albuterol. The nurse should instruct the client to monitor for and report which of the following as an adverse effect of this drug? a. Fever b. Bruising c. Polyuria d. Palpitations
d
A nurse is teaching a client about montelukast. Which of the following instructions should the nurse include? a. Use a spacer to improve inhalation. b. Take the drug at the onset of bronchospasm. c. Rinse mouth to prevent an oral fungal infection. d. Take the drug once a day in the evening.
d
A nurse is teaching a client about the use of cromolyn sodium to prevent bronchospasm. The nurse should explain that the drug has which of the following therapeutic effects? a. Increases leukocyte activity b. Blocks muscarinic receptors c. Causes bronchodilation d. Reduces inflammation
d
A nurse is teaching a client who has a prescription for zileuton. Which of the following instructions should the nurse include? a. Check apical pulse before taking the drug. b. Take the drug only as needed before exercising. c. Rinse mouth after using drug. d. Have laboratory tests performed at regular intervals.
d
A nurse is teaching a client who is beginning fluticasone propionate/salmeterol therapy. Which of the following instructions should the nurse include? a. Take the drug as needed for acute asthma b. Follow a low-sodium diet c. Use an alternate-day dosing schedule d. Increase weight-bearing activity
d
A nurse is teaching a client who recently had a myocardial infarction and has a new prescription for docusate sodium. The nurse should inform the client that docusate sodium has which of the following therapeutic effects? a. Reduces inflammation b. Reduces gastric acid c. Prevents diarrhea d. Prevents straining
d
A nurse should recognize that using pseudoephedrine to treat allergic rhinitis requires cautious use with clients who have. which of the following conditions? a. Peptic ulcer disease b. A seizure disorder c. Anemia d. Coronary artery disease
d
The nurse has provided a client with asthma education about bronchodilators. Which statement made by the client indicates an understanding of the information? A. "The prescription widens the airways because it acts on the parasympathetic nervous system." B. "The prescription widens the airways because it decreases the production of mucus that narrows them." C. "The prescription widens the airways because it decreases the production of histamine that narrows them." D. "The prescription widens the airways because it stimulates the fight-or-flight response of the nervous system."
d
The nurse is providing education for a client prescribed albuterol (ProAir HFA). Which information should the nurse include in the teaching? A. Albuterol can be used for prevention of an asthma attack. B. Oral solutions can terminate an acute asthma attack. C. A nebulizer must be used to deliver the prescription. D. Administer the prescription 15 to 30 prior to activity.
d
Which condition should the nurse be concerned about for a client prescribed an antitussive with codeine? A. Diabetes mellitus B. Chronic kidney disease C. Coronary artery disease D. Asthma
d
Which information should the nurse include in the education for the client prescribed Montelukast (Singulair)? A. Montelukast should be taken 30 minutes prior to exercise. B. This prescription is indicated for acute asthma attacks. C. This prescription has very few side effects. D. Montelukast should not be used in pediatric clients.
d
Which information should the nurse include in the teaching for a client with allergic symptoms prescribed an antihistamine? A. "Antihistamines have minimal side effects." B. "Antihistamines are effective for long-term therapy." C. "Antihistamines are useful in reversing allergic symptoms." D. "Antihistamines are most effective when taken prophylactically."
d
Which of the following drugs has protocols that require clients to meet specific risk management criteria and sign a treatment agreement before the nurse can administer the drug? a. Lubiprostone b. Azathioprine c. Sulfasalazine d. Alosetron
d
Which symptom should the nurse instruct the client prescribed diphenhydramine (Benadryl) to report to the healthcare provider? A. Diarrhea B. Weight gain C. Sedation D. Urinary hesitancy
d
Which over-the-counter (OTC) antihistamine combination contains an analgesic property? A. Tavist Allergy 12-hour B. Sudafed PE Sinus and Allergy C. Triaminic Cold/Allergy D. Actifed Plus
d
