NCLEX Questions ~ Respiratory Drugs
The nurse is administering a dose of pirbuterol to a client. The nurse should monitor for which side or adverse effect of this medication?
Increased pulse
A client has been taking isoniazid for 2 months. The client complains to the nurse about numbness, paresthesias, and tingling in the extremities. The nurse interprets that the client is experiencing which problem?
Peripheral neuritis
A client is to begin a 6-month course of therapy with isoniazid. The nurse should plan to teach the client to take which action?
Report yellow eyes or skin immediately.
The nurse is preparing to administer a dose of naloxone intravenously to a client with an opioid overdose. Which supportive medical equipment should the nurse plan to have at the client's bedside if needed?
Resuscitation equipment
The nurse has a prescription to give a client salmeterol, 2 puffs, and beclomethasone dipropionate, 2 puffs, by metered-dose inhaler. The nurse should administer the medication using which procedure?
Salmeterol first and then the beclomethasone
Rifabutin is prescribed for a client with active Mycobacterium avium complex (MAC) disease and tuberculosis. For which side and adverse effects of the medication should the nurse monitor? Select all that apply.
Signs of hepatitis Flulike syndrome Low neutrophil count Ocular pain or blurred vision
Which is the nurse's priority assessment for monitoring for adverse effects for the client taking isoniazid?
Urine color
A client is taking a prescribed course of therapy with ethambutol. The home health nurse assesses the client at each home visit for which adverse effect of this medication?
Visual disturbances
When evaluating an asthmatic client's knowledge of self-care, the nurse recognizes that additional instruction is needed when the client makes which statement?
"I use my corticosteroid inhaler each time I feel short of breath."
A client with a prescription to take theophylline daily has been given medication instructions by the nurse. What statement by the client indicates the need for further education regarding the prescription?
"I will take the daily dose at bedtime."
A client who has been receiving theophylline by the intravenous (IV) route has the medication prescription changed to an immediate-release oral form of the medication. After discontinuing the IV medication, when should the nurse schedule the first dose of the oral medication?
4 hours after discontinuing the IV form
A client with a documented exposure to tuberculosis is on medication therapy with isoniazid. The nurse is monitoring laboratory results and determines that which laboratory value indicates the need for follow-up?
Aspartate aminotransferase (AST) 55 U/L (55 U/L)
Terbutaline is prescribed for a client with bronchitis. The nurse checks the client's medical history for which disorder in which the medication should be used with caution?
Diabetes mellitus
A client is taking cetirizine. The nurse should inform the client of which side effect of this medication?
Drowsiness
The client questions the nurse as to why the primary health care provider switched the usual prescription from a metered-dose inhaler (MDI) to a dry powder inhaler (DPI). The nurse should respond correctly by providing which facts? Select all that apply.
Dry powder inhalers deliver more medication to the lungs. Dry powder inhalers require less hand-to-lung coordination. Dry powder inhalers pose no environmental risks.
The nurse teaches a client about the effects of diphenhydramine, which has been prescribed as a cough suppressant. The nurse determines that the client needs further instruction if the client makes which statement
"I will take the medication on an empty stomach."
The nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who is receiving theophylline. The nurse monitors the serum theophylline level and concludes that the medication dosage may need to be increased if which value is noted?
5 mg/mL (20 mcmol/L)
A cromolyn sodium inhaler is prescribed for a client with allergic asthma. The nurse provides instructions regarding the adverse effects of this medication and should tell the client that which undesirable effect is associated with this medication?
Bronchospasm
The nurse has given a client taking ethambutol information about the medication. The nurse determines that the client understands the instructions if the client states that they will immediately report which finding?
Difficulty in discriminating the color red from green
The nurse is administering a dose of morphine sulfate to a client via an epidural catheter after nephrectomy. Before administering the medication, what should the nurse plan to do?
Ensure that naloxone is readily available.
A client with tuberculosis is being started on antituberculosis therapy with isoniazid. Before giving the client the first dose, the nurse should ensure that which baseline study has been completed?
Liver enzyme levels
The primary health care provider prescribes cromolyn for the client with asthma. The nurse identifies that the client correctly understands the purpose of this medication when the client states that the medication will produce which effect?
Suppress an allergic response
A client has a prescription to take guaifenesin. The nurse determines that the client understands the proper administration of this medication if the client states that she or he will perform which action?
Take the tablet with a full glass of water
A client has a prescription to take guaifenesin. The nurse should conclude that the client understands the most effective use of this medication if the client states that they need to take which action?
Take the tablet with a full glass of water.
A client has begun a course of therapy with rifampin. The home care nurse instructs the client on which measure due to an anticipated side effect?
Wear dark clothing to avoid staining.
