NCLEX_Respiratory Medications

Theophylline is being administered to a client with acute bronchitis. The nurse planning care for the client demonstrates understanding of the primary action of this medication when which outcome is identified? 1. Cough is suppressed. 2. Infection is prevented. 3. Expectoration is promoted. 4. Airway muscles are relaxed.

Airway muscles are relaxed

The nurse has observed a client self-administer a dose of metaproterenol sulfate via metered-dose inhaler. Within a short time, the client begins to wheeze loudly. Which interpretation should the nurse make of this occurrence? 1. Bronchospasm, which must be reported to the health care provider 2. Insufficient dosage of the medication, which needs to be increased 3. Probable interaction of this medication with an over-the-counter cold remedy 4. Tolerance to the medication, indicating a need for a stronger type of bronchodilator

Bronchospasm, which must be reported to the health care provider

The nurse has obtained ribavirin (Virazole) in powder form from the pharmacy to give to a child with respiratory syncytial virus (RSV). The nurse understands that the medication will be administered by which route? 1. Inhalation 2. Intravenous 3. Subcutaneous 4. Oral in formula

Inhalation

The nurse notes that the result of the serum theophylline level of a client taking theophylline is 15 mcg/mL. How does the nurse interpret this result? 1. Below the therapeutic range 2. In excess of the therapeutic range 3. At the top of the therapeutic range 4. In the middle of the therapeutic range

In the middle of the therapeutic range

The nurse has just been given a prescription to administer albuterol (Proventil HFA) to a client. The nurse evaluates the effectiveness of the medication by checking which parameters before and during therapy? 1. Nausea and vomiting 2. Dyspnea and lung sounds 3. Headache and level of consciousness 4. Urine output and blood urea nitrogen

Dyspnea and lung sounds

The nurse has a prescription to give a client albuterol (Proventil HFA) (two puffs) and beclomethasone dipropionate (Qvar) (two puffs), by metered-dose inhaler. How should the nurse administer these medications? 1. Give albuterol first and then the beclomethasone dipropionate. 2. Administer beclomethasone dipropionate first and then the albuterol. 3. Have the client alternate a single puff of each, beginning with the albuterol. 4. Have the client alternate a single puff of each, beginning with the beclomethasone dipropionate.

Give albuterol first and then the beclomethasone

The nurse has given a client taking ethambutol (Myambutol) information about the medication. The nurse determines that the client understands the instructions if the client states to report which occurrence immediately?. 1. Impaired sense of hearing 2. Problems with visual acuity 3. Gastrointestinal (GI) side effects 4. Red-orange discoloration of body secretions

Problems with visual acuity

A client has a new prescription to take guaifenesin every 4 hours as needed. Which medication instructions should the nurse reinforce? 1. Be aware of irritability as a side effect. 2. Take the tablet with a full glass of water. 3. Take an extra dose if the cough is accompanied by fever. 4. Crush the sustained-release tablet if immediate relief is needed

Take the tablet with a full glass of water

A client has been started on long-term therapy with rifampin (Rifadin). Which information about this medication should the nurse provide to the client? 1. Should always be taken with food or antacids 2. Should be double-dosed if one dose is forgotten 3. Causes orange discoloration of sweat, tears, urine, and feces 4. May be discontinued independently if symptoms are gone in 3 months

causes orange discoloration of sweat, tears, urine, and feces

A health care provider has prescribed codeine sulfate for a client with a nonproductive cough to suppress the cough reflex. The nurse reinforces instructions given to the client about the medication and tells the client to monitor for which side effect? 1. Constipation 2. Increased urination 3. Difficulty coughing 4. Difficulty swallowing

Constipation

A client taking theophylline (Theo-24) has a serum theophylline level of 15 mcg/mL. How does the nurse interpret this result? 1. Below the therapeutic range 2. In excess of the therapeutic range 3. Near the top of the therapeutic range 4. In the middle of the therapeutic range

In the middle of the therapeutic range

A client who is taking theophylline (Theo-24) reports to the health care clinic as scheduled to have a serum theophylline level drawn. The blood is drawn and the laboratory calls the nurse and reports the results as 10 mcg/mL. The client asks the nurse what this figure means. The nurse responds based on which interpretation of the lab value? 1. The lab value is in excess of the therapeutic range. 2. The lab value is at the top of the therapeutic range. 3. The lab value is in the middle of the therapeutic range. 4. The lab value is at the low end of the therapeutic range.

The lab value is at the low end of the therapeutic range.