Pathopharm I Exam 1 Practice Questions

A nurse is caring for a client who has been taking phenylephrine nasal drops for the past 10 days for sinusitis. The nurse should assess the client for which of the following manifestations as an adverse effect of this medication? A. Sedation B. Nasal congestion C. Productive cough D. Constipation

B

3. A nurse is providing instructions to a client who has a new prescription for albuterol, PO. Which of the following instructions should the nurse include? A. "You can take this medication to abort an acute asthma attack." B. "Tremors are an adverse effect of this medicator C. "Prolonged use of this medication can cause hyperglycemia." D. "This medication can slow skeletal growth rate

B

A 7-year-old client is brought to the E.R. He's tachypneic and afebrile and has a respiratory rate of 36 breaths/minute and a nonproductive cough. He recently had a cold. From his history, the client may have which of the following? 1. Acute asthma 2. Bronchial pneumonia 3. Chronic obstructive pulmonary disease (COPD) 4. Emphysema

1

A nurse plans care for a client with chronic obstructive pulmonary disease, knowing that the client is most likely to experience what type of acid-base imbalance? 1. Respiratory acidosis 2. Respiratory alkalosis 3. Metabolic acidosis 4. Metabolic alkalosis

1

An elderly client with pneumonia may appear with which of the following symptoms first? 1. Altered mental status and dehydration 2. fever and chills 3. Hemoptysis and dyspnea 4. Pleuritic chest pain and cough

1

An oxygenated delivery system is prescribed for a client with COPD to deliver a precise oxygen concentration. Which of the following types of oxygen delivery systems would the nurse anticipate to be prescribed? 1. Venturi mask 2. Aerosol mask 3. Face tent 4. Tracheostomy collar

1

Clients with chronic obstructive bronchitis are given diuretic therapy. Which of the following reasons best explains why? 1. Reducing fluid volume reduces oxygen demand. 2. Reducing fluid volume improves clients' mobility. 3. Restricting fluid volume reduces sputum production. 4. Reducing fluid volume improves respiratory function.

1

Emergency treatment for a client with impending anaphylaxis secondary to hypersensitivity to a drug should include which of the following actions first? 1. Administering oxygen 2. Inserting an I.V. catheter 3. Obtaining a complete blood count (CBC) 4. Taking vital signs

1

Emergency treatment of a client in status asthmaticus includes which of the following medications? 1. Inhaled beta-adrenergic agents 2. Inhaled corticosteroids 3. I.V. beta-adrenergic agents 4. Oral corticosteroids

1

Exercise has which of the following effects on clients with asthma, chronic bronchitis, and emphysema? 1. It enhances cardiovascular fitness. 2. It improves respiratory muscle strength. 3. It reduces the number of acute attacks. 4. It worsens respiratory function and is discouraged.

1

The nurse is caring for a client receiving an albuterol/ipratropium nebulized breathing treatment. Which report from the client should the nurse note as an expected side effect of this combination medication? 1. "I feel like my heart is racing. 2. "I feel more bloated than usual." 3. "My eyes have been watering lately." 4. "I haven't had a bowel movement in 4 days."

1

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? 1. I will take the medication on an empty stomach." 2. "I won't drink alcohol while taking this medication." 3. "I won't do activities that require mental alertness while taking this medication." 4. I will use sugarless gum, candy, decrease dryness in my mouth. or oral rinses to

1

Theophylline (Theo-Dur) tablets are prescribed for a client with chronic airflow limitation, and the nurse instructs the client about the medication. Which statement by the client indicates a need for further teaching? 1. "I will take the medication on an empty stomach." 2. "I will take the medication with food." 3. "I will continue to take the medication even if I am feeling better." 4. "Periodic blood levels will need to be obtained."

1

Which of the following respiratory disorders is most common in the first 24 to 48 hours after surgery? 1. Atelectasis 2. Bronchitis 3. Pneumonia 4. Pneumothorax

1

Which of the following treatment goals is best for the client with status asthmaticus? 1. Avoiding intubation 2. Determining the cause of the attack 3. Improving exercise tolerance 4. Reducing secretions

1

A 19-year-old comes into the emergency department with acute asthma. His respiratory rate is 44 breaths/minute, and he appears to be in acute respiratory distress. Which of the following actions should be taken first? 1. Take a full medication history 2. Give a bronchodilator by nebulizer 3. Apply a cardiac monitor to the client 4. Provide emotional support to the client.

2

A client with acute asthma showing inspiratory and expiratory wheezes and a decreased expiratory volume should be treated with which of the following classes of medication right away? 1. Beta-adrenergic blockers 2. Bronchodilators 3. Inhaled steroids 4. Oral steroids

2

A nurse is caring for a client with emphysema. The client is receiving oxygen. The nurse assesses the oxygen flow rate to ensure that it does not exceed 1. 1 L/min 2. 2 L/min 3. 6 L/min 4. 10 L/min

2

A nurse is preparing to obtain a sputum specimen from a client. Which of the following nursing actions will facilitate obtaining the specimen? 1. Limiting fluids 2. Having the client take 3 deep breaths. 3. Asking the client to spit into the collection container. 4. Asking the client to obtain the specimen after eating.

2

Dani was given Dilaudid for pain. She's sleeping and her respiratory rate is 4 breaths/minute. If action isn't taken quickly, she might have which of the following reactions? 1. Asthma attack 2. Respiratory arrest 3. Improve cardiac output 4. Constipation

2

Following the initial care of a client with asthma and impending anaphylaxis from hypersensitivity to a drug, the nurse should take which of the following steps next? 1. Administer beta-adrenergic blockers 2. Administer bronchodilators 3. Obtain serum electrolyte levels 4. Have the client lie flat in the bed.

2

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? 1. Beclomethasone first and then the salmeterol 2. Salmeterol first and then the beclomethasone 3. Alternating a single puff of each, beginning with the salmeterol 4. Alternating a single puff of each, beginning with the beclomethasone

2

Which of the following additional assessment data should immediately be gathered to determine the status of a client with a respiratory rate of 4 breaths/minute? 1. Arterial blood gas (ABG) and breath sounds 2. Level of consciousness and a pulse oximetry value. 3. Breath sounds and reflexes 4. Pulse oximetry value and heart sounds

2

A 58-year-old client with a 40-year history of smoking one to two packs of cigarettes a day has a chronic cough producing thick sputum, peripheral edema, and cyanotic nail beds. Based on this information, he most likely has which of the following conditions? 1. Adult respiratory distress syndrome (ARDS) 2. Asthma 3. Chronic obstructive bronchitis 4. Emphysema

3

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? 1. Take an extra dose if fever develops 2. Take the medication with meals only 3. Take the tablet with a full glass of water 4. Decrease the amount of daily fluid intake

3

A client has started a new drug for hypertension. Thirty minutes after he takes the drug, he develops chest tightness and becomes short of breath and tachypneic. He has a decreased level of consciousness. These signs indicate which of the following conditions? 1. Asthma attack 2. Pulmonary embolism 3. respiratory failure 4. Rheumatoid arthritis

3

A client with emphysema should receive only 1 to 3 L/minute of oxygen, if needed, or he may lose his hypoxic drive. Which of the following statements is correct about hypoxic drive? 1. The client doesn't notice he needs to breathe. 2. The client breathes only when his oxygen levels climb above a certain point. 3. The client breathes only when his oxygen levels dip below a certain point. 4. The client breathes only when his carbon dioxide level dips below a certain point.

3

A client's ABG results are as follows: pH: 7.16; PaCO2 80 mm Hg; PaO2 46 mm Hg; HCO3- 24 mEq/L; SaO2 81%. This ABG result represents which of the following conditions? 1. Metabolic acidosis 2. Metabolic alkalosis 3. Respiratory acidosis 4. Respiratory alkalosis

3

A nurse is caring for a client hospitalized with acute exacerbation of COPD. Which of the following would the nurse expect to note on assessment of this client? 1. Increased oxygen saturation with exercise 2. Hypocapnia 3. A hyperinflated chest on x-ray film 4. A widened diaphragm noted on chest x-ray film

3

The term "blue bloater" refers to which of the following conditions? 1. Adult respiratory distress syndrome (ARDS) 2. Asthma 3. Chronic obstructive bronchitis 4. Emphysema

3

Which of the following assessment findings would help confirm a diagnosis of asthma in a client suspected of having the disorder? 1. Circumoral cyanosis 2. Increased forced expiratory volume 3. Inspiratory and expiratory wheezing 4. Normal breath sounds

3

Which of the following types of asthma involves an acute asthma attack brought on by an upper respiratory infection? 1. Emotional 2. Extrinsic 3. Intrinsic 4. Mediated

3

Zafirlukast is prescribed for a dient with bronchial asthma. Which laboratory test does the nurse expect to be prescribed before the administration of this medication? 1. Platelet count 2. Neutrophil count 3. Liver function tests 4. Complete blood count

3

A 66-year-old client has marked dyspnea at rest, is thin, and uses accessory muscles to breathe. He's tachypneic, with a prolonged expiratory phase. He has no cough. He leans forward with his arms braced on his knees to support his chest and shoulders for breathing. This client has symptoms of which of the following respiratory disorders? 1. ARDS 2. Asthma 3. Chronic obstructive bronchitis 4. Emphysema

4

A 69-year-old client appears thin and cachectic. He's short of breath at rest and his dyspnea increases with the slightest exertion. His breath sounds are diminished even with deep inspiration. These signs and symptoms fit which of the following conditions? 1. ARDS 2. Asthma 3. Chronic obstructive bronchitis 4. Emphysema

4

A client is in danger of respiratory arrest following the administration of a narcotic analgesic. An arterial blood gas value is obtained. The nurse would expect to PaCO2 to be which of the following values? 1. 15 mm Hg 2. 30 mm Hg 3. 40 mm Hg 4. 80 mm Hg

4

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 dient that which undesirable effect is associated with this medication? 1. Insomnia 2. Constipation 3. Hypotension 4. Bronchospasm

4

A nurse instructs a client to use the pursed lip method of breathing. The client asks the nurse about the purpose of this type of breathing. The nurse responds, knowing that the primary purpose of pursed lip breathing is: 1. Promote oxygen intake 2. Strengthen the diaphragm 3. Strengthen the intercostal muscles 4. Promote carbon dioxide elimination

4

It's highly recommended that clients with asthma, chronic bronchitis, and emphysema have Pneumovax and flu vaccinations for which of the following reasons? 1. All clients are recommended to have these vaccines 2. These vaccines produce bronchodilation and improve oxygenation. 3. These vaccines help reduce the tachypnea these clients experience. 4. Respiratory infections can cause severe hypoxia and possibly death in these clients.

4

Teaching for a client with chronic obstructive pulmonary disease (COPD) should include which of the following topics? 1. How to have his wife learn to listen to his lungs with a stethoscope from Wal-Mart. 2. How to increase his oxygen therapy. 3. How to treat respiratory infections without going to the physician. 4. How to recognize the signs of an impending respiratory infection.

4

The term "pink puffer" refers to the client with which of the following conditions? 1. ARDS 2. Asthma 3. Chronic obstructive bronchitis 4. Emphysema

4

Which of the following measures can reduce or prevent the incidence of atelectasis in a post-operative client? 1. Chest physiotherapy 2. Mechanical ventilation 3. Reducing oxygen requirements 4. Use of an incentive spirometer

4

Which of the following pathophysiological mechanisms that occur in the lung parenchyma allows pneumonia to develop? 1. Atelectasis 2. Bronchiectasis 3. Effusion 4. Inflammation

4

A Cromolyn sodium (Intal) inhaler is prescribed to a client with asthma. A nurse provides instructions regarding the side effects of this medication. The nurse tells the client that which undesirable effect is associated with this medication? A. Wheezing. B. Insomnia. C. Hypotension. D. Constipation.

A

A client is diagnosed with a pulmonary disorder that causes COPD. Lungs tissue changes are normally reversible with this condition. The nurse understands that which is the client's most likely diagnosis?a. Asthma b. Emphysema c. Bronchiectasis d. Chronic bronchitis

A

A client is prescribed with Guaifenesin (Mucinex). The nurse determines that the client understands the proper administration of this medication if the client states that he or she will: A. Drink extra fluids while taking this medication. B. Take the medication with meals only. C. Take an additional dose once fever and cough persist. D. Limit oral fluid intake.

A

A client with COPD is taking a leukotriene antagonist, montelukast (Singulair). The nurse is aware that this medication is given for which purpose? a. Maintenance treatment of asthma b. Treatment of an acute asthma attack c. Reversing bronchospasm associated with COPD d. Treatment of inflammation in chronic bronchitis

A

A nurse is caring for a client who, upon awakening, was disoriented to person, place, and time. The client reports chills and chest pain that is worse upon inspiration. Which of the following actions is the nursing priority? A. Obtain baseline vital signs and oxygen saturation. B. Obtain a sputum culture. C. Obtain a complete history from the client. D. Provide a pneumococcal vaccine.

A

A nurse is discharging a client who has COPD The client is concerned about not being able to leave the house due to the need for staying on continuous oxygen. Which of the following responses should the nurse make? A. "There are portable oxygen delivery systems that you can take with you." B. "When you go out, you can remove the oxygen and then reapply it when you get home." C. "You probably will not be able to go out as much as you used to." D. "Home health services will come to you so you will not need to get out."

A

A nurse is teaching a client who has a new prescription for beclometasone. Which of the following instructions should the nurse include? a. Rinse your mouth after each use of this medication. b. Limit fluid intake while taking this medication. c. Increase your intake of B12 while taking this medication. d. You can take the medication as needed.

A

A nurse is teaching a client who has a prescription for long-term use of oral prednisone for treatment of chronic asthma. The nurse should instruct the client to monitor for which of the following manifestations as an adverse effect of this medication? A. Weight gain B. Nervousness C. Bradycardia D. Constipation

A

A nurse reviews a client's medication history and notes that the client is taking a nonselective adrenergic agonist bronchodilator and has a history of coronary artery disease. What is a priority nursing intervention? a. Monitor client for potential chest pain. b. Monitor blood pressure continuously. c. Assess daily for hyperkalemia. d. Assess 12-lead ECG each shift.

A

The client taking a bronchodilator tells the nurse that he is going to begin a smoking cessation program when he is discharged. The nurse should tell the client to notify the doctor if his smoking pattern changes because he will: A. Need his medication dosage adjusted B. Require an increase in antitussive medication C. No longer need annual influenza immunization D. Not derive as much benefit from inhaler use

A

A nurse is monitoring a group of clients for increased risk for developing pneumonia. Which of the following clients should the nurse expect to be at risk? (Select all that apply.) A. Client who has dysphagia B. Client who has AIDS C. Client who was vaccinated for pneumococcus and influenza 6 months ago D. Client who is postoperative and has received local anesthesia E. Client who has a closed head injury and is receiving mechanical ventilation F. Client who has myasthenia gravis

A, B, E, F

A nurse is preparing to administer an initial dose of prednisone to a client who has COPD. The nurse should monitor for which of the following adverse effects of this medication? (Select all that apply.) A. Hypokalemia B. Tachycardia C. Fluid retention D. Nausea E. Black, tarry stools

A, C, E

for diphenhydramine for allergic rhinitis. The nurse A nurse is teaching a client who has a new prescription should instruct the client to monitor for which of the following manifestations as an adverse effect of this medication? (Select all that apply.) A. Dry mouth B. Nonproductive cough C. Skin rash D. Drowsiness E. Urinary hesitation

A, D, E

A client is prescribed ipratropium and cromolyn sodium. What will the nurse teach the client? a. "Do not take these medications within 4 hours of each other." b. "Take the ipratropium at least 5 minutes before the cromolyn." c. "Administer both medications together in a metered-dose inhaler." d. "Take the ipratropium only in the mornings."

B

A client is prescribed theophylline to relax the smooth muscles of the bronchi. The nurse monitors the client's theophylline serum levels to maintain which therapeutic range? a. 1 to 10 mcg/mL b. 10 to 20 mcg/mL c. 20 to 30 mcg/mL d. 30 to 40 mcg/mL

B

A nurse is assessing a client who has a history of asthma. Which of the following factors should the nurse identify as a risk for asthma? A. Sex B. Environmental allergies C. Alcohol use D. History of diabetes

B

A nurse is giving teachings to a client receiving Desloratadine (Clarinex). Which of the following statements made by the client will need further instructions? A. "I can eat gum after I drink the medicine". B. "I can take the medicine on an empty stomach". C. "I should avoid using alcohol". D. "I will avoid driving while using this medication".

B

A nurse is reinforcing teaching with a client on the purpose of taking a bronchodilator. Which of the following client statements indicates understanding? A. "This medication can decrease my immune response." B. "I take this medication to prevent asthma attacks." C. "I need to take this medication with food." D. "This medication has a slow onset to treat my symptoms.

B

A nurse is teaching a client about the use of fluticasone to treat perennial rhinitis. Which of the following statements by the client indicates an understanding of the teaching? A. "I should use the spray every 4 hours while I am awake." B. "It can take as long as 3 weeks before the medication takes a maximum effect." C. "This medication can also be used to treat motion sickness." D. "I can use this medication when my nasal passages are blocked."

B

A nurse is teaching the family of a child who has cystic fibrosis and a new prescription for acetylcysteine. Which of the following information should the nurse include in the instructions? A. "Expect this medication to suppress your child's cough." B. "Expect this medication to smell like rotten eggs." C. "Expect this medication to cause euphoria." D. "Expect this medication to turn your child's urine orange."

B

When reviewing the chart of a client with long standing lung disease, the nurse should pay close attention to the results of which pulmonary function test? A. Residual volume B. Total lung capacity C. FEV1/FVC ratio D. Functional residual capacity

C

The health care provider orders ipratropium bromide (Atrovent), albuterol (Proventil), and beclomethasone (Vanceril) inhalers for a client. What is the nurse's best action? a. Question the order; three inhalers should not be given at one time. b. Administer the albuterol first, wait 5 minutes, and administer ipratropium bromide, followed by beclomethasone several minutes later. c. Administer each inhaler at 30-minute intervals. d. Administer beclomethasone first, wait 2 minutes, and administer ipratropium bromide, followed by the albuterol several minutes later.

B

The morning weight for a client with emphysema indicates that the client has gained 5 pounds in less than a week, even though his oral intake has been modest. The client's weight gain may reflect which associated complication of COPD? A. Polycythemia B. Cor pulmonale C. Left ventricular failure D. Compensated acidosis

B

The nurse notes that a client with COPD demonstrates more dyspnea in certain positions. Which position is most likely to alleviate the client's dyspnea? A. Lying supine with a single pillow B. Standing or sitting upright C. Side lying with the head elevated D. Lying with head slightly lowered

B

When performing an assessment on the client with emphysema, the nurse finds that the client has a barrel chest. The alteration in the client's chest is due to: A. Collapse of distal alveoli B. Hyperinflation of the lungs C. Long-term chronic hypoxia D. Use of accessory muscles

B

A nurse is caring for a client who has pneumonia. Assessment findings include temperature 37.8° C (100° F), respirations 30/min, blood pressure 130/76, heart rate 100/min, and SaO2 91% on room air. Prioritize the following nursing interventions. A. Administer antibiotics. B. Administer oxygen therapy. C. Perform a sputum culture. D. Instruct the client to obtain a yearly influenza vaccination.

B, C, A, D

A nurse in the emergency department is caring for a client who is experiencing an acute asthma attack. Which of the following assessments indicates that the respiratory status is declining? (Select all that apply.) A. SaO2 95% B. Wheezing C. Retraction of sternal muscles D. Pink mucous membranes E. Tachycardia

B, C, E

A nurse is providing instructions to a client who has a new prescription for albuterol and beclomethasone inhalers for the control of asthma. Which of the following instructions should the nurse include in the teaching? A. Take the albuterol at the same time each day B. Administer the albuterol inhaler prior to using the beclomethasone inhaler. C. Use beclomethasone if experiencing an acute episode. D. Avoid shaking the beclomethasone before use.

B.

A client with a chronic obstructive pulmonary disease is prescribed with Ipratropium (Combivent). Upon reviewing the medical history of the patient, the nurse questions the prescription if which of the following is noted? A. History of smoking. B. History of allergy to egg. C. History of allergy to peanut. D. History of a previous infection.

C

A client with a history of asthma is short of breath and says, "I feel like I'm having an asthmatic attack." What is the nurse's best action?a. Call a code. b. Ask the client to describe the symptoms. c. Administer a beta2 adrenergic agonist. d. Administer a long-acting glucocorticoid.

C

A nurse is planning to instruct a client on how to perform pursed-lip breathing. Which of the following statements should the nurse include? A. "Take quick breaths upon inhalation." B. "Place your hand over your stomach." C. "Take a deep breath in through your hose D. "Puff your cheeks upon exhalation.

C

A nurse is providing discharge teaching to a client who has COPD and a new prescription for albuterol. Which of the following statements by the client indicates an understanding of the teaching? A. "This medication can increase my blood sugar levels." B. "This medication can decrease my immune response." C. "I can have an increase in my heart rate while taking this medication." D. "I can have mouth sores while taking this medication."

C

A nurse is providing discharge teaching to a client who has a new prescription for prednisone for asthma. Which of the following client statements indicates understanding? A. "I will decrease my fluid intake while taking this medication." B. "I will expect to have black, tarry stools." C. "I will take my medication with meals." D. "I will monitor for weight loss while on this medication."

C

A nurse is teaching a client who has a new prescription for dextromethorphan to suppress a cough. The nurse should instruct the client to monitor for which of the following manifestations as an adverse effect of this medication? A. Diarrhea B. Anxiety C. Sedation D. Palpitations

C

Client teaching regarding the use of antileukotriene agents such as zafirlukast (Accolate) should include which statement? a. "Take the medication as soon as you begin wheezing." b. "It will take about 3 weeks before you notice a therapeutic effect." c. "This medication will prevent the inflammation that causes your asthma attack." d. "Increase fiber and fluid in your diet to prevent the side effect of constipation."

C

The nurse is caring for a client with a theophylline level of 14 mcg/mL. What is the priority nursing intervention? a. Increase the IV drip rate. b. Monitor the client for toxicity. c. Continue to assess the client's oxygenation. d. Stop the IV for an hour then restart at lower rate.

C

The nurse is teaching the client the appropriate way to use a metered dose inhaler. Which action indicates the client needs additional teaching? A. The client takes a deep breath while depressing the inhaler. B. The client places the inhaler two fingers from the mouth. C. The client waits 15 seconds before using the inhaler a second time. D. The client exhales slowly using purse lipped breathing.

C

What is the most important thing for the nurse to teach the client with a history of diabetes and asthma who has started on albuterol PRN? a. Take Tylenol for headaches when taking albuterol. b. Monitor for orthostatic hypotension every 2 hours when taking albuterol. c. Monitor blood glucose levels every 4 hours when taking albuterol. d. An antianxiety agent may be prescribed to help with nervousness.

C

What will the nurse expect to find that would indicate a therapeutic effect of acetylcysteine (Mucomyst)? a. Decreased cough reflex b. Decreased nasal secretions c. Liquefying and loosening of bronchial secretions d. Relief of bronchospasms

C

Which instruction will the nurse include when teaching a client about the proper use of metered-dose inhalers? a. "After you inhale the medication once, repeat until you obtain relief." b. "Make sure that you puff out air repeatedly after you inhale the medication." c. "Hold your breath for 10 seconds if you can after you inhale the medication." d. "Hold the inhaler in your mouth, take a deep breath, and then compress the inhaler."

C

A client is receiving theophylline intravenously. After several dosages, the client started to become restless and complains of palpitations. The nurse determines that the client is experiencing theophylline toxicity in which of the following? A. Theophylline level of 10mcg/ml. B. Theophylline level of 15mcg/ml. C. Theophylline level of 20mcg/ml. D. Theophylline level of 25mcg/ml.

D

A nurse in a clinic is assessing a client who has sinusitis. Which of the techniques should the nurse use to identify manifestations of this disorder? A. Percussion of posterior lobes of lungs B. Auscultation of the trachea C. Inspection of the conjunctiva D. Palpation of the orbital areas

D

A nurse is about to administer Albuterol (Ventolin HFA) 2 puff and Budesonide (Pulmicort Turbohaler) 2 puff by metered dose inhaler. The nurse plans to administer by? A. Alternating with a single puff each, starting with albuterol. B. Alternating with a single puff each, starting with budesonide. C. Budesonide inhaler first then the albuterol. D. Albuterol inhaler first then the budesonide.

D

A nurse is caring for a client 2 hr after admission. The client has an SaO2 of 91%, exhibits audible wheezes, and is using accessory muscles when breathing. Which of the following classes of medications should the nurse expect to administer? A. Antibiotic B. Beta-blocker C. Antiviral D. Beta2 agonist

D

A nurse is instructing a client on the use of an incentive spirometer. Which of the following statements by the client indicates an understanding of the teaching? A. "I will place the adapter on my finger to read my blood oxygen saturation level." B. "I will lie on my back with my knees bent." C. "I will rest my hand over my abdomen to create resistance." D. "I will take in a deep breath and hold it before exhaling."

D

Discharge teaching to a client receiving a beta-agonist bronchodilator should emphasize reporting which side effect? a. Hypoglycemia b. Nonproductive cough c. Sedation d. Tachycardia

D

Montelukast (Singulair) is prescribed to a client with asthma. During the medication therapy, which of the following laboratories should be monitored? A. Complete blood count (CBC). B. Sodium and Potassium. C. Calcium and Platelet count. D. ALT and AST.

D

The client with COPD may lose weight despite having adequate caloric intake. When counseling the client in ways to maintain an optimal weight, the nurse should tell the client to: A. Continue the same caloric intake and increase the amount of fat intake B. Increase his activity level to stimulate his appetite C. Increase the amount of complex carbohydrates and decrease the amount of fat intake D. Decrease the amount of complex carbohydrates while increasing calories, protein, vitamins, and minerals

D

The nurse is caring for a young child who has been prescribed an inhaler for control of her asthma. The child is having difficulty using the inhaler. What is the nurse's best action? a. Tell the parent to hold the inhaler for the child. b. Ask the health care provider to switch to oral medications. c. Tell the parent that young children should not use inhalers. d. Teach the child to use a spacer.

D

The nurse is giving medication teachings to a client receiving theophylline. The nurse instruct the client to limit the intake of which of the following? A. Apple and banana. B. Yogurt and cheese. C. Tuna and oysters. D. Cola and chocolate.

D

The nurse is instructing a client about the advantages of salmeterol (Serevent) over other beta2 agonists such as albuterol (Proventil). How will the nurse explain to the client the difference in these two medications? a. Salmeterol has a shorter onset of action. b. Salmeterol does not have any side effects. c. Albuterol has a longer onset of action. d. Salmeterol has a longer duration of action.

D

The physician has ordered O2 at 3 liters/minute via nasal cannula. O2 amounts greater than 3 liters / minute are contraindicated in the client with COPD because: A. Higher concentrations result in severe headache. B. Hypercapnic drive is necessary for breathing. C. Higher levels will be required later to raise the pO2. D. Hypoxic drive is needed for breathing.

D