Pharm Ch 55 Prepu

A patient who is prescribed ipratropium administers the drug at 9:15 AM. The patient should begin to notice the drug beginning to act at which time? A. 9:30 AM B. 9:45 AM C. 10:15 AM D. 10:00 AM

A. 9:30 AM

A client was using a nicotine patch to stop smoking when he was started on theophylline for emphysema. He has successfully stopped smoking and has stopped using his nicotine patch. Which of following would the nurse anticipate about the prescribed theophylline? A. Dose should be decreased. B. Dose should be increased. C. The client will receive the same amount. D. The drug should be discontinued.

A. Dose should be decreased.

An 8-year-old child with an acute asthmatic attack is receiving metaproterenol via nebulizer. Which of the following would be most appropriate? A. Mix the drug with saline. B. Turn the device off when the mist slows. C. Encourage rapid shallow breaths. D. Have the child lie flat.

A. Mix the drug with saline

The client uses his sympathomimetic inhaler frequently. The nurse evaluates the client for which of the following symptoms related to frequent use of the sympathomimetic inhaler? A. Nervousness B. Hypotension C. Bradycardia D. Fatigue

A. Nervousness

What is the most common first-line therapy for relief of an acute asthma attack? A. beta2-adrenergic agonist B. leukotriene modifier C. inhaled steroid D. xanthine

A. beta2-adrenergic agonist

The nurse should complete which of the following during acute breathing distress before initiation of a broncodilator? Select all that apply: A. Check peak flow B. Check blood pressure. C. Check blood glucose. D. Check respiratory rate E. Check pulse.

B & D

An elderly client, diagnosed with chronic obstructive pulmonary disease (COPD), is being considered for corticosteroid therapy. The nurse should anticipate that these drugs may be administered by what routes? Select all that apply. A. topical B. oral C. sublingual D. inhaled E. parenteral

B & E

When evaluating an asthmatic client's knowledge of self-care, the nurse recognizes that additional instructions are needed when the client makes which of the following statements? A. "I will wash my sheets weekly." B. "When I am short of breath, I will increase the use of my fluticasone." C. "When I can do some, but not all of my usual activities, I am in the yellow zone." D. "I need to inhale my medication and hold my breath for 10 seconds."

B."When I am short of breath, I will increase the use of my fluticasone."

Which statement by a client who is prescribed triamcinolone indicates the need for additional teaching? A. "I might notice some hoarseness with the drug." B. "I can't use this drug if I have an acute attack." C. "I should see some results in about 3 to 4 days." D. "I should rinse my mouth after using the drug."

C. "I should see some results in about 3 to 4 days."

The client has been prescribed cromolyn (Intal) for the treatment of asthma, and the nurse is evaluating the client's understanding of the medication. Which statement by the client indicates the need for further education? A. "This medication may cause my throat to become dry." B. "I may experience wheezing with this medication." C. "I will use this medication when I am having an asthma attack." D. "This medication may also be used for allergy disorders."

C. "I will use this medication when I am having an asthma attack."

A client is prescribed a leukotriene receptor antagonist. The nurse should evaluate the effectiveness of the medication therapy based on the long term management of symptoms associated with which respiratory condition? A. Pneumonia B. Emphysema C. Asthma D. Chronic bronchitis

C. Asthma

An adolescent client is prescribed a leukotriene receptor antagonist as a part of a medication regime to manage his/her asthma. Which statement made by the client requires additional education on this classification of medications? A. "This medication is safe for kids like me." B. "This is a new kind of asthma medication." C. "We need to let the health care provider know if the medicine gives me a headache or makes me dizzy." D. "I need to take the medication when I start to have problems breathing."

D. "I need to take the medication when I start to have problems breathing."

A male client presents to the emergency department in bronchospasm. He has a history of smoking two packs per day for 20 years and is prescribed phenytoin to control a seizure disorder that developed after a head injury 3 years ago. Based on the client's history, what would the nurse expect the health care provider to order? A. Phenytoin intravenously B. The standard dose of aminophylline C. A drug other than aminophylline D. A modified dose of aminophylline

D. A modified dose of aminophylline

A female client is prescribed systemic corticosteroids for her asthma. The nurse knows that the client is at risk for what problem? A. Pituitary insufficiency B. Renal insufficiency C. Pancreatic insufficiency D. Adrenal insufficiency

D. Adrenal sufficiency

When teaching a patient to use a dry powder inhaler, which of the following is true? Select all that apply: A. Hold inhaler 1 to 2 inches from mouth. B. Place device in water to clean. C. Swallow capsules provided. D. Hold breath for 10 seconds. E. Inhale quickly.

D. Hold breath for 10 seconds. E. Inhale quickly.

Which agents would the nurse identify as selectively and competitively blocking the receptors for the production of two substances that are components of SRSA? A. Anticholinergics B. Mast cell stabilizers C. Xanthines D. Leukotriene receptor antagonists

D. Leukotriene receptor antagonists

A newborn, experiencing ineffective alveolar expansion, is receiving treatment. What intervention should the nurse implement to assure the administration of the prescribed medication has been effective? A. Supply supplemental oxygen as prescribed B. Changing the newborn's position frequently to assure effective distribution of medication C. Suctioning the infant every 30 minutes for 2 hours after the treatment has been initiated D. Monitoring respirations for bilateral chest movement

D. Monitoring respirations for bilateral chest movement

A client, experiencing respiratory distress related bronchi constriction, will benefit from what therapeutic action provided by anticholinergic medication therapy? A. Enhancement of alveolar expansion B. Decrease in the production of leukotrienes D4 and E4 C. Reduction of the inflammatory response D. Relaxation of smooth muscle

D. Relaxation of smooth muscle

What medical condition is likely to be exacerbated by the medication therapy associated with asthma? A. urinary retention B. cataracts C. dermatitis D. gastroesophageal reflux disease (GERD)

D. gastroesophageal reflux disease (GERD)