PHARM CHP 31-32

A client with chronic asthma is prescribed albuterol. The nurse will prioritize which nursing diagnosis for this client?

Anxiety

The nursing instructor is teaching a session explaining the various drugs used to treat chronic obstructive pulmonary disease (COPD). The instructor determines the session is successful when the students correctly choose which conditions as being considered part of the COPD spectrum? Select all that apply.

Asthma, Chronic bronchitis

The nursing instructor is teaching a session explaining mast cell stabilizers. The instructor determines the session is successful when the students correctly choose which drug as an example?

Cromolyn

A nurse is preparing to administer diphenhydramine to a client with bronchial irritation. Which activity should the nurse prioritize during the proadministration assessment?

Document color and amount of any sputum present.

The nurse is preparing to administer formoterol to a client. The nurse determines cautious administration is warranted after noting which condition in the client's history? Select all that apply.

Hypertension, Glaucoma, Hyperthyroidism, Diabetes

A nurse is conducting an ongoing assessment and notes the client is experiencing difficulty bringing up mucus. Which nursing diagnosis should the nurse prioritize for this client?

Ineffective Airway Clearance

A client is administered a bronchodilator during an acute asthma attack. As the client's condition improves the nurse will prioritize which assessments? Select all that apply.

Intake, Output, Lung sounds, Accessory muscle use

A nurse has administered albuterol to a client with asthma, who is now reporting dizziness, especially when standing up. When analyzing the client's record for potential sources, which prescribed medications should the nurse question?

Methyldopa

The nurse notes a client has a new prescription for an expectorate. The nurse will monitor this client cautiously if which disorder is noted in the client's history?

Persistent cough

The nurse is preparing to administer a codeine-containing antitussive to a client. The nurse will exercise caution if which additional situation is noted in the client's medical history? Select all that apply.

Pregnancy, Convulsive disorders, Prostatic hypertrophy

A client with a nonproductive cough is prescribed codeine sulfate. The nurse will question this order for clients with which history?

Premature infant

When teaching a client about using a decongestant in a nasal spray form, which instruction would the nurse include? Select all that apply.

"Overuse can make the symptoms return.", "Know that nasal burning or stinging may occur."

the nurse is teaching a client about the prescribed inhaled corticosteroid and bronchodilator therapy. Which instruction will the nurse emphasize to this client?

"Take the corticosteroid several mins after the bronchodilator dose".

The client reports a mild stinging sensation after using a nasal spray decongestant. Which response by the nurse would be most appropriate?

"This sensation is common and usually disappears with continued use."

The nurse determines the appropriate nursing diagnosis for a client is Ineffective Airway Clearance. Which instructions will the nurse prioritize for this client? Select all that apply.

Assisting the client in taking deep, diaphragmatic breaths, encouraging the client to change positions

The nurse is developing an asthma plan for a young client and caregiver. The nurse determines they understand the plan when they correctly choose which actions to implement? Select all that apply.

Call health care provider is in yellow zone for more than 24 hours, Quick-relief medications are not working

A nurse is preparing to teach a client with asthma about the prescribed medication. The nurse will point out the increased risk of developing Candida albicans with which medication? Select all that apply.

Cromolyn, Fluticasone, Budesonide, formoterol

A nurse is teaching a client about albuterol which has been prescribed. The nurse determines the session is successful when the client correctly chooses which adverse reaction to report immediately to the HCP?

Insomnia

A client has been prescribed an antitussive. The nurse prepares to assess which factors on the ongoing assessment? Select all that apply.

Lung sounds, Frequency of cough, Therapeutic effect, Pain assessment

The nurse teaches a client receiving an inhaled corticosteroid about the possibility of developing oral thrush. Which actions would the nurse include in the teaching plan as a way to reduce this risk? Select all that apply.

Performing strict oral hygiene, Cleaning the inhaler per package instructions, Using proper technique when administering dose

A client receiving aminophylline reports heartburn on assessment to the nurse. What is the best response by the nurse?

Raise the HOB

The nurse is preparing to administer an antitussive to a client. Which assessments will the nurse prioritize in the preadministration assessment? Select all that apply.

Temperature, Sputum presence, Type of cough

The nurse is preparing to administer an antiasthmatic drug to a client. The nurse determines the drug should be held and the health care provider notified after noting which respiratory rate on assessment?

10 breaths/min

A client with asthma has received two doses of theophylline. After analyzing the daily serum theophylline level, the nurse determines the client has achieved a therapeutic level with which result?

13 mcg/L

A nurse is monitoring a client who is receiving theophylline 400mg IV for severe bronchospasms, SOB, and SpO2 of 85%. Which assessment finding should the nurse prioritize?

Abdominal cramps

A client prescribed an antihistamine for vasomotor rhinitis is concerned about the potential increased sedation effects. Which antihistamine can the nurse point out as the best option to help avoid the sedation effects?

Azelastine

The nurse is preparing a teaching session for a client with rhinitis about the prescribed decongestant. Which potential adverse reaction should the nurse point out?

Blurred vision

A client with asthma is preparing to go home after being hospitalized with an acute attack with a new prescription for fluticasone/salmeterol inhalant. Which points should the nurse prioritize in the discharge teaching? Select all that apply.

Continue to carry a rescue inhaler, Check peak flow daily, Rinse mouth after each use.

The nurse is preparing to administer naphazoline to a client. The nurse will exercise caution if which disorder is noted in the client's history on preadministration assessment? Select all that apply.

Diabetes, Glaucoma, Hypothyroidism

A client with allergic rhinitis is prescribed an antihistamine. The nurse instructs the client to suck on sugarless hard candy to address which potential adverse reaction?

Dryness of the oral mucosa and the throat

A client presents to the clinic with a cough that is getting worse. The client reports having used over-the-counter dextromethorphan. Which findings on assessment should the nurse prioritize after noting the client is prescribed phenelzine? Select all that apply.

Fever, Coma

The nurse has administered an antitussive to an older client. Which findings on assessment should the nurse prioritize? select all that apply.

Hearing loss, Visual impairment

A nurse is preparing a teaching plan for a client and caregiver on the proper use of a dry powder inhaler. Which instructions will the nurse include in this teaching? Select all that apply.

Hold breath for 10 seconds, Inhale quickly.

The nursing instructor is conducting a teaching session with a group of nursing students analyzing the differences between first and second generation antihistamines. The instructor determines the class is successful when the students correctly choose which actions as advantages for administering second generation antihistamines? Select all that apply.

Less sedation, Fewer anticholinergic effects

A client with recently diagnosed exercise-induced bronchospasms is to be prescribed an inhalant. The nurse anticipates the client will be prescribed which medication? Select all that apply.

Levalbuterol, Terbutaline

A client with allergies reports increased sedation after the initiation of chlorpheniramine. Which medications should the nurse point out as alterative medications for this client? Select all that apply.

Loratadine, Cetirizine

A nurse is assessing a client's serum theophylline level and notes it is 7 mcg/L. After assessing the client's medical record, which drugs should the nurse question? Select all that apply.

Nicotine, Phenytoin, Ketoconazole

the HCP has prescribed a monoclonal antibody for a client with asthma. The nurse will prepare a teaching plan for which medication?

Omalizumab

a nursing instructor is conducting a session exploring leukotriene modifiers. The instructor determines the session is successful when the students correctly choose which route of administration?

Orally

A client is questioning the use of eucalyptus as a decongestant. The nurse should point out that eucalyptus is contraindicated for which clients? Select all that apply.

Pregnant females, Children younger than 2 years of age, Lactating females

The nurse is preparing to teach a child with asthma and caregivers about the prescribed corticosteroids. Which factor should the nurse point out will require monitoring?

Rate of growth

A client currently prescribed a MAOI for depression is also prescribed a decongestant for cold symptoms. Which potential adverse reaction should the nurse point out will warrant contacting the health care provider?

Severe headache

The nurse has completed teaching a client about the prescribed upper respiratory drug. The nurse determines additional teaching is warranted when the client chooses which finding as necessitating?

Sputum appears clear.

The nurse is teaching a client how to properly use a peak flow meter. The nurse determines the session is successful when the client correctly explains which steps? Select all that apply.

Stands upright to allow the best inhalation possible, Makes sure indicator is at lowest level on scale, Makes sure lips are sealed tightly around the mouthpiece

The HCP has ordered epinephrine for a client admitted emergently with bronchospasm. The nurse will prepare to administer this drug via route.

Subcutaneous

A client presents to the urgent care center reporting prolonged congestion which has not been relieved by an over-the-counter nasal spray or by a decongestion which was added later. Which suggestions should the nurse prioritize? Select all that apply.

Suggest the client switch from a topical decongestant to an oral product, Advise the client to gradually discontinue the decongestant product., Suggest a saline irrigation of the nasal passages in place of the decongestant.

The nurse is preparing a teaching session for a client prescribed dextromethorphan orally. Which instruction should the nurse prioritize?

Swallow the whole tablet and do not chew it.

The nurse is preparing a teaching session for a client who is prescribed an antitussive. Which instructions should the nurse prioritize? Select all that apply.

Swallowing oral antitussive capsules whole, Avoiding respiratory irritants during antitussive treatment

A nurse is preparing to teach a client the correct method to take cromolyn orally. Which instruction will the nurse point out as being the appropriate method to follow?

Take the drug at least 30 mins before meals.