Pharm Made Easy 4.0 The Respiratory System

A nurse is caring for a client who is taking codeine. The nurse should identify that which of the following assessments is priority to make? Blood pressure Apical heart rate Respirations Level of consciousness

Respirations

A nurse is caring for a client who is having difficulty mobilizing thick respiratory secretions. Which of the following drugs should the nurse expect to administer to the client? Ipratropium Beclomethasone Acetylcysteine Azelastine

Acetylcysteine (mucolytic)

A nurse is teaching a client who has a prescription for albuterol via inhaler and fluticasone via inhaler for asthma management. For which of the following reasons should the nurse instruct the client use the albuterol inhaler before using the fluticasone inhaler? Albuterol will increase the absorption of fluticasone. Albuterol will decrease inflammation. Albuterol will reduce nasal secretions. Fluticasone will reduce the adverse effects of albuterol.

Albuterol will increase the absorption of fluticasone

A nurse is teaching a client who is taking prednisone for an acute asthma exacerbation. Which of the following instructions should the nurse include? "Avoid taking nonsteroidal anti-inflammatory drugs." "Rinse your mouth after taking the medication to prevent a yeast infection." "Stop taking the medication if you become nauseous." "Change position slowly when standing up."

Avoid taking NSAIDs (GI bleed)

A nurse is teaching a client about the use of beclomethasone to treat asthma. The nurse should explain that the drug has which of the following therapeutic effects? Thins mucus Relaxes bronchial smooth muscle Decreases inflammation Increases the cough threshold

Decrease inflammation

A nurse is teaching a client who has a prescription for zileuton. Which of the following instructions should the nurse include? Check apical pulse before taking the drug. Take the drug only as needed before exercising. Rinse mouth after using the drug. Have laboratory tests performed at regular intervals.

Have laboratory tests performed at regular intervals.

A nurse is preparing to administer phenylephrine to a client. The nurse should identify that which of the following manifestations is an adverse effect of this drug? Headache Sleepiness Hypotension Constipation

Headache

For which of the following reasons should the nurse instruct a client to avoid taking guaifenesin with combination OTC cold products? Over-the-counter cold products can also contain guaifenesin. Blood glucose levels are increased. Rebound congestion is likely. Drug tolerance is likely.

Over-the-counter cold products can also contain guaifenesin.

A nurse is teaching a client about albuterol. The nurse should instruct the client to monitor for and report which of the following as an adverse effect of this drug? Fever Bruising Polyuria Palpitations

Palpitations

A nurse should identify that dextromethorphan can have which of the following effects when combined with morphine? Reduced antitussive effect of dextromethorphan Potentiation of depression of CNS actions Increased renal reabsorption of the dextromethorphan Delayed analgesic effect of the opioid

Potential of depression CNS actions

A nurse is teaching a client about the use of antihistamines to treat allergic rhinitis. The nurse should explain that these drugs are effective because they perform which of the following actions? Decrease viscosity of nasal secretions Block H2 receptors Prevent histamine from binding to receptors Reduce nasal congestion

Prevent histamine from binding to receptors

A nurse is teaching a client about the use of an expectorant to treat a cough. The nurse should include that an expectorant has which of the following therapeutic effects? Suppresses the cough stimulus Reduces surface tension Reduces inflammation Dries mucous membranes

Reduces surface tension

A nurse is teaching a client bout the use of mucolytic to treat a cough. The nurse should include that a mucolytic has which of the following therapeutic effects? Suppresses the cough stimulus Reduces inflammation Thins and loosens mucus Dries secretions

Thins and loosens mucus

For which of the following reasons should a client attach a spacer to a MDI? ​To increase the amount of drug delivered to the lungs To increase the amount of drug delivered to the oropharynx To increase the amount of drug delivered on exhalation To increase the speed of drug delivery into the mouth

To increase the amount of drug delivered to the lungs

A nurse is teaching a client about ipratropium. The nurse should include that this drug has which of the following adverse effects? Muscle tremors Urinary retention Dry mouth Insomnia Tachycardia

Urinary retention Dry mouth

A nurse is teaching a client about ipratropium. Which of the following instructions should the nurse include? Do not drink anything for 30 min after using the drug. Wait 5 min between using the drug and another inhaled drug. This drug is used to thin respiratory secretions. Check pulse rate after inhaling the drug.

Wait 5 min between using the drug and another inhaled drug.

Legal restrictions apply to the purchase of pseudoephedrine because of which of the following risks? Respiratory depression Drug abuse Drug tolerance Rebound congestion

Drug abuse

A nurse is teaching a client about the adverse effects of pseudoephedrine. Which of the following should the nurse include? (select all...) Restlessness Bradycardia Insomnia Muscle pain Anxiety

Restlessness Insomnia Anxiety

A nurse should recognize that using pseudoephedrine to treat allergic rhinitis requires cautious use with clients that have which of the following? Peptic ulcer disease A seizure disorder Anemia Coronary artery disease

Coronary artery disease (bc it can cause vasoconstriction)

A nurse is teaching a client about diphenhydramine. The nurse should inform the client to expect which of the following adverse effects while taking this drug? Muscle tremors Drowsiness Excitation Insomnia

drowsiness

What drug's therapeutic effect reduces inflammation? glucocorticoids anticholinergics expectorants antitussives

glucocorticoids

A nurse is teaching a client who is beginning fluticasone propionate/salmeterol therapy. Which of the following instructions should the nurse include? Take the drug as needed for acute asthma. Follow a low-sodium diet. Use an alternate-day dosing schedule. Increase weight-bearing activity.

increase weight bearing activity

A nurse is teaching a client about using intranasal glucocorticoids. Which of the following instructions should the nurse give? Start at a low dose and gradually increase it. Take the drug as needed for nasal congestion. Allow at least 2 weeks for the full therapeutic effect. Use the drug prior to exercise.

Allow at least 2 weeks for the full therapeutic effect.

What drug's therapeutic effect dries mucous membranes? glucocorticoids anticholinergics expectorants antitussives

anticholinergic drugs

What drug's therapeutic effect suppresses the cough stimulus? glucocorticoids anticholinergics expectorants antitussives

antitussives (dextromethorphan)

A nurse is teaching a client about montelukast. Which of the following instructions should the nurse include? Use a spacer to improve inhalation. Take the drug at the onset of bronchospasm. Rinse mouth to prevent an oral fungal infection. Take the drug once a day in the evening.

Take the drug once dailiy in the evening.

A nurse is teaching a client about the use of cromolyn sodium to prevent bronchospasm. The nurse should explain that the drug has which of the following therapeutic effects? Increases leukocyte activity Blocks muscarinic receptors Causes bronchodilation Reduces inflammation

reduces inflammation

A nurse is monitoring plasma drug levels in a client who is taking theophylline. Which of the following findings should the nurse expect to see if the drug's level indicates toxicity? Seizures Constipation Normal sinus rhythm Somnolence

seizures