Pharm Quiz #4

A patient is in an urgent care center with an acute asthma attack. The nurse expects that which medication will be used for initial treatment?

A short-acting beta2 agonist such as albuterol

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?

Administer the albuterol inhaler prior to using the beclomethasone inhaler.

The nurse is reviewing medications for the treatment of asthma. Which drugs are used for quick relief of asthma attacks?

Albuterol (Serevent) inhaler Intravenous systemic corticosteroids

The nurse is reviewing a patient's medication orders for PRN medications that can be given to a patient who has bronchitis with a productive cough. Which drug will the nurse choose?

An expectorant

A patient asks the nurse about the uses of echinacea. Which use will the nurse include in the response?

Boosting the immune system

When giving dextromethorphan, the nurse understands that this drug suppresses the cough reflex by which mechanism of action? a. Causing depression of the central nervous system b. Anesthetizing the stretch receptors c. Having direct action on the cough center d. Decreasing the viscosity of the bronchial secretions

C. Having direct action on the cough center

The nurse notes in a patient's medication history that the patient is taking benzonatate (Tessalon Perles) PRN. Based on this finding, the nurse interprets that the patient has which problem?

Cough

The nurse is giving antihistamine and will observe the patient for which side effects?

Dizziness Hangover effect Drowsiness

During a routine checkup, a patient states that she is unable to take the prescribed antihistamine because of one of its most common adverse effects. The nurse suspects that which adverse effect has been bothering the patient?

Drowsiness

A nurse is teaching a client who has a new prescription for diphenhydramine for allergic rhinitis. The nurse should instruct the client to monitor for which of the following manifestations as an adverse effect of this medication?

Dry mouth Drowsiness Urinary hesitation

A nurse is teaching the family of a child who has cystic fibrosis and a new prescription for acetylcystine. Which of the following information should the nurse include in the instructions?

Expect the medication to smell like rotten eggs

A patient with a tracheostomy has difficulty removing excessive, thick mucus from the respiratory tract. The nurse expects that which drug will be ordered to aid in the removal of mucus?

Guaifenesin (Mucinex)

A patient is taking intravenous aminophylline for a severe exacerbation of COPD. The nurse will assess for which therapeutic response?

Increased ease of breathing

A nurse is teaching a client about the use of fluticasone to treat perennial rhinitis. Which of the following statements by the client indicates understanding of the teaching?

It can take as long as 3 weeks before the medications takes a maximum effect

The nurse is providing instructions about the Advair inhaler (fluticasone propionate and salmeterol). Which statement about this inhaler is accurate?

It is used for the prevention of a bronchospasm

The prescriber has changed the patient's medication regimen to include the leukotriene receptor antagonist (LTRA) montelukast (Singulair) to treat asthma. The nurse will emphasize which point about this medication?

It needs to be taken every day on a continuous schedule, even if symptoms improve.

A gardener needs a decongestant because of seasonal allergy problems and asks the nurse whether he should take an oral form or a nasal spray. Which of these is a benefit of orally administered decongestant?

Lack of rebound congestion

A patient has been advised to add a nasal spray (an adrenergic decongestant) to treat a cold. The nurse will include which instruction?

Limit the use of this spray 3-5 days

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?

Nasal congestion

When evaluating a patient's use of a metered-dose inhaler, the nurse notes that the patient is unable to coordinate the activation of the inhaler with her breathing. What intervention is most appropriate at this time?

Obtain an order for a spacer device

When teaching a patient who will be receiving antihistamines, the nurse will include which instructions?

Take the medication with food to minimize gastrointestinal distress Drink extra fluids if possible Avoid activities that require alertness until you know how adverse effects are tolerated

A patient tells the nurse that she wants to start taking the herbal product goldenseal to improve her health. The nurse will assess for which potential cautions or contraindications to goldenseal?

Taking a proton pump inhibitor Taking an antihypertensive Pregnancy

A nurse us providing instructions to a client who has a new prescription for albuterol PO. Which of the following instructions should the nurse include?

Tremors are an adverse effect of this medication

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?

Weight gain

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?

Sedation

A patient has prescriptions for two inhalers. One inhaler is a bronchodilator, and the other is a corticosteroid. Which instruction regarding these inhalers will the nurse give to the patient?

Take the bronchodilator inhaler first

After receiving a nebulizer treatment with a beta agonist, the patient states she is feeling slightly nervous and wonders if her asthma is getting worse. What is the nurse's best response?

This is an expected adverse effect. Let me check your pulse.

A patient is taking a decongestant to help reduce symptoms of a cold. The nurse will instruct the patient to observe for which possible symptom, which may indicate an adverse effect of this drug?

Heart palpations

When giving decongestants, the nurse must remember that these drugs have alpha-adrenergic-stimulating effects that may result in which effect?

Hypertension

The nurse is providing instructions to a patient who has a new prescription for a corticosteroid metered-dose inhaler. Which statement by the patient indicates that further instruction is needed?

I will gargle after using the inhaler and then swallow I will use this inhaler for asthma attacks

A patient is taking Guaifenesin (Humibid) as part of treatment for a sinus infection. Which instruction will the nurse include during patient teaching?

Increase fluid intake to help loosen and liquefy secretions

When educating a patient recently placed on inhaled corticosteroid, the nurse will discuss which potential adverse effect?

Oral candidiasis and dry mouth

A patient is taking a xanthine derivative as part of treatment for COPD. The nurse will monitor for which adverse effects associated with the use of xanthine derivatives?

Palpations

The nurse will instruct patients about possible systemic effect that may occur if excessive amounts of topically applied adrenergic nasal decongestants are used. Which systemic effect may occur?

Palpations

A nurse is teaching a client who has a new prescription for Beclomethasone. Which of the following instructions should the nurse include?

"Rinse your mouth after each use of this medication."

The nurse knows that an antitussive cough medication would be the best choice for which patient?

A patient who has had recent abdominal surgery

When assessing a patient who is to receive a decongestant, the nurse will recognize that a potential contraindication to this drug would be which condition?

Glaucoma Hypertension

The nurse is monitoring drug levels for a patient who is receiving theophylline. The most recent theophylline level was 22mcg/ml, and the nurse evaluates this level to be:

above the therapeutic level