Pharmacology Chapter 17-21 Quiz 3

A nurse is teaching to a client who has systemic lupus erythematosus about a new prescription for oral glucocorticoid therapy. Which of the following client statements indicates an understanding of the teaching? A. "I should take a calcium supplement while on this medication." B. "Regular liver function studies will have to be done while I am taking this medication." C. "I can take NSAIDs to treat mild pain while using this medication." D. "I will be sure to eat 6 small meals a day to prevent hypoglycemia from this medication."

Correct Answer: A. "I should take a calcium supplement while on this medication."

A nurse is caring for a school-aged child who has cystic fibrosis (CF) and has been using a corticosteroid inhaler for long-term treatment. Which of the following findings should the nurse identify as an adverse effect of long-term use of this medication? A. Small stature for age B. Decreased weight C. Poor dentition D. Atrophied muscles

Correct Answer: A. Small stature for age

A nurse is reviewing the medication history of a client who has mild intermittent asthma. The nurse should anticipate a prescription for which of the following inhalers for the client? A. Ipratropium B. Albuterol sulfate C. Tiotropium D. Budesonide

Correct Answer: B. Albuterol sulfate

A nurse is reviewing the medical record of a client who might have hearing loss. Which of the following data from the client's medical record should the nurse identify as a risk factor for hearing loss? A. Frequent use of steroids B. Chronic use of salicylates C. Intermittent use of antacids D. Habitual use of laxatives

Correct Answer: B. Chronic use of salicylates

A nurse is monitoring a client who has asthma, takes albuterol, and recently started taking propranolol to treat a cardiovascular disorder. The client reports that the albuterol has been less effective. Which of the following factors should the nurse identify as a possible explanation for this change? A. Potentiative interaction B. Detrimental inhibitory interaction C. Increased adverse reaction D. Toxicity-reducing inhibitory interaction

Correct Answer: B. Detrimental inhibitory interaction

A nurse is caring for a client who is taking glucocorticoids. The nurse should monitor the client for which of the following adverse effects of the medication? A. Weight loss B. Peptic ulcer C. Hyperkalemia D. Diplopia

Correct Answer: B. Peptic ulcer

A nurse is reviewing the medication history of a client who has asthma. Which of the following medication combinations should the nurse identify as incompatible? A. Albuterol and montelukast B. Theophylline and zileuton C. Aminophylline and fluticasone D. Salmeterol and levalbuterol

Correct Answer: B. Theophylline and zileuton

A nurse is assessing a client who takes oral theophylline for chronic bronchitis relief. The nurse should recognize that which of the following findings indicates toxicity to theophylline? A. Constipation B. Tremors C. Fatigue D. Bradycardia

Correct Answer: B. Tremors

A nurse is teaching the parent of a child who has severe reactive airway disease about glucocorticoid therapy. The parent asks why her child has to inhale the medication instead of taking it orally. Which of the following pieces of information should the nurse provide to the parent? A. Inhaled glucocorticoids are less likely to cause thrush. B. Oral glucocorticoids are hazardous during times of stress. C. Oral glucocorticoids are more likely to slow linear growth in children. D. Inhaled glucocorticoids are more effective for acute bronchospasm.

Correct Answer: C. Oral glucocorticoids are more likely to slow linear growth in children.

A nurse is caring for a client who has severe asthma and allergic rhinitis. The client is taking theophylline. Which of the following medications should the nurse identify as being incompatible with theophylline? A. Cromolyn B. Albuterol C. Zafirlukast D. Methylprednisolone

Correct Answer: C. Zafirlukast

A nurse is providing teaching to the parents of a school-age child with asthma about medications for bronchospasm. Which of the following inhaled medications should the nurse instruct the parents to use to relieve an acute asthma attack? A. Salmeterol B. Cromolyn C. Fluticasone D. Albuterol

Correct Answer: D. Albuterol

A nurse is caring for a client who is experiencing an acute asthma exacerbation. Which of the following medications should the nurse identify as being contraindicated for this client? A. Dextromethorphan B. Montelukast C. Ciprofloxacin D. Propranolol

Correct Answer: D. Propranolol