Pharmacology - Respiratory System

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? 1. ipratropium 2. beclomethasone 3. acetylcysteine 4. azelastine

Acetylcysteine ; this is a mucolytic that loosens thick respiratory secretions

What should be included in client teaching about zileuton? 1. check apical pulse before taking the drug 2. take the drug only as needed before exercising 3. rinse mouth after using the drug 4. have lab tests performed at regular intervals.

Have lab tests performed at regular intervals ; zileuton, a leukotriene modifier, can cause liver injury. Liver function tests should be performed regularly during the first year of treatment.

Which of the following manifestations is an adverse effect to phenylephrine? 1. headache 2. sleepiness 3. hypotension 4. constipation

Headache

A nurse is teaching a client who is beginning fluticasone propionate/salmeterol therapy. Which of the following instructions should the nurse include? 1. take the drug as needed for acute asthma 2. follow a low-sodium diet 3. use an alternate-day dosing schedule 4. increase weight-bearing activity

Increase weight-bearing activity ; bone loss is an adverse effect of fluticasone propionate/salmeterol

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? 1. suppresses the cough stimulus 2. reduces surface tension 3. reduces inflammation 4. dries mucous membranes

Reduces surface tension ; reduce the surface tension and viscosity of respiratory secretions.

A nurse is caring for a client who is taking codeine. The nurse should identify that which of the following assessments is a priority to make? 1. blood pressure 2. apical heart rate 3. respirations 4. level of consciousness

Respirations ; the greatest risk to clients is severe respiratory depression.

Which of the following findings indicates theophylline toxicity? 1. seizures 2. constipation 3. normal sinus rhythm 4. somnolence

Seizures ; toxicity occurs when plasma drug level are greater than 30mcg/mL. Other manifestations of toxicity are diarrhea, severe dysrhythmias, restlessness and insomnia.

What should be included in client teaching about montelukast? 1. use a spacer to improve inhalation 2. take the drug at the onset of bronchospasm 3. rinse mouth to prevent an oral fungal infection 4. take the drug once a day in the evening

Take the drug once a day in the evening

Ipratropium has which of the following adverse effects? SATA - muscle tremors - urinary retention - dry mouth - insomnia - tachycardia

Urinary retention, Dry mouth

What should be included in client teaching about ipratropium? 1. do no drink anything for 30 min after using the drug 2. wait for 5 min between using the drug and another inhaled drug 3. this drug is used to thin respiratory secretions 4. check pulse rate after inhaling the drug

Wait 5 min between using the drug and another inhaled drug