ATI Pharm Made Easy RESPIRATORY
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?
Acetylcysteine (Mucomyst)
You are instructing a client who has a new prescription for cetirizine. Which of the following information should you be sure to include?
Administer the drug prophylactically during allergy season. Cetirizine is used primarily to relieve symptoms associated with seasonal allergic rhinitis.
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 to use the albuterol inhaler before using the fluticasone inhaler?
Albuterol will increase the absorption of fluticasone.
A nurse is teaching a client about using intranasal glucocorticoids. Which of the following instructions should the nurse give?
Allow 2-3 weeks to experience the full therapeutic effect.
You should recognize that which of the following is a contraindication for taking codeine?
Emphysema Codeine is unsafe for clients who have decreased respiratory reserve, such as with emphysema or asthma.
You are instructing a client about using cromolyn via inhalation to treat exercise induced bronchospasm. You advised the client to take the drug when?
15 minutes before exercise.
A nurse is teaching a client about montelukast. Which of the following instructions should the nurse include?
Take it once daily in the evening.
You should monitor a client taking dextromethorphan because of the potential for which of the following?
Drug abuse Dextromethorphan can cause euphoria and hallucinations at high doses. Monitor clients taking it for the potential for abuse.
A nurse is teaching a client about ipratropium. The nurse should include that this drug has which of the following adverse effects? SATA
Dry mouth Urinary retention Any ANTI-Cholinergic effects such as dry mouth, constipation, urinary retention, etc.
You should advise a client who is using a beclomethasone oral inhaler to watch for which of the following possible indications of an adverse effect of this drug?
A white coating on the tongue or in the mouth. This is Thrush, an oral fungal infection.
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 NSAIDS due to the risk of GI bleeds.
A nurse is teaching an adult client about diphenhydramine. The nurse should inform the client to expect which of the following adverse effects while taking this drug?
Drowsiness
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?
Decreases inflammation
You are obtaining a health history from a client who is to start using a new ipratropium inhaler. Which of the following information from the client's history alerts you to take further action? SATA
Glaucoma Urinary Retention
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
You should instruct a client using phenylephrine spray for nasal congestion to do which of the following to avoid rebound congestion?
Limit the use to 3 to 5 days.
For which of the following reasons should a nurse instructed client to avoid taking guaifenesin with combination over-the-counter cold products?
Over-the-counter cold products can also contain guaifenesin. This would mean that the client is taking too much of the drug and is at risk for adverse effects.
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?
Palpitations
A nurse is teaching a client about the use of an expectorant to treat a cough. The nurse should include that in expectorant has which of the following therapeutic effects?
Reduce surface tension
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?
Respiration count.
A nurse is teaching a client about the adverse effects of pseudoephedrine. Which of the following should the nurse include? SATA
Restlessness Insomnia Anxiety
Which of the following information indicates that a client who is taking Theophylline needs further instruction?
The client drinks 2 cups of coffee every morning. Caffeine is contraindicated with this medication.
A nurse is teaching a client about the use of anti-histamines to treat allergic rhinitis. The nurse should explain that these drugs are effective because they perform which of the following actions?
They prevent antihistamines from binding to the receptors.
A nurse is teaching a client about the use of a mucolytic to treat a cough. The nurse should include that a mucolytic has which of the following therapeutic effects?
Thins and loosens up secretions.
For which of the following reasons should a client attach a spacer to a metered dose inhaler?
To increase the amount of drug delivered to the lungs.
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?
To reduce inflammation in the lungs.
Which of the following information should you include when teaching a client about the use of an albuterol inhaler for asthma management?
Use it periodically to prevent exercise induced asthma (EIB).
A nurse is teaching a client about ipratropium. Which of the following instructions should the nurse include?
Wait 5 minutes between using the drug and another inhaled drug.
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 clients drug level indicates toxicity?
Seizures
