ATI (Pharm) Respiratory {Term 3} Extra
Whenever there is a possibility that a client may develop a severe allergic reaction, which drug should the nurse plan to have available? A) Codeine sulfate B) Morphine sulfate C) Epinephrine (Adrenalin) D) Dopamine (Intropin)
Epinephrine (Adrenalin)
When a patient is taking a glucocorticoid medication with aspirin, which of the following is the most likely complication? A) Hypokalemia B) tachypnea C) GI bleeding D) Potassium wasting
GI bleeding
A nurse volunteers to administers influenza vaccine to older adults during a community-wide immunizations campaign. Which questions is essential for the nurse to ask before administering the influenza vaccine? A) "Are you allergic to eggs or egg products?" B) "Have you had influenza in the past year?" C) "Did you receive pneumonia vaccine last year?" D) "Do you have a history of respiratory disease?"
"Are you allergic to eggs or egg products?"
Which instruction regarding guaifenesin (Robitussin AC) is most appropriate to tell the client with a persistent upper respiratory infection? A) "Drink more fluid during the day." B) "Do not take the drug more frequently than prescribed." C) "Warm the cough syrup to make it more palatable." D) Avoid taking the medication before going to sleep."
"Do not take the drug more frequently than prescribed."
A homeless client diagnosed with tuberculosis continues to have evidence of the tubercle bacilli in his sputum after 6 weeks of drug therapy. Which question is most important for the nurse to ask at this time? A) "Have you taken all your medications as prescribed?" B) "When did you last take your prescribed medication?" C) "How many drug refills have you obtained?" D) "Have you experienced any drug side effects?"
"Have you taken all your medications as prescribed?"
A nurse is reinforcing discharge teaching with a client who has COPD and has a new prescription for albuterol (Proventil). Which of the following statements made by the client indicates an understanding of the teaching? A) "I can have mouth sores while taking this medication." B) "I can have an increase in my heart rate while taking this medication." C) "This medication can increase my blood sugar levels." D) "This medication can decrease my immune response."
"I can have an increase in my heart rate while taking this medication."
A nurse is reinforcing teaching to a client who has active tuberculosis. The provider has prescribed the following medication regimen: isoniazid (Nydrazid) 250mg PO daily, rifampin (Rifadin) 500mg PO daily, pyrazinamide 750mg PO daily, and ethambutol (Myambutol) 1 mg PO daily. Which of the following client statements indicate understanding of the teaching? (Select all that apply.) A) "I am glad I don't have to have any more sputum specimens." B) "I will wear a mask when I am in a public area." C) "I will wash my hands each time I cough." D) "I can substitute one medication for another if I run out because they all fight infection." E) "I don't need to worry where I go once I start taking my medications." F) None of these choices are correct
"I will wear a mask when I am in a public area." "I will wash my hands each time I cough."
A nurse is caring for a client who has a new diagnosis of tuberculosis and has been placed on a multimedication regimen. Which of the following instructions should the nurse reinforce with the client related to the medication ethambutol (Myambutol)? A) "Watch for a change in the sclera of your eyes." B) "Take vitamin B" C) "Watch for any changes in vision." D) "Your urine may turn a dark orange."
"Watch for any changes in vision."
A nurse is preparing to administer a new prescription for isoniazid (INH) to a client who has tuberculosis. Which of the following is an appropriate statement by the nurse about this medication? A) "You may notice yellowing of your skin." B) "You may experience pain in your joints." C) "You may Experience a loss of appetite." D) "You may notice tingling of your hands."
"You may notice tingling of your hands."
What is the normal theophylline level? A) 105 to 315 mcg/mL B) 10 to 20 mcg/mL C) 67 to 75 mg/mL D) 55 to 75 mg/mL
10 to 20 mcg/mL
What is the normal theophylline level? A) 105 to 315 mcg/mL B) 10 to 20 mcg/mL C) 67 to 75 mg/ml D) 55 to 75 mg/mL
10 to 20 mcg/mL
Order: Theophylline 160 mg q 8 hours via g-tube for chronic airway obstruction. How many cc will the nurse administer per dose? A) 45 mL B) 115 mL C) 30 mL D) 25 mL
30 mL
The nurse is caring for a client who must take a liquid cough syrup and several other solid oral tablets at the same time. Which technique is most appropriate when administering both types of medication to this client? A) Give the cough syrup between administering the oral tablets. B) Wait 15 minutes after giving the cough syrup before giving the solid tablets C) Administer the solid tablets, then the cough syrup D) Administer the cough syrup, then the solid tablets.
Administer the solid tablets, then the cough syrup
During a visit to the physicians office, a client complains to the nurse that the physician would not prescribe an antibiotic for a head cold. Which explanations by the nurse regarding the use of antibiotics is best? A) Antibiotics are used only for immunosuppressed individuals. B) Antibiotics only prevent the spread of colds to others C) Antibiotics are ineffective after cold symptoms develop D) Antibiotics are ineffective in treating viral infections
Antibiotics are ineffective in treating viral infections
Other than obtaining a vaccination against influenza, which nursing advice is most helpful to high-risk clients who want to avoid getting influenza? A) Consume adequate vitamin C. B) Avoid crowded places. C) Dress warmly in cold weather. D) Reduce daily stress and anxiety.
Avoided crowded places.
A client has been started on long-term therapy with rifampin (Rifadin). A nurse the client that the medication: A) Causes orange discoloration of sweat, tears, urine, and feces B) Should always be taken with food or antacids C) Should be double-dosed if one dose is forgotten D) May be discontinued independently if symptoms are gone in 3 months
Causes orange discoloration of sweat, tears, urine, and feces
A client has begun therapy with theophylline (Theo-24). The nurse tells the client to limit the intake of which of the following while taking this medication? A) Coffee, cola, and chocolate B) Oranges and pineapple C) Oysters, lobsters, and shrimp D) Cottage cheese, cream cheese, and dairy creamers
Coffee, cola, and chocolate
What is the primary therapeutic effect of sympathomimetic bronchodilators? A) Decreased the risk of digoxin B) Dilation of the airways of the respiratory tree C) It cures open angle glaucoma D) Central nervous system depression
Dilation of the airways of the respiratory tree
A client is taking certizine hydrochloride (Zyrtec). The nurse checks for which of the following side effects of this medication? A) Excitability B) Excess salivation C) Drowsiness D) Diarrhea
Drowsiness
A nurse is caring for a client who is to receive fibrinolytic thrombolytic therapy. Which of the following should the nurse recognize as a contraindication to the therapy? A) Elevated sedimentation rate B) Incident of exercise-induced asthma 1 week ago C) Hip arthroplasty 2 weeks ago D) Elevated platelet count
Hip arthroplasty 2 weeks ago
When administering a mucolytic, which of the following nursing actions is appropriate to take to promote an effective airway clearance? A) Limit fluids to 200 mL per day B) Have the patient take the mucolytic after each coughing episode. C) Increase fluid intake to 2000 mL per day. D) Monitor intake and output every 8 hours.
Increase fluid intake to 2000 mL per day.
A client with tuberculosis is being started on antituberculosis therapy with isoniazid (INH). Before giving the client the first dose, a nurse ensures that which of the following baseline studies has been completed? A) Electrolyte levels B) Liver enzyme levels C) Coagulation times D) Serum creatinine level
Liver enzyme levels
A nurse has an order to give a client metaproterenol sulfate (Alupent) (two puffs), and beclomethasone dipropionate (Qvar) (nasal inhalation two puffs) by metered-dose inhaler. The nurse administers the medication by giving the: A) Metaproterenol first and then beclomethasone dipropionate B) Alternating a single puff of each, beginning with the beclomethasone dipropionate C) Beclomethasone dipropionate first and then the metaproterenol D) Alternating a single puff of each, beginning with the metaproterenol
Metaproterenol first and then the beclomethasone dipropionate
Which of the following are common side effects of glucocorticoids? A) Swollen lips, big ears, square chin B) Hirsutism, moles, rash C) Moon face, buffalo hump. Truncal obesity D) Man hands, big feet, hairy legs
Moon face, buffalo hump. Truncal obesity
The nurse correctly administers montelukast (Singulair) A) twice daily in the morning and evening B) Once daily in the evening C) Three times a day with meals D) once daily in the morning
Once daily in the evening
The prescribed dose of the client's liquid cough syrup is 5 mL. Which household measurement should the nurse use when teaching the client how to self-administer the prescribed amount of liquid cough syrup? A) One tablespoon B) One ounce C) One capful D) One teaspoon
One teaspoon
A client has been taking isoniazid (INH) for 2 months. The client complains to a nurse about numbness, paresthesias, and tingling in the extremities. The nurse interprets that the client is experiencing: A) Small blood vessel spasm B) Hypercalcemia C) Peripheral neuritis D) Impaired peripheral circulation
Peripheral neuritis
A client with a persistent upper respiratory infection develops acute bronchitis and is given a prescription for guaifenesin (Robitussin AC), an antitussive that contains codeine. Besides the characteristics of the clients cough, which others pertinent assessment findings should the nurse document? A) Current vital signs B) Any self-treatment measures used by the client C) Family history of respiratory disease D) Presence of respiratory secretions
Presence of respiratory secretions
When teaching the client with a cold about topical nasal decongestants, the nurse should warn him that overuse of such medication is likely to result in which adverse effect? A) Nasal congestion and slowing of the heart rate B) Ulceration of the mucous membranes C) Decreased ability to fight microorganisms D) Rebound effects with nasal stuffiness
Rebound effects with nasal stuffiness
A client is to begin a 6-month course of therapy with isoniazid (INH). A nurse plans to teach the client to : A) Increase intake of Swiss or aged cheeses B) Avoid vitamin supplements during therapy C) Drink alcohol in small amounts only D) Report yellow eyes or skin immediately
Report yellow eyes or skin immediately
A client is receiving acetylcysteine (Mucomyst), 20% solution diluted in 0.9% normal saline by nebulizer. The patient has thick secretions and has been complaining of shortness of breath. The nurse should have which item available for possible use after giving this medication? A) Suction equipment B) Ambu bag C) Intubation tray D) Nasogastric tube
Suction equipment
When the client with a persistent upper respiratory infection asks why the physician prescribed guaifenesin (Robitussin AC), an antitussive that contains codeine, the nurse correctly responds that the guaifenesin liquefies mucus while the codeine is responsible for which action? A) Suppressing coughing B) Relieving discomfort C) Dilating the bronchi D) Reducing inflammation
Suppressing coughing
A client with an order to take theophylline (Theolair-SR) daily has been given medication instructions by the nurse. The nurse determines that the client needs further information about the medication if the client states that he or she will: A) Drink at least 2 L fluid per day B) Take the daily dose at bedtime C) Avoid changing brands of the medication without physician approval D) Avoid over-the-counter (OTC) cough and cold medications unless approved by the physician
Take the daily dose at bedtime
A client taking fexofenadine (Allegra) is scheduled for allergy skin testing and tells the nurse in the physicians office that a dose was taken this morning. The nurse determines that: A) A higher dose of allergens will need to be injected B) The client should have the skin test ready a day later than usual C) A lower dose of allergen will need to be injected D) The client should reschedule the appointment
The client should reschedule the appointment
True or false: Acetaminophen (Tylenol) is an antidote to opioids and may also be given to the postoperative clients to treat respiratory depression. A) This is a true statement B) This is a false statement C) Do not choose this as an option D) Do not choose this as an option
This is a false statement
True or False: A common side effect of INH is peripheral neuritis. This is manifested by numbness, tingling, and paresthesias in the extremities. This side effect can be minimized by pyridoxine (vitamin B6) intake. A) This is a true statement. B) This is a false statement. C) Do not choose this as an option. D) Do not choose this as an option.
This is a true statement.
Older adults are at increased risk for experiencing adverse reactions when taking the decongestants. Overdosage of the decongestants may cause A) hallucinations B) a hypotensive crisis C) hypertension D) migraine headaches
hallucinations
A nurse is caring for a client who has COPD and a new prescription prednisone. which of the following should the nurse monitor for? (Select all that apply) A) fluid retention B) hypokalemia C) tachycardia D) nausea E) black, tarry stools F) all of these choices are correct
hypokalemia fluid retention black, tarry stools
When administering aminophylline, a xanthine derivative bronchodilating drug, the nurse monitors the patient for adverse reactions, which include A) hypoglycemia and hypothyroidism B) Somnolence and lethargy C) bradycardia and bronchospasm D) restlessness and nervousness
restlessness and nervousness
A postoperative client has received a dose of naloxone hydrochloride for respiratory depression shortly after transfer to the nursing unit from the postanesthesia care unit. Following administration of the medication, the nurse checks the client for: A) pupillary changes B) sudden increase in pain C) scattered lung wheezes D) sudden episodes of diarrhea
sudden increase in pain
