ATI - The Respiratory System

A nurse is caring for a patient who is having difficulty mobilizing thick respiratory secretions. Which of the following drugs should the nurse expect to administer to the client? a. ipratropium b. beclomethasone c. acetylcysteine d. azelastine

c. acetylcysteine

A nurse is teaching a client who is taking prednisone for acute asthma exacerbation. Which of the following instructions should the nurse include? a. "avoid taking nonsteroidal anti-inflammatory drugs." b. "rinse your mouth after taking the medication to prevent a yeast infection." c. "stop taking the medication if you become nauseous." d. "change position slowly when standing up."

a. "avoid taking nonsteroidal anti-inflammatory drugs."

A nurse is teaching a client who has a prescription for albuterol via inhaler and fluticasone (Advair) via inhaler for asthma management. For which fo the following reasons should the nurse instruct the client to use the albuterol inhaler before the fluticasone inhaler? a. albuterol will increase the absorption of fluticasone b. albuterol will decrease inflammation c. albuterol will reduce nasal secretions d. fluticasone will reduce the adverse effects of albuterol

a. albuterol will increase the absorption of fluticasone.

Legal restrictions apply to the purchase of pseudoephedrine (Sudafed) because of which of the following risks? a. respiratory depression b. drug abuse c. drug tolerance d. rebound congestion

a. drug abuse

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? a. headache b. sleepiness c. hypotension d. constipation

a. headache

For which of the following reasons should a nurse instruct a client to avoid taking guaifenesin with combination over-the-counter cold products? a. over-the-counter cold products also contain guaifenesin b. blood glucose levels are increased c. rebound congestion is likely d. drug tolerance is likely

a. over-the-counter cold products also contain guaifenesin

A nurse is teaching a client about the adverse effects of pseudoephedrine (Sudafed). Which of the following should the nurse include? Select all that apply (3) a. restlessness b. bradycardia c. insomnia d. muscle pain e. anxiety

a. restlessness c. insomnia e. anxiety

For which of the following reasons should a patient attach a spacer to a metered-dose inhaler? a. to increase the amount of drug delivered to the lungs b. to increase the amount of drug delivered to the oropharynx c. to increase the amount of drug delivered on exhalation d. to increase the speed of drug delivery into the mouth

a. to increase the amount of drug delivered to the lungs

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? a. muscle tremors b. drowsiness c. excitation d. insomnia

b. drowsiness

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 actions? a. suppresses the cough stimulus b. reduces surface tension c. reduces inflammation d. dries mucous membranes

b. reduces surface tension

a nurse is teaching a client about ipatropium (Atrovent). The nurse should include that this drug has which of the following adverse effects? Select all that apply (2) a. muscle tremors b. urinary retention c. dry mouth d. insomnia e. tachycardia

b. urinary retention c. dry mouth

A nurse is teaching a client about ipratropium (Atrovent). Which of the following instructions should the nurse include? a. do not drink anything for 30 min after using the drug b. wait 5 min between using the drug and another inhaled drug c. this drug is used to thin respiratory secretions d. check pulse rate after inhaling the drug

b. wait 5 min between using the drug and another inhaled drug

A nurse should identify that dextromethorphan (Robitussin) can have which of the following effects when combined with morphine? a. reduced antituissive effect of dextromethophan b.potentiation of depression of CNS actions c. increased renal reabsorption of the dextromethorphan d. delayed analgesic effect of the opioid

b.potentiation of depression of CNS actions

A nurse is teaching a client about using intranasal glucocorticoids. Which of the following instructions should the nurse give? a. start at a low dose and gradually increase it b. take the drug as needed for nasal congestion c. allow at least 2 weeks for the full therapeutic effect d. use the drug prior to exercise

c. allow at least 2 weeks for the full therapeutic effect

A nurse is teaching a client about the use of beclomethasone (Beconase AQ), an intranasal glucocorticoid, to treat asthma. The nurse should explain that the drug has which of the following therapeutic effects? a. thins mucus b. relaxes bronchial smooth muscle c. decreases inflammation d. increases the cough threshold

c. decreases inflammation.

A nurse is teaching a client about the use of antihistamines to treat allergic rhinitis. The nurse should explain that these drugs are effective because they perform which of the following actions? a. decrease viscosity of nasal secretions b. block H2 receptors c. prevent histamines from binding to receptors d. reduce nasal congestion

c. prevent histamines from binding to receptors

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? a. blood pressure b. apical heart rate c. respirations d. level of consciousness

c. respirations

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? a. suppresses the cough stimulus b. reduces inflammation c. thins and loosens mucus d. dries secretions

c. thins and loosens mucus

A nurse should recognize that using pseudoephedrine (Sudafed) to treat allergic rhinitis requires cautious use with clients who have which of the following conditions? a. peptic ulcer disease b. a seizure disorder c. anemia d. coronary artery disease

d. coronary artery disease

A nurse is teaching a client who has a prescription for zileuton. Which of the following instructions should the nurse include? a. check apical pulse before taking the drug b. take the drug only as needed before exercise c. rinse mouth after using the drug d. have laboratory tests performed at regular intervals

d. have laboratory tests performed at regular intervals

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

d. increase weight-bearing activity

A nurse is teaching a client about albuterol (Proventil). The nurse should instruct the client to monitor for and report which of the following as an adverse effect of this drug? a. fever b. bruising c. polyuria d. palpitations

d. palpitations

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? a. increases leukocyte activity b. blocks muscarinic receptors c. causes bronchodilation d. reduces inflammation

d. reduces inflammation

A nurse is teaching a client about montelukast (Singulair)? Which of the following instructions should the nurse include? a. use a spacer to improve inhalation b. take the drug at the onset of bronchospasm c. rinse mouth to prevent an oral fungal infection d. take the drug once a day in the evening

d. take the drug once a day in the evening

A nurse is monitoring plasma drug levels in a patient who is taking theophylline (a methylxanthine). Which of the following findings should you expect to see if the client's level indicates toxicity? a. seizures b. constipation c. normal sinus rhythm d. somnolence

a. seizures