Exam 2 Practice Questions
A nurse is teaching a client who is taking prednisone for chronic asthma. Which of the following instructions should the nurse include? "Avoid taking nonsteroidal anti-inflammatory drugs." "Rinse your mouth after taking the medication to prevent a yeast infection." "Stop taking the medication if you become nauseous." "Change position slowly when standing up."
"Avoid taking nonsteroidal anti-inflammatory drugs."
A nurse is teaching a client who has a prescription for albuterol via inhaler and fluticasone/salmeterol 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. Albuterol will decrease inflammation. Albuterol will reduce nasal secretions. Fluticasone will reduce the adverse effects of albuterol.
Albuterol will increase the absorption of fluticasone.
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? Thins mucus Relaxes bronchial smooth muscle Decreases inflammation Increases the cough threshold
Decreases inflammation
A nurse is teaching a client who is beginning fluticasone propionate/salmeterol therapy. Which of the following instructions should the nurse include? Take the drug as needed for acute asthma. Follow a low-sodium diet. Use an alternate-day dosing schedule. Increase weight-bearing activity.
Increase weight-bearing activity.
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? Fever Bruising Polyuria Palpitations
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? Increases leukocyte activity Blocks muscarinic receptors Causes bronchodilation Reduces inflammation
Reduces inflammation
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 Constipation Normal sinus rhythm Somnolence
Seizures
A nurse is teaching a client about montelukast. Which of the following instructions should the nurse include? Use a spacer to improve inhalation. Take the drug at the onset of bronchospasm. Rinse mouth to prevent an oral fungal infection. Take the drug once a day in the evening.
Take the drug once a day in the evening.
A nurse is teaching a client about ipratropium. The nurse should include that this drug has which of the following adverse effects. Select all Muscle tremors Urinary retention Dry mouth Insomnia Tachycardia
Urinary retention Dry mouth
A nurse is teaching a client about ipratropium. Which of the following instructions should the nurse include? Do not drink anything for 30 min after using the drug. Wait 5 min between using the drug and another inhaled drug. This drug is used to thin respiratory secretions. Check pulse rate after inhaling the drug.
Wait 5 min between using the drug and another inhaled drug.
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 To increase the amount of drug delivered to the oropharynx To increase the amount of drug delivered on exhalation To increase the speed of drug delivery into the mouth
To increase the amount of drug delivered to the lungs
A nurse is teaching a client about using intranasal glucocorticoids. Which of the following instructions should the nurse give? Start at a low dose and gradually increase it. Take the drug as needed for nasal congestion. Allow at least 2 weeks for the full therapeutic effect. Use the drug prior to exercise.
Allow at least 2 weeks for the full therapeutic effect.
