NCLEX- RESPIRATORY MEDS
The nurse is giving discharge instructions to the client concerning theophylline. Which client statement indicates a need for further teaching?
"I can keep on being the charcoal grill king and eat a lot of beef steak."
The nurse is giving discharge instructions to the client concerning theophylline. Which client statement indicates a need for further teaching?
"I need to drink plenty of fluids, so I will drink more coffee and tea."
A client with a prescription to take theophylline daily has been given medication instructions by the nurse. The nurse determines that the client needs further teaching about the medication if the client makes which statement?
"I will take the daily dose at bedtime."
A client has a prescription to take guaifenesin every 4 hours, as needed. The nurse determines that the client understands the most effective use of this medication if the client makes which statement?
"I will take the tablet with a full glass of water."
Albuterol, two puffs and fluticasone propionate, two puffs by metered-dose inhaler have been prescribed for a client with chronic obstructive pulmonary disease. The nurse caring for the client provides instructions regarding administration of the medication. Which statement by the client indicates an understanding of how to take these medications?
"I will take the two puffs of the albuterol first and then the two puffs of the fluticasone propionate."
A client with tuberculosis (TB) will be treated with isoniazid and rifampin. The nurse is reinforcing instructions for the client regarding these medications. Which statement should the nurse plan to provide to the client?
"The entire prescribed course of the medication needs to be completed."
Rifabutin is prescribed for a client with active Mycobacterium avium complex (MAC) disease and tuberculosis. The nurse should monitor for which side/adverse effects of the medication? Select all that apply. 1.Signs of hepatitis 2.Flu-like syndrome 3.Low neutrophil count 4.Vitamin B6 deficiency 5.Ocular pain or blurred vision 6.Tingling and numbness of the fingers
1, 2, 3, 5
The nurse is checking a client who is taking theophylline for possible toxicity. Which signs and symptoms indicate theophylline toxicity? Select all that apply. 1.Flushing 2.Insomnia 3.Headache 4.Decreased wheezing 5.Nausea and vomiting 6.Serum theophylline level of 19 mcg/mL
1, 2, 3, 5
A child with respiratory syncytial virus (RSV) has been prescribed ribavirin. Which nursing actions should be implemented? Select all that apply. 1.Ribavirin is administered by fine aerosol mist via a mist tent. 2.Individuals who wear contact lenses caring for the child may develop conjunctivitis. 3.The mist tent should be opened immediately after the treatment to give care to the child. 4.When changing the bed, bed linens should be rolled up quickly and placed in the linen hamper. 5.Women who are of childbearing age, pregnant, or breastfeeding should not care for the child.
1, 2, 5
The nurse is reviewing the medication profile of a client taking theophylline. Which medications can increase the risk of theophylline toxicity? Select all that apply. 1.Rifampin 2.Phenytoin 3.Cimetidine 4.Corticosteroids 5.Fluoroquinolones
3, 4, 5
A client is monitoring a client receiving theophylline to treat symptoms of chronic obstructive pulmonary disease (COPD). Which adverse effects require immediate consultation with the primary health care provider? Select all that apply. 1.Anxiety 2.Diarrhea 3.Seizures 4.Insomnia 5.Irregular heartbeat
3, 5
The nurse has a prescription to give a client albuterol (two puffs) and beclomethasone dipropionate (two puffs) by metered-dose inhaler. How much time should the nurse place between administering the albuterol and then the beclomethasone dipropionate?
5 minutes
Isoniazid is prescribed for a 2-year-old child with a positive tuberculin skin test. The mother of the child asks the nurse how long the child will need to take the medication. Which time frame is the appropriate response to the mother?
9 months
A child is brought to the emergency department for treatment of an acute asthma attack. The nurse prepares to administer which medication first?
A β2-agonist
A client has a prescription to receive albuterol, two puffs and beclomethasone dipropionate, two puffs by metered-dose inhaler. Which should the nurse plan when administering these medications?
Administering the albuterol before the beclomethasone dipropionate
A hospitalized client with allergic asthma has been started on cromolyn sodium inhaler. The nurse assists in preparing a plan of care and includes monitoring for undesirable side effects associated with the use of this medication. The nurse places the highest priority on monitoring for which side effect?
Bronchospasm
The nurse has observed a client self-administer a dose of metaproterenol sulfate via metered-dose inhaler. Within a short time, the client begins to wheeze loudly. Which interpretation should the nurse make of this occurrence?
Bronchospasm, which must be reported to the primary health care provider
A client has been started on long-term therapy with rifampin. Which information about this medication should the nurse provide to the client?
Causes red-orange discoloration of sweat, tears, urine, and feces
Levalbuterol via inhalation is prescribed for a client with a diagnosis of emphysema. The nurse reinforces instructions to the client regarding the medication and teaches the client about the dietary restrictions that must be implemented while taking this medication. The nurse determines that the client understands the dietary instructions when the client states he will avoid which food choice?
Cocoa
A client has begun therapy with theophylline. The nurse tells the client to limit the intake of which while taking this medication?
Coffee, cola, and chocolate
A primary health care provider has prescribed codeine sulfate for a client with a nonproductive cough to suppress the cough reflex. The nurse reinforces instructions given to the client about the medication and tells the client to monitor for which side effect?
Constipation
A client has been taking benzonatate as prescribed. The nurse determines that the medication is having the intended effect if the client experiences which response?
Decreased frequency and intensity of cough
The nurse reinforces client instructions about ethambutol. The nurse determines that the client understands the instructions if the client indicates to report which occurrence?
Difficulty discriminating the color red from green
A client is taking brompheniramine. The nurse reinforces instructions to the client to expect which side effect of this medication?
Drowsiness
A client is taking cetirizine hydrochloride. The nurse should check for which side effect of this medication?
Drowsiness
The nurse has just been given a prescription to administer albuterol to a client. The nurse evaluates the effectiveness of the medication by checking which parameters before and during therapy?
Dyspnea and lung sounds
A client diagnosed with pleurisy is being started on medication therapy with ibuprofen. Which statement by the nurse accurately describes the purpose of the medication for the client?
Ibuprofen is a nonsteroidal anti-inflammatory medication to enhance coughing and deep breathing.
The nurse is monitoring a client who is receiving a dose of an adrenergic bronchodilator. The nurse plans to monitor for which side effect of this medication?
Increased pulse and blood pressure
A client with tuberculosis is being started on antituberculosis therapy with isoniazid. Before giving the client the first dose, the nurse ensures that which baseline study has been completed?
Liver enzyme levels
A client with tuberculosis is being started on antitubercular therapy with isoniazid. The nurse reviews the client's health care record to be sure that which baseline studies have been completed before giving the client the first dose?
Liver enzymes
The nurse is collecting data on a client admitted to the hospital with a diagnosis of a respiratory infection unresponsive to oral antibiotics. The nurse discovers that the client has a history of bronchial asthma and has been taking zafirlukast. The nurse assists in developing a plan of care for the client and suggests monitoring of which data?
Liver function tests
A client has been taking isoniazid for 2 months. The client complains to the nurse about numbness, paresthesia, and tingling in the extremities. The nurse interprets that the client is experiencing which problem?
Peripheral neuritis
The nurse has given a client taking ethambutol information about the medication. The nurse determines that the client understands the instructions if the client states to report which occurrence immediately?
Problems with visual acuity
A licensed practical nurse has observed a client self-administer a dose of an adrenergic bronchodilator via metered-dose inhaler. Within a short time, the client begins to wheeze loudly. Which action should the nurse take?
Report the client's symptoms to the registered nurse (RN).
A client is to begin a 6-month course of therapy with isoniazid. The nurse should plan to provide which information to the client?
Report yellow eyes or skin immediately.
A registered nurse has administered a dose of naloxone intravenously to a client with intravenous opioid overdose. The licensed practical nurse assigned to assist in monitoring the client ensures that which equipment is available in the immediate vicinity of the client?
Resuscitation equipment
Cycloserine is added to the medication regimen for a client with tuberculosis. Which instruction should the nurse suggest to include in the client teaching plan regarding this medication?
Return to the clinic weekly for serum drug levels.
A client is receiving acetylcysteine, 20% solution diluted in 0.9% normal saline by nebulizer. The nurse should have which item available for a possible adverse event after giving this medication?
Suction equipment
A client with respiratory congestion is scheduled to receive acetylcysteine 20% solution diluted in 0.9% normal saline by nebulizer. The nurse checks the client's room to ensure that which equipment is available for use following administration of this medication?
Suction equipment
A postoperative client has received a dose of naloxone for respiratory depression. The nurse anticipates that the client will have which additional effect from the administration of this medication?
Sudden increase in pain
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. After administration of the medication, the nurse should check the client for which sign/symptom?
Sudden increase in pain
A client has a new prescription to take guaifenesin every 4 hours as needed. Which medication instructions should the nurse reinforce?
Take the tablet with a full glass of water.
A newborn infant receives naloxone hydrochloride to reverse opiate-induced respiratory depression that occurred following labor and delivery. For which reason would the nurse continue to monitor the respiratory status of a newborn infant following the administration of this medication?
The newborn infant may demonstrate a reappearance of respiratory depression.
Cycloserine is added to the medication regimen for a client with tuberculosis. Which instruction should the nurse reinforce in the client-teaching plan regarding this medication?
To return to the clinic weekly for serum drug-level testing
Ribavirin is prescribed for the hospitalized child with respiratory syncytial virus (RSV). The nurse prepares to administer this medication via which route?
Via face mask
The nurse is providing instructions to a client taking ethambutol about the medication. The nurse instructs the client to contact the primary health care provider immediately if which occurs?
Visual disturbances
Which precautions should the nurse specifically take during the administration of ribavirin to a child with respiratory syncytial virus (RSV)?
Wearing goggles
