Pharm made easy: Respiratory System test

For which of the following reasons should a nurse instruct a client to avoid taking guaifenesin with combination OTC cold products? -OTC cold products can also contains guaifenesin -blood glucose levels are increased -rebound congestion is likely -drug tolerance is likely

-OTC cold products can also contains guaifenesin

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? -ipratropium -beclomethasone -acetylcysteine -azelastine

-acetylcysteine

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 using intranasal glucocorticoids. Which of the following instructions should the nurse give? -start at a low dose & 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

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 med to prevent a yeast infection -stop taking the med if you become nauseous -change position slowly when standing up

-avoid taking nonsteroidal anti-inflammatory drugs

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

-coronary artery disease (CAD)

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 an adult client about diphenhydramine. The nurse should inform the client to expect which of the following adverse effects while taking this drug? -muscle tremors -drowsiness -excitation -insomnia

-drowsiness

Legal restrictions apply to the purchase of pseudoephedrine because of which of the following risks? -respiratory depression -drug abuse -drug tolerance -rebound congestion

-drug abuse

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

-have lab tests performed at regular intervals

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 -sleepiness -hypotension -constipation

-headache

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 & report which of the following as an adverse effect of this drug? -fever -bruising -polyuria -palpitations

-palpitations

A nurse should identify that dextromethorphan can have which of the following effects when combined with morphine? -reduced antitussive effect of dextromethorphan -potentiation of depression of CNS actions -increased renal reabsorption of the dextromethorphan -delayed analgesic effect of the opoid

-potentiation of depression of CNS actions

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? -decrease viscosity of nasal secretions -block H2 receptors -prevent histamine from binding to receptors -reduce nasal congestion

-prevent histamine from binding to receptors

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 -reduced inflammation

-reduced inflammation

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 therapeutic effects? -suppressed the cough stimulus -reduces surface tension -reduces inflammation -dries mucous membranes

-reduces 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? -BP -apical heart rate -respirations -level of consciousness

-respirations

A nurse is teaching a client about the adverse effects of pseudoephedrine. Which of the following should the nurse include? (select all that apply) -restlessness -bradycardia -insomnia -muscle pain -anxiety

-restlessness -insomnia -anxiety

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 client's 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 the use of a mucolytic to treat a cough. The nurse should include that a mucolytic has which of the following therapeutic effects? -suppresses the cough stimulus -reduces inflammation -thins & loosens mucus -dries secretions

-thins & loosens mucus

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 ipratropium. The nurse should include that this drug has which of the following adverse effects? (select all that apply) -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 & another inhaled drug -this drug is used to thin respiratory secretions -check pulse rate after inhaling this drug

-wait 5 min between using the drug & another inhaled drug