Pharm Respiratory Test PrepU

Which health education topic is most important to share with a client diagnosed with asthma?

"Exposure to cold temperatures can trigger asthma."

The nurse has finished teaching a 15-year-old client how to use an inhaler to treat asthma. What statement by the client suggests an understanding of the teaching?

"I need to shake the inhaler well before taking the medication."

When teaching a client about using a decongestant in a nasal spray form, which instruction would the nurse include? Select all that apply.

"Overuse can make the symptoms return.", "Know that nasal burning or stinging may occur."

The nurse is teaching a 61-year-old client about the narcotic antitussive syrup that the health care provider has prescribed. Which client statement suggests understanding of what the nurse has taught?

"This medication might cause drowsiness, so I will avoid driving while I use it."

A client has been admitted to a health care facility with asthma. The nurse is to administer theophylline to the client. To which clients can the nurse safely administer theophylline?

A 65-year-old male with asthma

After reviewing information about drugs used to treat lower respiratory system conditions, a group of nursing students demonstrate understanding of the information when they identify which as an example of a short-acting beta-2 agonist (SABA)?

Albuterol

A client asks, "What is the difference between antitussive medications and expectorants?" What information should the nurse's response be based upon?

Antitussives suppress coughing while expectorants loosen bronchial secretions.

When teaching a patient who is receiving pseudoephedrine about possible adverse effects, what would the nurse include? (Select all that apply.)

Anxiety, hypertension, restlessness

The nursing instructor is teaching a session explaining the various drugs used to treat chronic obstructive pulmonary disease (COPD). The instructor determines the session is successful when the students correctly choose which conditions as being considered part of the COPD spectrum? Select all that apply.

Asthma and chronic bronchitis

A client is in the clinic to have blood drawn to assess theophylline levels. The client appears to being responding well to the medication and is not experiencing any adverse effects. What serum level will the nurse expect the client to have?

Between 10 and 20 mcg/mL

The nurse is monitoring a client for the effectiveness of a prescribed decongestant. Which factors should the nurse prioritize in the ongoing assessment? Select all that apply.

Blood pressure, Level of congestion, Therapeutic effect

A client is prescribed oxymetazoline. Which assessment data would indicate that the drug is effective?

Breathing pattern is regular and without difficulty.

When providing health education to an adult who is taking an over-the-counter (OTC) combination cold and cough remedy, the nurse should encourage the client to implement what intervention to best assure medication safety?

Carefully read the label and adhere to the guidelines for use.

A client is questioning the use of eucalyptus as a decongestant. The nurse should point out that eucalyptus is contraindicated for which clients? Select all that apply.

Children younger than 2 yrs of age, lactating females and pregnant women

A client has been taking an over-the-counter (OTC) cough medicine for the last 2 weeks. The client is still coughing and now complains of a headache and chest pain. This client should be instructed to do which?

Consult PCP

A client with asthma is preparing to go home after being hospitalized with an acute attack with a new prescription for fluticasone/salmeterol inhalant. Which points should the nurse prioritize in the discharge teaching? Select all that apply.

Continue to carry a rescue inhaler, Check peak flow daily, Rinse mouth after each use.

The nursing instructor is teaching a session explaining mast cell stabilizers. The instructor determines the session is successful when the students correctly choose which drug as an example?

Cromolyn

A nurse is preparing to teach a client with asthma about the prescribed medication. The nurse will point out the increased risk of developing Candida albicans with which medication? Select all that apply.

Cromolyn, Fluticasone, Budesonide/formoterol

A nurse is preparing to administer diphenhydramine to a client with bronchial irritation. Which activity should the nurse prioritize during the preadministration assessment?

Document color and amount of any sputum present.

The nurse determines the appropriate nursing diagnosis for a client is Ineffective Airway Clearance. Which instructions will the nurse prioritize for this client? Select all that apply.

Encouraging increased fluid intake, Assisting the client in taking deep, diaphragmatic breaths, Encouraging the client to change positions

A nurse is teaching a client diagnosed with asthma about the disease. Which should the nurse instruct the client to avoid because it may cause bronchoconstriction?

Extremely cold temperatures

A client presents at the clinic with a dry nonproductive cough. The client is diagnosed with bronchitis, and it has been determined that assistance is needed in thinning the sputum so the cough can become productive. What does the nurse expect the provider will prescribe?

Guaifenesin

A nurse is preparing a teaching plan for a client and caregiver on the proper use of a dry powder inhaler. Which instructions will the nurse include in this teaching? Select all that apply.

Hold breath for 10 seconds. Inhale quickly

A nurse is conducting an ongoing assessment and notes the client is experiencing difficulty bringing up mucus. Which nursing diagnosis should the nurse prioritize for this client?

Ineffective Airway Clearance

A client is prescribed salmeterol. The nurse would expect this drug to be administered by which route?

Inhalation

How do inhaled corticosteroid agents assist in the treatment of asthma?

Inhaled corticosteroid agents will reduce airway inflammation.

A client has been suffering from repeated sinus infections. The client is diagnosed with allergic rhinitis. The client is prescribed a daily antihistamine. What is the mechanism of action in the antihistamine medications?

It prevents histamine from acting on target tissues.

The nursing instructor is conducting a teaching session with a group of nursing students analyzing the differences between first and second generation antihistamines. The instructor determines the class is successful when the students correctly choose which actions as advantages for administering second generation antihistamines? Select all that apply.

Less sedation, Fewer anticholinergic effects

An older adult client, diagnosed with chronic obstructive pulmonary disease (COPD), is being considered for corticosteroid therapy. The nurse should anticipate that these drugs may be administered by what routes? Select all that apply.

Oral and parenteral

A client suffers from motion sickness. Which drug would the nurse anticipate the primary health care provider to prescribe? Select all that apply.

Promethazine and Diphenhydramine

Before administering a prescribed bronchodilator to a client experiencing acute breathing distress, which assessments should the nurse complete? Select all that apply.

Pulse, lung sounds, respiratory rate

The instructor is discussing adverse effects associated with nasal decongestants. What is an effect of excessive use of these products when admnistered correctly?

Rebound nasal congestion

The client with asthma has been ordered an inhaler and the nurse is teaching how to prevent Candida infections. Which would the nurse include in the instructions?

Rinse mouth with water after each use.

The nurse is teaching a client how to properly use a peak flow meter. The nurse determines the session is successful when the client correctly explains which steps? Select all that apply.

Stands upright to allow the best inhalation possible, Makes sure indicator is at lowest level on scale, Makes sure lips are sealed tightly around the mouthpiece

A nurse is teaching a newly diagnosed client with asthma how to manage the disease. What should the nurse encourage this client to do?

Stop smoking cigarettes

The nurse is caring for a 38-year-old client who is beginning treatment with albuterol. Which should the nurse identify as a potential adverse effect of the drug?

Tachycardia

The nurse is preparing to administer an antitussive to a client. Which assessments will the nurse prioritize in the preadministration assessment? Select all that apply.

Temp, sputum presence, and type of cough

The nurse is caring for a 38-year-old client with asthma who has been started on albuterol. What assessment finding should the nurse most likely attribute to adverse medication effects?

The nurse is caring for a 38-year-old client with asthma who has been started on albuterol. What assessment finding should the nurse most likely attribute to adverse medication effects?

Decongestants should be used cautiously in clients with which medical conditions? Select all that apply.

Thyroid disease, Glaucoma, Diabetes, Hypertension

During stable chronic phases of asthma, the nurse should advise the client to monitor which symptoms? Select all that apply.

Wheezing, coughing, and peak flow changes

A client has a recurring problem with sinusitis every spring. The client asks the nurse if there is a herb for this problem, because the client does not like to take prescription medications. The nurse recommends which herb?

eucalyptus

The client has a productive cough and the primary care provider will not order an antitussive. What should the client do to enhance the removal of secretions? Select all that apply.

increase fluids, change positions frequently

A 76-year-old man has a history of heart disease, and has been prescribed an oral decongestant. The nurse is concerned with this prescription because of the risk for which?

serious cardiovascular effects.

A client is being assessed by the home care nurse on the appropriate use of her metered-dose inhalers. Instructions concerning which intervention will assist a client in the proper administration of the metered-dose inhaler?

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