Pharmacology: Respiratory
A nurse is caring for a client who is having difficulty mobilizing thick respiratory secretions. What drug should the nurse expect to administer?
Acetylcysteine
A nurse is teaching a client who has a prescription for albuterol via inhaler and fluticasone via inhaler for asthma management. Why should the nurse instruct the client to use the albuterol inhaler first?
Albuterol will increase absorption of fluticasone
A nurse is teaching a client about using intranasal glucocorticoids.What instruction should the nurse give?
Allow at least 2 weeks for full therapeutic effect
A nurse is teaching a client who is taking prednisone for an acute asthma exacerbation. What instruction should the nurse include?
Avoid taking nonsteroidal anti-inflammatory drugs
Legal restrictions apply to the purchase of pseudoephedrine (Sudafed) because of which of the following risks?
Drug abuse
A nurse is teaching a client who has a prescription for zileuton. What instruction should the nurse include?
Have lab tests performed at regular intervlas
A nurse is preparing to administer phenylephrine to a client. The nurse should identify which of the following manifestations is an adverse effect?
Headache
A nurse is teaching a client who is beginning fluticasone propionate/salmeterol therapy. What instruction should the nurse include?
Increase weight bearing activity
Why should a nurse instruct a client to avoid taking guaifenesin with combination over the counter cold products?
Over the counter products can also contain guaifenesin
A nurse should identify that dextromethorphan can have what effect when combined with morphine?
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 these drugs are effective bc they perform what action?
Prevent histamine from binding to receptors
A nurse is teaching a client about the adverse effects of pseudoephedrine. What are they?
Reslessness, insomnia, and anxiety
A nurse is teaching a client about montelukast. What instruction should the nurse include?
Take the drug once in the evening
A nurse is teaching a client about the use of mucolytic to treat a cough. The nurse should include that mucolytic has what therapeutic effect?
Thins and loosens mucus
Why should a client attach a spacer to a metered- dose inhaler?
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 what adverse effects?
Urinary retention and dry mouth
A nurse is teaching a client about ipratripium. What instruction should she include?
Wait 5 minutes between using the drug and another inhaled drug
A nurse should recognize that using pseudoephedrine to treat allergic rhinitis requires cautious use with clients who have what condition?
coronary artery disease
A nurse is teaching a client about the use of beclomethasone to treat asthma. She should explain that the drug has what therapeutic effect?
decreases inflammation
A nurse is teaching an adult client about diphenhydramine. The nurse should inform the client to expect what adverse effect?
drowsiness
A nurse is teaching a client about albuterol. The nurse instructs the client to monitor for and report what adverse reaction?
palpitations
A nurse is teaching a client about the use of cromolyn sodium to prevent bronchospasm. She should tell the client the drug has what therapeutic effect?
reduces 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 therapeutic effect?
reduces surface tension
A nurse is caring for a client who is taking codeine. What assessment is priority to make?
respirations
A nurse is monitoring plasma drug levels in a client who is taking theophyline. What finding should the nurse expect to see if clients drug levels indicate toxicity?
seizures
