PrepU: Upper&Lower Respiratory
A client is currently taking pseudoephedrine to help manage the nasal congestion resulting from seasonal allergies. When the client reports being extremely restless and having difficulty getting to sleep at night, what assessment question will the nurse ask to best provide interventions to minimize those effects? "Do you tend to exercise before going to bed?" "Are you a smoker?" "Are you out in the sun much during a typical day?" "How much coffee, tea, and soda do you drink daily?"
"How much coffee, tea, and soda do you drink daily?"
The nurse is providing education for a client who has been prescribed a second-generation antihistamine. Which client statement suggests a need for additional teaching? "I know these can be a bit expensive, but hopefully it will be worth it for me." "I'm really hoping that these pills will cure my allergies before summer starts." "I'll check with my health care provider to make sure that the diet supplements I'm taking are okay to take at the same time as these pills." "It's handy that I don't necessarily have to take these pills at bedtime."
"I'm really hoping that these pills will cure my allergies before summer starts."
A client with asthma has been prescribed an albuterol inhaler. What recommendation should the nurse include in client teaching? "Immediately stop using the inhaler if you experience hand shaking." "Take ibuprofen to decrease inflammation associated with the condition." "Limit exercise to one session per week." "Stop smoking to reduce bronchoconstriction."
"Stop smoking to reduce bronchoconstriction."
A client has hypertension and wants to take a nasal decongestant for cold symptoms. Which statement by the nurse indicates the effect of hypertensive medications on hypertension? "The administration of a nasal decongestant will increase blood pressure due to vasoconstriction of blood vessels." "The administration of a nasal decongestant will cause bradycardia and increase peripheral blood pressure gastric reflux." "The administration of a nasal decongestant will decrease the thyroid production and increase blood pressure." "The administration of nasal decongestant will act on the central nervous system to cause vasodilation of blood vessels."
"The administration of a nasal decongestant will increase blood pressure due to vasoconstriction of blood vessels."
The nurse is educating an adult client diagnosed with rhinosinusitis with viscous clear mucous about the prescribed guaifenesin 400 mg PO every 4 hours. Which statement made by the client establishes the need for further clarification? "I will ask my pharmacist before taking any over-the-counters." "I will drink at least 8 ounces of water with each dose." "The drug will suppress my cough so I can sleep easier." "The drug is not affected by taking it with or without meals."
"The drug will suppress my cough so I can sleep easier."
A client who has been newly diagnosed with chronic obstructive pulmonary disease (COPD) calls the clinic and asks the nurse to explain what the newly prescribed medications are for. What would be the most appropriate response by the nurse? "The medications that have been ordered for you are what the physician thinks will help your breathing the most." "The medications that have been ordered for you are to help you breathe with less resistance from your diaphragm." "The medications that have been ordered for you are designed to work together to reduce your oxygen requirements." "The medications that have been ordered for you are to help relieve the inflammation and to open your airways."
"The medications that have been ordered for you are to help relieve the inflammation and to open your airways."
What statement by a client who is to take an antitussive with codeine indicates that the nurse's teaching has been effective? "I will take this medication anytime I start to cough." "This medication may make me anxious and nervous." "I might get diarrhea, so I'll call my provider if that happens." "This medication can cause drowsiness, so I will avoid driving after taking it."
"This medication can cause drowsiness, so I will avoid driving after taking it."
The client with asthma has been treated with inhaled and oral corticosteroids and tells the nurse he feels tired, weak, and dizzy. What does the nurse suspect could be occurring? Respiratory insufficiency Adrenal insufficiency Thymus suppression Thyroid suppression
Adrenal insufficiency
Mr. Johnson is prescribed pseudoephedrine to relieve his nasal congestion. What should the nurse include in patient and family education? Select all that apply. Advise him to avoid direct sunlight. Advise him to avoid excessive and frequent use of the drug. Advise him not to take other OTC drugs. Advise him to avoid grapefruit juice. Advise him to avoid eating red meat
Advise him to avoid excessive and frequent use of the drug. Advise him not to take other OTC drugs.
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 Formoterol Salmeterol Arformoterol
Albuterol
Your client has allergic rhinitis. When providing client education for information about the disease process, you would include all of the following EXCEPT: Allergic rhinitis that is not effectively treated may lead to chronic fatigue. Allergic rhinitis that is not effectively treated may lead to postnasal drip. Allergic rhinitis that is not effectively treated may lead to improved sleeping. Allergic rhinitis that is not effectively treated may lead to sinus infections.
Allergic rhinitis that is not effectively treated may lead to improved sleeping.
A parent asks the nurse about the use of an antitussive to treat a 7-year-old's dry cough. What principle should guide the nurse's response? Antitussives are not recommended for use in young children. Children should be administered antitussives based on weight not age. Antitussives should only be used to treat productive coughs in children, not dry coughs. Children should be administered antitussives based on body surface index, not age.
Antitussives are not recommended for use in young children.
A client with chronic bronchial asthma is prescribed montelukast. What will the nurse instruct the client to avoid taking? Aspirin Penicillin Sertraline Nifedipine
Aspirin
An adult client has asked the nurse to recommend an OTC cold remedy. Before making a recommendation, the nurse should implement which intervention? Consult with a pharmacist or pharmacy technician. Assess the client's understanding of the epidemiology of the common cold and upper respiratory infections. Assess the client for health problems that may contraindicate the use of a particular remedy. Ensure that the client has tried some of the more common herbal and natural remedies.
Assess the client for health problems that may contraindicate the use of a particular remedy.
A client is prescribed a leukotriene receptor antagonist. The nurse should evaluate the effectiveness of the medication therapy based on the long term management of symptoms associated with which respiratory condition? Asthma Emphysema Chronic bronchitis Pneumonia
Asthma
The nurse is caring for a child who has been newly diagnosed with asthma. What environmental modifications should the nurse encourage the parents to make to help their child avoid future attacks? Select all that apply. Make sure the child begins herbal therapy as soon as possible. Avoid crowded areas as much as possible. Keep the child away from any known allergens. Encourage the child to maximize physical activity. Keep the child away from areas that are filled with cigarette smoke.
Avoid crowded areas as much as possible. Keep the child away from any known allergens. Keep the child away from areas that are filled with cigarette smoke.
When instructing the client who uses a lozenge as an antitussive, what should the nurse teach? Avoid drinking fluids for 10 minutes after taking a lozenge. Avoid drinking fluids for 30 minutes after taking a lozenge. Avoid drinking fluids for 1 hour after taking a lozenge. Drink anytime you wish after taking a lozenge.
Avoid drinking fluids for 30 minutes after taking a lozenge.
What is the most common first-line therapy for relief of an acute asthma attack? Inhaled steroid Leukotriene modifier Beta2-adrenergic agonist Xanthine
Beta2-adrenergic agonist
The nurse is providing education to a client who has been prescribed an antiasthmatic drug. The nurse should instruct the client to avoid excessive intake of what beverage? Coffee Grapefruit juice Green tea Acai juice
Coffee
A client having an allergic reaction to mold, describes chest tightness and difficulty breathing. Which process is occurring? Suppression of the vagus nerve endings producing tachycardia Contraction of smooth muscle in the bronchi Decreased permeability of the veins and capillaries Decreased secretion of the mucous glands TAKE ANOTHER QUIZ
Contraction of smooth muscle in the bronchi
A client comes to the clinic with what appears to be a cold. What group of upper respiratory drugs cause local vasoconstriction, which decreases blood flow and shrinks swollen membranes to improve air flow? Antitussives Decongestants Expectorants Mucolytics
Decongestants
A client prescribed codeine for a persistent, debilitating cough tells the nurse, "I was sure that codeine was a narcotic that people take for pain." The nurse should cite what mechanism of action when describing this use of codeine? Depression of the cough center in the medulla oblongata Vasodilation of the alveolar capillaries Stimulation of the reticular activating system (RAS) Desensitization of the cough receptors in the sinuses and trachea
Depression of the cough center in the medulla oblongata
A 45-year-old female client is being seen in the health care provider's office for a dry, hacking cough that is keeping her up at night. The provider prescribes dextromethorphan for the cough. Which statement is true about dextromethorphan? Dextromethorphan works in the medulla to suppress the cough reflex. Dextromethorphan works on the receptors in the throat to prevent a cough. Dextromethorphan works by inhibiting allergen response. Dextromethorphan works by relaxing the smooth muscles in the bronchioles.
Dextromethorphan works in the medulla to suppress the cough reflex.
A client presents to the emergency department (ED) having an acute asthma attack and has been prescribed epinephrine. The nurse should assess what therapeutic effect of this drug? Decreased inflammatory response in the airways Reduced surface tension within the alveoli allowing for gas exchange Inhibition of histamine and slow-reacting substance of anaphylaxis (SRSA) to prevent the allergic asthmatic response Dilation of the bronchi with increased rate and depth of respiration
Dilation of the bronchi with increased rate and depth of respiration
A 76-year-old client has been prescribed an oral antihistamine. What adverse effect presents a priority safety concern for older adult clients? Drowsiness Dry mouth Nasal burning Nonproductive cough
Drowsiness
The nurse is caring for a client experiencing acute bronchospasm. What drug is most likely to meet this client's needs? Ipratropium bromide Epinephrine Cromolyn Ephedrine
Epinephrine
The pharmacology instructor is discussing the adverse effects of diphenhydramine. Which is not one of these effects? Dry mouth Blurred vision Excessive salivation Drowsiness
Excessive salivation
A client who smokes is receiving theophylline orally. Because of his history of smoking, the nurse expects the health care provider to do what with the theophylline dosing? Monitor closely Increase Decrease Discontinue
Increase
The nurse provides care for numerous children with asthma. The nurse should expect to administer what drugs? Select all that apply. Long-acting inhaled steroids Xanthines Leukotriene-receptor antagonists Topical steroid nasal decongestants Beta-agonists
Long-acting inhaled steroids Leukotriene-receptor antagonists Beta-agonists
The client uses his sympathomimetic inhaler frequently. The nurse evaluates the client for which of the following symptoms related to frequent use of the sympathomimetic inhaler? Fatigue Nervousness Bradycardia Hypotension
Nervousness
Pseudoephedrine (Sudafed) is prescribed for a client suffering from nasal and sinus congestion. What is the most important assessment the nurse should complete before the client leaves the clinic to purchase the medication? Observe for swelling in nasal passages. Ask about history of hay fever. Obtain the client's blood pressure. Ask about nausea and vomiting.
Obtain the client's blood pressure.
A client reports anxiety, restlessness, nausea, and vomiting after using a nasal decongestant. Which drug should the nurse consider as the cause for these side effects? Ephedrine Pseudoephedrine Epinephrine Phenylephrine
Pseudoephedrine
The nurse is giving discharge instructions to a client with an upper respiratory infection who has been advised to take an over-the-counter (OTC) topical nasal decongestant. What should the nurse teach the client in order to prevent rhinitis medicamentosa? Avoid using nonsteroidal anti-inflammatory drugs (NSAIDs) concurrently. Use the medication for as short a time as possible. Avoid using antihistamines at the same time as the decongestant. Increase fluid intake for the duration of treatment.
Use the medication for as short a time as possible.
When educating a group of students on the mechanism of action of various antiasthma drugs, the nurse identifies which drugs as inhibiting the formation of leukotriene? Zileuton Montelukast Budesonide Zafirlukast
Zileuton
A client has been prescribed an antitussive for a cough. Instructions for home care should include notifying the primary health care provider immediately if what symptom(s) occurs? Select all that apply. a skin rash diminished appetite temperature of 100°F (37.7°C) or higher persistent dry cough drowsiness
a skin rash temperature of 100°F (37.7°C) or higher persistent dry cough
What hospital procedure has the greatest potential to cause an anaphylactoid reaction? administration of contrast media for diagnostic tests administration of low molecular weight heparin administration of bronchodilators by nebulizer administration of intravenous fluids rapidly
administration of contrast media for diagnostic tests
An elderly client is prescribed diphenhydramine for allergic response to mold. What should be the focus of the nursing assessment for the client? anticholinergic effects arrhythmias increased muscle tone respiratory depression
anticholinergic effects
The nursing instructor is teaching about antitussives and their side effects. What ingredient found in some antitussives does the instructor tell students can cause drowsiness? eucalyptus antihistamine acetaminophen Advil
antihistamine
A client has been admitted to the emergency department (ED) in status asthmaticus. The ED nurse should anticipate administering which medication? inhaled corticosteroids intravenous theophylline high doses of montelukast beta2 agonists in high doses
beta2 agonists in high doses
The nurse is planning care for a client who is experiencing excessive respiratory tract secretions. What intervention should the nurse include? administration of pseudoephedrine supplemental oxygen deep breathing and coughing exercises administration of guaifenesin
deep breathing and coughing exercises
What medication should be prescribed to minimize the risk associated with a blood transfusion for a client with a history of a previous transfusion reaction? diphenhydramine epinephrine clemastine cetirizine
diphenhydramine
What is considered a possible trigger for an asthma attack? Select all that apply. exercise allergens pollutants warm weather cigarette smoke
exercise allergens pollutants cigarette smoke
A client has been prescribed medication therapy for the treatment of newly diagnosed asthma. During teaching, the nurse should alert the client to potential exacerbation of what concurrent medical condition? urinary retention dermatitis gastroesophageal reflux disease cataracts
gastroesophageal reflux disease
Which nursing diagnosis would provide the clearest indication for the administration of inhaled acetylcysteine? ineffective airway clearance impaired tissue perfusion ineffective breathing pattern risk for infection
ineffective airway clearance
The nurse should be aware that concomitant use of what drug is contraindicated during tiotropium therapy? ipratropium theophylline budesonide fluticasone
ipratropium
Antihistamines are not routinely used in the critically ill client population. Diphenhydramine, however, may be administered to a critically ill client for which reason? for sedation. prior to a blood test. prior to a blood transfusion. prior to discharge from the intensive care unit.
prior to a blood transfusion.
A client reports experiencing severe nasal congestion since starting to use an over-the-counter (OTC) nasal decongestant spray a week ago. This symptomology most supports what possible medical condition? bronchitis rebound congestion sinusitis a drug allergy
rebound congestion
According to the National Asthma Education and Prevention Program (NAEPP) Expert Panel Guidelines, a client prescribed a short-acting beta2 agonist may take this medication how often during an acute exacerbation of asthmatic symptoms? every 30 seconds until symptoms subside up to three treatments at 20-minute intervals every 5 minutes to a maximum of three doses hourly, with no more than six doses in a 24-hour period
up to three treatments at 20-minute intervals
A client asks the nurse how long to use oxymetazoline (Afrin) nasal spray for nasal congestion. What is the nurse's best response? "Over-the-counter medications are safe for long-term use." "Consult with your primary care provider." "Afrin can be used as long as nasal burning and stinging do not occur." "Use the medication until your symptoms are completely relieved."
"Consult with your primary care provider."
An adolescent client is prescribed a leukotriene receptor antagonist as a part of a medication regime to manage his/her asthma. Which statement made by the client requires additional education on this classification of medications? "This medication is safe for kids like me." "We need to let the health care provider know if the medicine gives me a headache or makes me dizzy." "This is a new kind of asthma medication." "I need to take the medication when I start to have problems breathing."
"I need to take the medication when I start to have problems breathing."
Which statement by the client would alert the nurse that more education is needed regarding a client receiving an antitussive? "It will be helpful to Increase fluids." "I can use a humidifier." "I should keep the room warm." "I can use lozenges."
"I should keep the room warm."
The client has been prescribed cromolyn (Intal) for the treatment of asthma, and the nurse is evaluating the client's understanding of the medication. Which statement by the client indicates the need for further education? "I will use this medication when I am having an asthma attack." "This medication may also be used for allergy disorders." "This medication may cause my throat to become dry." "I may experience wheezing with this medication."
"I will use this medication when I am having an asthma attack."
A client prescribed nasal pseudoephedrine has received medication education. What response by the client suggests the nurse needs to provide follow-up information regarding the medication? "I need to avoid additional pseudoephedrine in over-the-counter medications I have been taking." "I can experience a rebound effect if I use pseudoephedrine too much." "It will take about an hour for me to get any relief after taking pseudoephedrine." "Pseudoephedrine can keep me awake at night."
"It will take about an hour for me to get any relief after taking pseudoephedrine."
Fexofenadine (Allegra) is prescribed for a client with seasonal allergies. What should the nurse teach the client about the side effects of this medication? "Less drowsiness occurs with this medication compared to other antihistamines." "This medication should relieve your cough symptoms within several days." "Drink three to four glasses of water a day to loosen the mucus and congestion in your sinuses." "You may experience an increased heart rate or palpitations."
"Less drowsiness occurs with this medication compared to other antihistamines."
After a recent history of shortness of breath that has become increasingly severe, a woman has been prescribed ipratropium by MDI while she undergoes a diagnostic workup. What teaching should the nurse provide to this client? "Make sure that you take this at the scheduled times, regardless of whether you feel short of breath." "Most people find that ipratropium cures their lung disease within a few months." "You should think of this as an 'emergency drug', and it should only be used when you experience symptoms." "It's important that you perform deep breathing exercises before and after taking ipratropium."
"Make sure that you take this at the scheduled times, regardless of whether you feel short of breath."
A nurse instructing a client about use of an antitussive prescription at home should also include information about increasing fluids (unless contraindicated). How much fluid should the nurse tell this client to drink each day? 1000-1500 mL 500-1000 mL 1500-2000 mL 2000-3000 mL
1500-2000 mL
When determining a client's personal best, the nurse would instruct the client to perform peak flow testing how many times? 1 2 3 4
3
A client whose daily commute includes travel on a ferry boat has been prescribed diphenhydramine. During client teaching, the nurse should instruct the client to take the medication at what time? 30 to 60 minutes before the ferry trip the night before each trip as soon as the ferry leaves the dock when the client boards the ferry
30 to 60 minutes before the ferry trip
Which client is most likely to benefit from the administration of a nasal steroid? A client with an acute sinus infection A client who has chronic allergic rhinitis A client who is recovering from a tonsillectomy A client who has a deviated nasal septum
A client who has chronic allergic rhinitis
A client asks the nurse about using dextromethorphan to relieve a cough. What type of cough would the nurse explain is best treated with the drug? An occasional, productive cough A cough that is associated with an allergy to ragweed A cough that occurs when the client is exposed to airborne irritants A dry, nonproductive cough
A dry, nonproductive cough
A client has purchased an over-the-counter (OTC) cold remedy that advertises a "nondrowsy" formulation. The nurse explains to the client that such a medication likely contains what classification of drug? A benzodiazepine An antihistamine A nasal decongestant A narcotic analgesic
A nasal decongestant
Mr. Ashum is prescribed an albuterol inhaler as part of his treatment regimen for asthma. What is the mechanism of action for this medication? Albuterol causes stimulation of the bronchial tissue. Albuterol blocks the stimulation of the beta-2 receptors. Albuterol decreases vital capacity. Albuterol causes relaxation of the bronchial smooth muscles.
Albuterol causes relaxation of the bronchial smooth muscles.
A nurse caring for a client in the hospital is being discharged today with a prescription for benzonatate (Tessalon Perles) 200 mg one capsule 3 times daily. What would the nurse tell the client about this prescription during discharge counseling? (Select all that apply.) Benzonatate capsules should be sucked on like a lozenge. Consumption of alcohol is okay while taking benzonatate. Benzonatate can cause GI upset and sedation. The client should drink plenty fluids. Benzonatate can be taken more frequently than prescribed if needed.
Benzonatate can cause GI upset and sedation. The client should drink plenty fluids.
A client is prescribed oxymetazoline. Which assessment data would indicate that the drug is effective? Breathing pattern is regular and without difficulty. Skin is effectively hydrated. Heart rate is maintained at a regular rate and rhythm. Urine output is at least 30 mL/hr.
Breathing pattern is regular and without difficulty.
A group of students are reviewing the various drugs that affect inflammation. The students demonstrate understanding when they identify which agent as a mast cell stabilizer? Cromolyn Montelukast Calfactant Triamcinolone
Cromolyn
A nurse is describing the action of a prescribed antihistamine to a client. The nurse is describing which medication, by explaining that the drug elicits its antihistamine effects by nonselectively binding to central and peripheral H1 receptors? Diphenhydramine Cetirizine Fexofenadine Loratadine
Diphenhydramine
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? Benzonatate Guaifenesin Dextromethorphan Hydrocodone
Guaifenesin
A group of nursing students are reviewing information about expectorants. The students demonstrate understanding when they identify which medication as an example? Guaifenesin Acetylcysteine Dextromethorphan Benzonatate
Guaifenesin
The nurse is providing education to a client who is receiving pseudoephedrine. When discussing possible adverse effects, what would the nurse include? Select all that apply. Hypertension Anxiety Restlessness Sedation Anhidrosis
HTN anxiety restlessness
The nurse is caring for a client who is taking an adrenergic bronchodilator. In what disease process should adrenergic bronchodilators be used cautiously? Liver failure Renal failure Respiratory failure Heart failure
Heart failure
What is the chemical mediator released in immune and inflammatory response to allergic reactions? Norepinephrine Mast cells Epinephrine Histamine
Histamine
Long acting beta 2 agonists should be used cautiously in clients with which of the following conditions? (Select all that apply) Hypertension Glaucoma Hyperthyroidism Diabetes Hyperlipidemia
Hypertension Glaucoma Hyperthyroidism Diabetes
A client with asthma is administered zileuton along with theophylline. The nurse should be especially alert for which of the following? Increased serum zileuton Increased serum theophylline Increased prothrombin time Increased pulse rate
Increased serum theophylline
The nurse is caring for a client with allergic rhinitis who takes clemastine daily. What should the nurse teach the client about the action of the medication? It blocks the effects of histamine. It changes the viscosity of mucus. It promotes the development of mast cells. It increases the tone of smooth muscle in the bronchi.
It blocks the effects of histamine.
The nurse is caring for a client with chronic obstructive pulmonary disease. The plan of care will focus on what client problem? Risk for aspiration Lack of patent airway Activity intolerance Adverse effects of medication therapy
Lack of patent airway
A 36-year-old client is prescribed inhaled corticosteroid (ICS) for daily use. Which adverse effects should the nurse closely monitor for in this client? Delayed growth Suppression of the hypothalamic-pituitary-adrenal axis Hypotension Oropharyngeal Candida albicans infection
Oropharyngeal Candida albicans infection
Which would the nurse expect to administer as a nasal spray? Oxymetazoline Hydrocodone Dextromethorphan Benzonatate
Oxymetazoline
An adult client with a diagnosis of asthma has been prescribed montelukast. The nurse should teach the client that this drug will help relieve symptoms by which mechanism? Reducing the muscle tone in the alveoli and facilitating gas exchange Relaxing smooth muscle in the bronchi and bronchioles Preventing the bronchoconstriction and inflammation that is caused by leukotrienes Preventing mast cells from releasing histamine
Preventing the bronchoconstriction and inflammation that is caused by leukotrienes
A client with a diagnosis of asthma has been prescribed ipratropium 2 puffs QID. What is the most likely goal of this treatment? Promoting short-term relief of acute asthma symptoms Relieving acute bronchoconstriction Promoting long-term management of asthma symptoms Promoting blood flow in the alveolar capillaries
Promoting long-term management of asthma symptoms
The client is 73 years of age and has a history of coronary artery disease and COPD. She is being started on formoterol (Foradil). The nurse would assess the client for which of the following conditions? Select all that apply. Tachycardia Hypertension Hypotension Bradycardia Lethargy
Tachycardia HTN
The nurse is teaching a group of clients with allergic rhinitis about the use of their medications. What would be the most essential information to give these clients about preventing possible drug interactions? Over-the-counter (OTC) medications are safe to use. Use only one pharmacy so the pharmacist can check drug interactions. Read drug labels before taking OTC medications. Ask the pharmacy technician for assistance in selecting an OTC medication.
Read drug labels before taking OTC medications.
What is an adverse reaction commonly experienced by people taking nasal decongestants? Diarrhea Rebound congestion Rash Headache
Rebound congestion
A client, experiencing respiratory distress related bronchi constriction, will benefit from what therapeutic action provided by anticholinergic medication therapy? Reduction of the inflammatory response Decrease in the production of leukotrienes D4 and E4 Relaxation of smooth muscle Enhancement of alveolar expansion
Relaxation of smooth muscle
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? Clean spacer with alcohol twice a day. Do not use a spacer because it promotes infections. Rinse mouth with water after each use. Brush teeth thoroughly after each puff.
Rinse mouth with water after each use.
After teaching a group of students about topical nasal steroid decongestants, the instructor determines the need for additional teaching when the students identify which as an example? Tetrahydrozoline Flunisolide Fluticasone Triamcinolone
Tetrahydrozoline
What action by the client would indicate that the client understands how to use an inhaler? The client inhales as soon as the inhaler enters his or her mouth. The client holds his or her breath for several seconds after compressing the canister. The client uses a spacer to administer a powdered medication. The client exhales as soon as he or she compresses the inhaler.
The client holds his or her breath for several seconds after compressing the canister.
A client informs the nurse about taking pseudoephedrine for the relief of nasal congestion due to the common cold. In which situation should the nurse suggest that the client not use this medication since it is a contraindication for this health care concern? The client has a history of cataracts. The client has had a cold for 3 days. The client is being treated for severe hypertension. The client has hypothyroidism.
The client is being treated for severe hypertension.
Which client, acknowledging the regular use of pseudoephedrine, should be assessed further for the possible risk of contraindications to the use of this medication? a client with a history of breast cancer a client currently recovering from hip replacement surgery a client currently being treated for depression a client with an allergy to dairy products
a client currently being treated for depression
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 client reports excessive thirst. The client's heart rate is 99 beats/min. The client's oral temperature is 37.8°C (100°F). The client had diarrhea this morning.
The client's heart rate is 99 beats/min.
The nurse is providing education to a client with a new diagnosis of asthma. Which health education topic is most important for the nurse to share? "Do not become fatigued. It will trigger asthma attacks." "Exposure to cold temperatures can trigger asthma." "Do not consume foods high in sodium." "Prolonged exposure to direct sunlight will trigger asthma."
"Exposure to cold temperatures can trigger asthma."
A client is in the clinic for seasonal allergic rhinitis. Loratadine (Claritin) is prescribed. Which statement will the nurse include when providing education concerning this drug? "Be sure to take this medication on a full stomach." "Determine if the drug is going to make you drowsy before you drive." "You should take the medication twice a day." "This drug has to be taken every 4 to 6 hours."
"Determine if the drug is going to make you drowsy before you drive."
A 25-year-old female client presents at the clinic with bronchitis. The health care provider orders guaifenesin. Which instruction should the clinic nurse offer when teaching the client about the medication? "Use a second method of contraception until you've completed the drug therapy." "Drink at least two liters of fluids each day." "Restrict your fluid intake to one liter each day." "Take an NSAID to relieve the joint aches that result from taking this medication."
"Drink at least two liters of fluids each day."
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 should take a deep breath, hold it while I administer the medication, and then exhale." "I need to shake the inhaler well before taking the medication." "I need to take three short, quick breaths to inhale the medication." "I need to wait at least 30 minutes after the first inhalation before taking a second."
"I need to shake the inhaler well before taking the medication."
The nurse is educating an adult client diagnosed with a nonproductive cough about the prescribed dextromethorphan. Which statement made by the client establishes the need for further clarification? "I will not eat or drink for 30 minutes after taking a dose." "I will dilute the drug syrup with an equal amount of water." "If I raise mucous, I will stop taking the drug and call my prescriber." "The drug should only be taken as directed on the package."
"I will dilute the drug syrup with an equal amount of water."
The parent of a 4-year-old client taking inhaled corticosteroids states she has not been routinely administering the medication because of concerns about the child not growing properly. What is the nurse's best response? "When administered every other day, they will not affect growth." "Inhaled steroids will not affect the growth of your child." "You need to be more worried about all of the oral steroids your child routinely takes." "I agree, we need to change your child's medications."
"Inhaled steroids will not affect the growth of your child."
The nurse is evaluating a client's understanding of the adverse reactions related to the use of theophylline. Which of the following statements by the client demonstrates an understanding of theophylline? "It common to experience palpitations and flushing." "My sleep pattern should improve while I am taking this medication." "This medication may lower my blood pressure." "This medication may be used to treat peptic ulcers, too."
"It common to experience palpitations and flushing."
When the use of antihistamines result in dryness of the mouth, the nurse should recommend which to relieve the dryness? Select all that apply. Suck on sugarless hard candy. Administer intravenous fluid bolus. Offer ice chips. Take frequent sips of water. Use a dehumidifier in the home.
Suck on sugarless hard candy. Take frequent sips of water. Offer ice chips.
When evaluating an asthmatic client's knowledge of self-care, the nurse recognizes that additional instructions are needed when the client makes which of the following statements? "I will wash my sheets weekly." "When I can do some, but not all of my usual activities, I am in the yellow zone." "When I am short of breath, I will increase the use of my fluticasone." "I need to inhale my medication and hold my breath for 10 seconds."
"When I am short of breath, I will increase the use of my fluticasone."
A group of students demonstrate understanding of topical decongestants, identifying them as: Sympathomimetics Sympatholytics Parasympathomimetics Parasympatholytics
Sympathomimetics
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? Polydipsia Tachycardia Hypotension Diarrhea
Tachycardia
A client is given theophylline to treat acute asthma symptoms. Which food should the client avoid? Chocolate Bananas Orange juice Cranberry juice
Chocolate
The client has been prescribed benzonatate (Tessalon Perles). What is the priority teaching point for this client? Take medication with a full glass of water. Lie down if feeling lightheaded. Acetaminophen can be taken for headache. Do not chew tablets.
Do not chew tablets.
What important pre-administration assessment should the nurse conduct in a patient who has been prescribed a mucolytic drug for the treatment of upper respiratory infection? Measure frequency of coughing Observe for therapeutic effect Document amount of dyspnea Record vital signs for productive cough
Document amount of dyspnea
A nurse is providing health education to a client recently diagnosed with asthma and prescribed albuterol and ipratropium. Which of the client's statements suggests a need for clarification by the nurse? "I'll try to make sure that I drink plenty of fluids each day." "I'll keep taking my medications until I'm not experiencing any more symptoms." "I'll make sure I don't take my inhalers more often than they've been prescribed." "I'm a heavy coffee drinker, but I know that I now know I need to cut down on this."
I'll keep taking my medications until I'm not experiencing any more symptoms."
The nurse is reviewing a client's morning blood work and notes a theophylline level of 22.2 mcg/mL (123.21 µmol/L). What action should the nurse take? Withhold the scheduled dose of theophylline pending the next day's blood work results. Administer the scheduled dose of theophylline with as needed (PRN) dose of a bronchodilator. Inform the health care provider that an increase in the client's dose of theophylline may be necessary. Inform the health care provider that the client has toxic theophylline levels.
Inform the health care provider that the client has toxic theophylline levels.
Why are inhaled steroids used to treat asthma and COPD? They act locally to decrease release of inflammatory mediators They act locally to improve mobilization of edema They act locally to increase histamine release They act locally to decrease histamine release
They act locally to decrease release of inflammatory mediators
Why are inhaled steroids used to treat asthma and COPD? They act locally to improve mobilization of edema They act locally to increase histamine release They act locally to decrease histamine release They act locally to decrease release of inflammatory mediators
They act locally to decrease release of inflammatory mediators
A 70-year-old client is being treated for chronic obstructive pulmonary disease (COPD) with theophylline. What will be a priority assessment by the nurse? Intake of fatty foods Weight Activity level Use of nicotine
Use of nicotine
When describing the action of decongestants, a nurse integrates knowledge of this class of drugs, identifying which mechanism? Vasoconstriction of small blood vessels of the nasal membranes Selectively binding to peripheral H1 receptors Nonselectively binding to central and peripheral H1 receptors Anesthetizing stretch receptors in the respiratory passages
Vasoconstriction of small blood vessels of the nasal membranes
The client with bilateral pneumonia has been prescribed a mucolytic. The nurse correctly identifies a mucolytic as having which action? a drug that thins the upper respiratory secretions to make them easier to remove a drug that breaks down thick, tenacious mucus in the lower portions of the lungs a drug that depresses the cough reflex a drug that relieves the discomfort produced by coughing
a drug that breaks down thick, tenacious mucus in the lower portions of the lungs
The client has been prescribed a expectorant. The nurse correctly identifies a expectorant as having which action? a drug that thins the upper respiratory secretions to make them easier to remove a drug that breaks down thick, tenacious mucus in the lower portions of the lungs a drug that depresses the cough reflex a drug that relieves the discomfort produced by coughing
a drug that thins the upper respiratory secretions to make them easier to remove
A client reports taking pseudoephedrine to relieve nasal congestion. The nurse would instruct the client to stop using the medication if what disorder is documented in the client history? pulse rate of 58 beats/min history of controlled hypertension history of coronary artery disease history of diet-controlled diabetes mellitus
history of coronary artery disease
The nurse taking a medical history determines that the client takes a decongestant regularly for a variety of seasonal allergies. What other medication identified in the client's current medication history would constitute an immediate risk to the client's health? an inhaled steroid monoamine oxidase inhibitor (MAOI) proton pump inhibitor (PPI) antibiotic
monoamine oxidase inhibitor (MAOI)
A nurse is providing health teaching to a newly diagnosed asthmatic client. The client has been prescribed theophylline. The nurse should encourage this client to stop: using insulin. taking anti-inflammatory drugs. exercising. smoking cigarettes.
smoking cigarettes.
