respiratory medication

Rifabutin (Mycobutin) is prescribed for a client with active Mycobacterium avium complex (MAC) disease an tuberculosis. The nurse monitors for which side 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 side effects of MAC are: hepatitis, flu-like syndromes, low white blood cell count, GI disturbance, orange secretion, rash, blurred vision, myositis, arthralgia, chest pain with dyspnea Rifabutin (Mycobutin) may be prescribed for a client with active MAC disease and tuberculosis. It inhibits mycobacterial DNA-dependent RNA polymerase and suppresses protein synthesis.

Rifabutin (Mycobutin) is prescribed for a client with active Mycobacterium avium complex (MAC) disease and tuberculosis. The nurse monitors for which side effects of the medication? Elect 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 Rifabutin (Mycobutin) is prescribed for MAC and TB patients. It inhibits bacterial DNA-dependent RNA polymerase and stop bacterial protein synthesis. The side effects include: rash, GI disturbance, neutropenia, red-orange body secretion, uveitis (eye pain and blurred vision), myotitis, arthralgia, hepatitis, chest pain with dyspnea, and flu like syndrome. vitamin B6 deficiency and numbness and tingling in the extremities are associated with the use of isoniazid (INH). Ethambutol (Mycobutin) also causes peripheral neuritis.

A nurse has an order to give a client metaproterenol sulfate (Alupent) (two puffs), and beclomethasone dipropionate (Qvar) (nasal inhalation two puffs), by metered-dose inhaler. The nurse administers the medication by giving the: 1. Metaproterenol first and then the beclomethasone dipropionate 2. Beclomethasone dipropionate first and then the metaproterenol 3. Alternating a single puff of each, beginning with the metaproterenol 4. Alternating a single puff of each, beginning with the beclomethasone dipropionate

1. bronchodilator is to be administered before glucocorticoids when both are to be given on the same time schedule. metaproterenol is a bronchodilator; beclomethasone diproprionate is a glucocorticoid.

A client taking fexofenadine (Allegra) is scheduled for allergy skin testing and tells the nurse in the physician's office that a dose was taken this morning. The nurse determines that: 1. The client should reschedule the appointment 2. A lower dose of allergen will need to be injected 3. A higher dose of allergen will need to be injected 4. The client should have the skin test read a day later than usual

1. Allergy medicine needs to be discontinued for at least 3 days before an allergy skin test to avoid false-negative result.

Cycloserine (Seromycin) is added to the medication regimen for a client with tuberculosis. Which of the following would the nurse include in the client-teaching plan regarding this medication? 1. To take the medication before meals 2. It is not necessary to call the physician if a skin rash occurs 3. To return to the clinic weekly for serum drug level testing 4. It is not necessary to restrict alcohol intake with this medication

3. Cycloserine (Seromycin) could cause neurotoxicity. Client's drug level needs to be monitored weekly. The normal drug range is <30 mcg/ml The medication needs to be taken after the meal to prevent GI upset. avoid alcohol when taking this medication

A client with tuberculosis is being started on antituberculosis therapy with isoniazid (INH). Before giving the client the first dose, a nurse ensures that which of the following baseline studies has been completed? 1. Electrolyte levels 2. Coagulation times 3. Liver enzyme levels 4. Serum creatinine level

3. INH increases liver enzyme; therefore, liver enzyme level is monitored during the first 3 months after the medication is started. For patients that are 50 years age and older or abuse alcohol, the monitoring time is longer.

A client has been started on long-term therapy with rifampin (Rifadin). A nurse teaches the client that the medication: 1. Should always be taken with food or antacids 2. Should be double-dosed if one dose is forgotten 3. Causes orange discoloration of sweat, tears, urine, and feces 4. May be discontinued independently if symptoms are gone in 3 months

3. Rifadin should be taken on an empty stomach. If stomach upset occurs, take it with food. Antacids, if prescribed, should be taken at least 1 hour before the medication

A client is taking cetirizine hydrochloride (Zyrtec). The nurse checks for which of the following side effects of this medication? 1. Diarrhea 2. Excitability 3. Drowsiness 4. Excess salivation

3. cetirizine hydrocholride is an antihistamine. Its side effects are: drowsiness or sedation, blurred vision, hypertension (and sometimes hypotension), dry mouth, constipation, urinary retention, and sweating.

A postoperative client has received a dose of naloxone hydrochloride for respiratory depression softly after transfer to the nursing unit from the post anesthesia care unit. Following administrate of the medication, the nurse checks the client for: 1. pupillary changes 2. Scattered lung wheezes 3. Sudden increase in pain 4. Sudden episodes of diarrhea

3. naloxone hydrochloride is an anecdote for opiod and also used for respiratory depression. It has an effect to reverse analgesics, so monitor the pain level.

A client is receiving acetylcysteine (Mucomyst), 20% solution diluted in 0.9% normal saline by nebulizer. The nurse should have which item available for possible use after giving this medication? 1. Ambu bag 2. Intubation tray 3. Nasogastric tube 4. Suction equipment

4. Acetylcysteine can be given orally or by nasogastric tube to treat acetaminophen overdose, or it may be given by inhalation for use as a mucolytic. The nurse administering this medication as a mucolytic should have suction equipment available in case the client cannot manage to clear the increased volume of liquefied secretions.

A client is to begin a 6-month course of therapy with isoniazid (INH). A nurse plans to teach the client to: 1. Drink alcohol in small amounts only 2. Report yellow eyes or skin immediately 3. Increase intake of Swiss or aged cheeses 4. Avoid vitamin supplements during therapy

2. INH is hepatotoxic; watch for signs and symptoms of hepatitis: yellow sclera and skin. avoid taking alcohol avoid taking foods contain tyramine: Swiss chess, fish (tuna); it may cause redness and itching of the skin, flushing, sweating, tachycardia, headache, or lightheadedness. The client could avoid developing neuritis by taking pyridoxine (vitamin B6).

A client has been taking isoniazid (INH) for 2 months. The client complains to a nurse about numbness paresthesias, and tingling in the extremities. The nurse interprets that the client is experiencing: 1. Hypercalcemia 2. Peripheral neuritis 3. Small blood vessel spasm 4. Impaired peripheral circulation

2. A side effect of INH is peripheral neuritis, which is manifested as numbness, tingling, and paresthesias in the extremities. This side effect could be minimized by taking pyridoxine (vitamin B6).

A client has an order to take guaifenesin (Humibid) every 4 hours, as needed. The nurse determines that the client understands the most effective use of this medication if the client sates that he or she will: 1. Watch for irritability as a side effect 2. Take the tablet with a full glass of water 3. Take an extra dose if the cough is accompanied by fever 4. Crush the sustained-release tablet if immediate relief is needed

2. Guaifenesin is an expectorant. It should be taken with a full glass of water to decrease viscosity of secretions. client should contact the doctor is the cough lasts longer than 1 week or is accompanied by fever, rash, sore throat, or persistent headache.

A nurse has given a client taking ethambutol (Myambutol) information about the medication. The nurse determines that the client understands the instructions if the client states that he or she will immediately report: 1. Impaired sense of hearing 2. Problems with visual acuity 3. Gastrointestinal (GI) side effects 4. Orange-red discoloration of body secretions

2. ethambutol (Myambutol) causes optic neuritis, decreased visual acuity and ability to discriminate red and green. Client should not be driving. Report the symptoms immediately. Impaired hearing would result from antitubercular therapy with streptomycin.

A client with an order to take theophylline (Theolair-SR) Daily has been given medication instructions by the nurse. The nurse determines that the client needs further information about the medication if the client states that he or she will: 1. Drink at least 2 L fluid per day 2. Take the daily dose at bedtime 3. Avoid changing brands of the medication without physician approval 4. Avoid over-the-counter (OTC) cough and cold medications unless approved by the physician

2. theophylline cause insomnia, so it should be taken early in the morning. Also, theophylline is more effective when it's taken in the morning.

A client has begun therapy with theophylline (Theo-24). The nurse tells the client to limit the intake of which of the following while taking this medication? 1. Oranges and pineapple 2. Coffee, cola, and chocolate 3. Oysters, lobster, and shrimp 4. Cottage cheese, cream cheese, and dairy creamers

2. theophylline is a xanthin bronchodilator. When taking this medication, the client needs to limit xanthin containing foods: coffee, cola, and chocolate