Respiratory Review 4.0
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 relaxes the smooth muscles of the airways and allows for increased absorption of fluticasone/salmetrol
A nurse is teaching a client about using intranasal glucocorticoids. Which of the following instructions should the nurse give?
Allow at least 2 weeks for the full therapeutic effect It can take 2-3 weeks to see the full therapeutic effect of intranasal glucocorticoids.
A nurse is teaching a client who is taking prednisone for chronic asthma. Which of the following instructions should the nurse include?
Avoid taking non-steroids anti-inflammatory drugs
A nurse should recognize using pseudoephedrine to treat allergic rhinitis requires cautious use with clients who have which of the following conditions?
Coronary Artery Disease
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?
Decreases Inflammation
A nurse is teaching an adult about diphenhydramine. The nurse should inform the client to expect which of the following adverse effects while taking this drug?
Drowsiness
Legal restrictions apply to the purchase of pseudoephedrine because of which of the following risks?
Drug abuse
a nurse is teaching a client who has a prescription for zileuton. Which of the following instruction should the nurse include?
Have a laboratory test performed at regular intervals Zileuton, a leukotriene modifier, can cause liver damage. The nurse should monitor liver functiononce a month for 3 months, then every 2-3 months during the first year of treatment.
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
A nurse is teaching a client who is beginning fluticasone propionate/salmeterol therapy. Which of the following instructions should the nurse include?
Increase weight bearing activity. Bone loss is an adverse effect of propionate/salmetrol therapy and weight-bearing activity will help minimize that
For which of the following Reasoner should a nurse instruct a client to avoid taking guaifenesin with combination over-the-counter cold products?
Over-the-counter cold products can also contain guaifenesin. A client taking both might be taking excessive amounts of the drug.
A nurse is teaching a client about albuterol. The nurse should instruct the client to monitor for and report which of the following as an adverse effect of this drug?
Palpitations Although not common, can cause cardiac stimulation: palpitations, chest pain, hypertension, and arrhythmias
a nurse should identify that dextromethorphan can have which of the following effects when combined with morphine?
Potentiation of depression of CNS actions Combining dextromorphan with an opioid, such as morphine, will increase the risk for decreased respirations and other depressed CNS responses
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?
Prevents 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?
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 of the following therapeutic effects?
Reduces surface tension Expectorants act by reducing surface tension and viscocity of respiratory secretions. This results in thinning thick mucus, making it easier to cough out of the lungs and drain out of the nose and sinuses.
A nurse is caring for a client who is taking codeine. The nurse identify that which of the following assessments is priority to make?
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 Insomnia Anxiety Also causes tachycardia and numbness of the extremeties
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 Theophylline, a methyxanthine, is toxic when levels are >30mcg/mL and can cause seizures 5-15mcg/mL can cause restlessness and insomnia, diarrhea, and severe dysrhythmias
A nurse is teaching a client about montelukast. Which of the following instructions should the nurse include>
Take the drug once a day in the evening.
A nurse is teaching a client about the use of mucolytic to treat a cough. The nurse should include that a mucolytic has which of the following therapeutic effects?
Thins and 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 that reaches the lungs A spacer increases the amount of drug that enters 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.)
Urinary Retention Dry Mouth Anticholinergic effects
A nurse is teaching about ipratropium. Which of the following instructions should the nurse include?
Wait 5 min between using the drug and another inhaled drug Waiting 5 minutes allows for bronchodilation to take effect
A nurse is caring for a client who is having difficulty mobilizing thick respiratory secretions. Which of the following drugs should the nurse expect the administer to the client?
Acetylcysteine Acetylcysteine is a mucolytic that loosens thick respiratory secretions.
