Deck 30: Drugs for Respiratory Disorders

Question 1

The client complains of numbness of the throat and tongue after taking benzonatate (Tessalon).What instruction should the nurse provide for the client?
1)Take one-half the prescribed dose.
2)Swallow the medication whole.
3)Stop taking benzonatate immediately,because this is a life-threatening emergency.
4)Take benzonatate with an antihistamine.

Answer 1

2

Question 2

What is the correct term for blood flow through the lung?
1)Perfusion
2)Inspiration
3)Respiration
4)Expiration

Answer 2

1

Question 3

A client has been prescribed fexofenadine (Allegra)for allergic rhinitis.Which statement made by the client indicates the need for further teaching?
1)"This medication is available only in pill form."
2)"I will take this medication every day to prevent symptoms of allergies."
3)"I will take this medication only when I have seasonal allergy symptoms."
4)"This medication does not cause drowsiness."

Answer 3

3

Question 4

A client has prescriptions for albuterol (Proventil HFA)and salmeterol (Serevent).Which instruction should the nurse provide for this client?
1)They should not be taken together.
2)The order of administration does not matter.
3)Take salmeterol first.
4)Take albuterol first.

Question 5

The client asks the nurse to identify possible causes of allergic rhinitis.Which causes should the nurse include in the client education? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Asthma
2)Dust mites
3)Mold
4)Pollen
5)Tobacco smoke

Question 6

Decongestants should be used with caution in patients with which diagnoses? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Hyperthyroidism
2)Diabetes
3)Hypertension
4)Heart disease
5)Allergic rhinitis

Question 7

The nurse explains to the client why inhalation medications work rapidly.What should the nurse include in the teaching? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)There is a rich blood supply to the lungs.
2)The inside surface of the lungs is small,and the dose is concentrated in that area.
3)There is a large surface area inside the lungs.
4)Inhaled medications are given at very high doses.
5)Inhaled medications are given with food.

Question 8

A client asks the nurse what the most commonly used OTC antitussive is.Which response by the nurse is most appropriate?
1)"Dextromethorphan"
2)"Guaifenesin (Mucinex)"
3)"Benzonatate (Tessalon)"
4)"Acetylcysteine (Mucomyst)"

Question 9

The nurse explains to the client the different ways to administer inhalation medications.Which administration technique should not be included in the teaching session?
1)Dry powder inhaler
2)Hypodermic syringe
3)Nebulizer
4)Metered-dose inhaler

Question 10

A client asks the nurse what ventilation is.What is the most appropriate response by the nurse?
1)"Ventilation is the process by which gases are exchanged."
2)"Ventilation is the process of moving air into and out of the lungs."
3)"Ventilation is the blood flow through the lung."
4)"Ventilation is taking a breath in."

Question 11

The nurse is caring for a client with asthma.The client asks the nurse what structures make up the upper respiratory tract.Which response by the nurse is the most appropriate?
1)The nose,nasal cavity,pharynx,and paranasal sinuses
2)The lungs and associated structures
3)The nose and paranasal sinuses
4)The nose,nasal cavity,pharynx,and the lungs

Question 12

The client asks the nurse which antihistamines are available as intranasal sprays.Which response by the nurse is most appropriate? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Loratadine (Claritin)
2)Diphenhydramine (Benadryl)
3)Olopatadine (Patanase)
4)Azelastine (Astelin)
5)Neo-synephrine (Afrin)

Question 13

The nurse explains common triggers for asthma attacks to a client who was recently diagnosed.Which triggers should the nurse include in the teaching session? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Household dust
2)Aspirin (ASA)
3)Exercise in dry,warm climates
4)Tobacco smoke
5)Acetaminophen (Tylenol)

Question 14

Classmates of a hospitalized child want to bring a gift for their friend.Which gift is the most appropriate for this child based on the known causes of asthma?
1)Flowers
2)A stuffed animal
3)A book
4)A plant

Question 15

A client has been diagnosed with allergic rhinitis.Which symptoms would the nurse expect to observe? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Nasal congestion
2)Wheezing
3)Watery eyes
4)Sneezing
5)Urticaria

Question 16

After taking the medication guaifenesin (Mucinex),the client complains of coughing up phlegm.What is the best response by the nurse?
1)This requires further investigation.
2)This is indicative of an allergic reaction.
3)This means there is probably more pathology present.
4)This is normal.

Question 17

During an asthma attack,the bronchioles become swollen and contracted with excessive mucous secretion.How is this manifested in the client?
1)Having fits of coughing
2)Being able to inhale but not exhale
3)Requiring oxygen
4)Going into respiratory arrest

Question 18

The client wants to know why the physician prescribed an inhaled form of a beta-adrenergic stimulator instead of an oral form.What is the best response by the nurse?
1)It produces fewer side effects.
2)It causes bronchodilation.
3)It works quickly to decrease inflammation.
4)It produces little systemic toxicity.

Question 19

A healthy client asks the nurse what types of medications can be taken for the common cold.Which drug classes should the nurse include in client education? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Antitussives
2)Expectorants
3)Decongestants
4)Antihistamines
5)Antipyretics

Question 20

A client asks the nurse what the goal of treatment for allergic rhinitis is.Which response by the nurse is the most appropriate?
1)"Relief of symptoms and suppression of immune system."
2)"Prevention of symptoms and decreased immune response."
3)"Prevention of occurrence and relief of symptoms."
4)"Suppression of cough and immune system."

Question 21

Which medications are used in the medication treatment plan of COPD? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Bronchodilators
2)Expectorants
3)Mucolytics
4)Antibiotics
5)Oxygen

Question 22

Antihistamines should be used with caution in clients with asthma or COPD.What is the rationale for this caution?
1)Anticholinergic effects of antihistamines can trigger angioedema.
2)Most people with asthma are allergic to antihistamines.
3)Antihistamines cause severe headache when given to clients with COPD or asthma.
4)Anticholinergic effects of antihistamines can trigger bronchospasm.

Question 23

A nurse is reviewing medications with a client recently diagnosed with COPD.The client asks how they can prevent further exacerbations of the COPD.Which should be included in the plan of care regarding COPD? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Smoking cessation
2)Exercise
3)Healthy eating program
4)Take medications as prescribed
5)Use oxygen therapy as needed

Question 24

A client with asthma is being discharged after a short stay for an exacerbation of asthma.The nurse is reviewing the medication regimen.The client asks why they are only prescribed an oral corticosteroid for 10 days.Which is the nurse's response?
1)"I should call the prescriber and confirm."
2)"You can take it longer."
3)"Treatment time is usually limited to 10 days and then a reevaluation is necessary."
4)"Don't worry about it."

Question 25

A nurse is teaching a client who has uncontrolled asthma about the addition of two new medications.Cromolyn and montelukast (Singulair)have been added.The client asks why these medications were added.What is the nurse's best response?
1)They are used as second-line drugs for the treatment of asthma.
2)Both work together in a synergist approach.
3)The prescriber is discontinuing the albuterol (Proventil)and ipratropium (Atrovent).
4)The prescriber is trying something new.

Question 26

A client with asthma asks the nurse which type of medication will decrease bronchoconstriction associated with asthma.Which response by the nurse is the most correct?
1)"Bronchodilators."
2)"Corticosteroids."
3)"Expectorants."
4)"Antitussives."

Question 27

A nurse is reviewing medications with a client with asthma.The client has been prescribed an intranasal corticosteroids.Which should be included in teaching the client about intranasal corticosteroids? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)The medication will decrease secretion of inflammatory mediators.
2)It takes 2-3 weeks of therapy before optimal benefits are attained.
3)Stop taking all other medications.
4)You may experience a runny nose and sneezing.
5)Follow up with the prescriber in 4 weeks.

Question 28

A client is prescribed montelukast (Singulair),a leukotriene modifier.Which best describes why this medication was added to the treatment of the client's asthma?
1)The medication is used for the prophylaxis of asthma.
2)The medication is important for an acute bronchospasm.
3)The medication has serious adverse effects including immunosuppression.
4)The medication should not have been added to the treatment.

Question 29

A nurse is reviewing medications with a client with asthma.The client has been prescribed an intranasal corticosteroid but cannot remember the name of the medication.Which medications does the nurse know as intranasal corticosteroids? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Fluticasone (Flonase Allergy Relief)
2)Budesonide (Rhinocort Allergy Spray)
3)Diphenhydramine (Benadryl)
4)Oxymetazoline (Afrin)
5)Triamcinolone (Nasacort)

Question 30

A client with asthma asks the nurse which type of medication will decrease inflammation associated with asthma.What is the best response by the nurse?
1)"Corticosteroids."
2)"Expectorants."
3)"Bronchodilators."
4)"Antitussives."

Question 31

Xanthines are not as popular as they were 20 years ago.Why has this group of medications lost its popularity?
1)They have a slower onset.
2)They are related to caffeine.
3)They produce less effective bronchodilation.
4)They interact with a large number of other drugs.

Question 32

The nurse teaches the client that they were prescribed a first-generation antihistamine to avoid alcohol and other CNS depressants.What is the rationale for this particular teaching topic?
1)The antihistamine will not work if combined with alcohol or a CNS depressant.
2)The sedating effects will be increased.
3)The combination will cause insomnia.
4)Anaphylaxis is more likely when antihistamines are taken with alcohol.