Question 1

The client has been started on Zyflo. The nurse's highest priority intervention while the client is receiving this medication is to monitor:

Accepted Answer

Hepatotoxicity may result; liver enzymes should be closely monitored.

Question 2

To promote elimination of theophylline from the client's system, the client's diet should emphasize high _____ and low _____.

Accepted Answer

Advise client that a high-protein, low-carbohydrate diet increases theophylline elimination. Conversely, a low-protein, high-carbohydrate diet prolongs the half-life; the dosage may need adjustment.

Question 3

A client who uses an inhaler is taught strategies to prevent Candida infections. Which instruction would the nurse include in the teaching?

Accepted Answer

Rinsing the mouth with water after each inhaler use will be beneficial in preventing Candida infections. This is the step indicated to prevent Candida.

Question 4

The client is ordered to receive Mucomyst after an overdose of acetaminophen. The nurse recognizes that the most effective time for the client to receive the drug is _____ hours after the overdose.

Accepted Answer

Mucomyst should be given 12 to 24 hours after an acetaminophen overdose in order to be effective.

Question 5

The client has been started on an oral dosage of aminophylline. The nurse recognizes that the dosage of this medication is prepared based on the client's:

Accepted Answer

Loading dosage of the drug is 400 mg; then the dose is increased according to body weight.

Question 6

The client is being treated with Alupent. The client is also being treated with a beta-blocker drug. The nurse anticipates that the interaction of the two drugs will result in:

Accepted Answer

Combining Alupent and a beta blocker will result in decreased action of the Alupent.

Question 7

A client is ordered to receive metaproterenol (Alupent) for asthma by inhaler, rather than orally. The nurse recognizes that when the medication is given by inhaler rather than orally:

Accepted Answer

The inhaled dose has a more rapid onset, requires a smaller dose, has fewer side effects, and has a shorter half-life than the oral dose.

Question 8

Clients taking a theophylline drug must be aware of herbal drug(s) that may cause drug interaction. Which is an herb that can cause cardiac dysrhythmias and theophylline toxicity when taken with theophylline?

Accepted Answer

Ephedra is a stimulant that potentiates theophylline. Ephedra stimulates the sympathetic nervous system.

Question 9

A nurse is teaching a client about the side effects and adverse reactions of theophylline (Theo-Dur). The side effects include:

Accepted Answer

As a medication to stimulate the sympathetic nervous system, theophylline (Theo-Dur) may cause tachycardia and palpitations.

Question 10

The client is ordered to be treated with Singulair. The nurse anticipates the client will experience what type of change in her laboratory values?

Accepted Answer

Singulair will produce abnormal liver function tests in the client.

Question 11

The client is being treated with Alupent. The nurse anticipates the client will experience what type of change in his laboratory values?

Accepted Answer

Alupent will produce a decreased serum potassium level.

Question 12

The nurse instructs a client to administer montelukast (Singulair):

Accepted Answer

For maximum effectiveness, this drug should be taken in the evening.

Question 13

When using a mucolytic drug and a bronchodilator in a nebulizer, the highest priority instruction that the nurse should give the client is that the _____ should be given _____ minutes before the _____.

Accepted Answer

The bronchodilator is given to open the airway, followed by the other medication.

Question 14

A client who smokes is receiving theophylline products. Because of his history of smoking, the nurse would expect that the dose would be affected in which way?

Accepted Answer

Smoking interferes with theophylline metabolism; the dose will need to be increased in order to have a therapeutic effect.

Quiz 41: Drugs for Lower Respiratory Disorders