Deck 40: Drugs for Asthma and Other Pulmonary Disorders

Question 1

Which information should the nurse include in the education for the client prescribed inhaled ipratropium (Atrovent)? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Wait 15 minutes between inhaled dosages.
B) The prescription may also be used for acute asthma attacks.
C) Report any increased dyspnea.
D) Report any changes in urinary pattern.
E) Use the medication consistently, not occasionally.

Answer 1

Report any increased dyspnea.
Report any changes in urinary pattern.
Use the medication consistently, not occasionally.

Question 2

A client prescribed an albuterol (Proventil) via inhaler asks the nurse why they can't just take a pill. Which response should the nurse provide?

A) "When you inhale the prescription the blood supply in the lungs absorbs it rapidly resulting in quicker effects."
B) "Oral prescriptions will not relieve your symptoms; you must have an inhaled prescription for relief of symptoms."
C) "Oral prescriptions produce too many side effects."
D) "The prescription cannot be absorbed in the GI tract because the acid in the stomach will destroy it."

Answer 2

"When you inhale the prescription the blood supply in the lungs absorbs it rapidly resulting in quicker effects."

Question 3

Which statement made by a client provided education about the use of albuterol (VoSpire ER) indicates further education is required?

A) "This is a short-acting beta agonist."
B) "The effects can last up to 12 hours."
C) "I can use this for chronic asthma."
D) "I can use this as needed for acute episodes."

Answer 3

"I can use this for chronic asthma."

Question 4

Which information should the nurse include when discussing inhalation therapy as part of a treatment plan for the client's asthma?

A) Inhalation therapy is effective because it provides around-the-clock therapy, as opposed to oral medications.
B) Inhalation therapy is the preferred treatment for adolescents because it is easier for them to manage.
C) Inhalation therapy is effective because it provides both systemic and local relief of symptoms.
D) Inhalation therapy is effective because it goes to the direct site of action in the respiratory tract.

Question 5

A client asks the nurse why they must continue to take their asthma prescription when they have not had an asthma attack in several months. Which response should the nurse provide the client?

A) "The prescription should be taken indefinitely to prevent future asthma attacks."
B) "The prescription is still needed to decrease inflammation in your airways and help prevent an attack."
C) "The prescription needs to be taken or your lungs can become increasingly damaged if you continue to have asthma attacks.
D) "The prescription should be taken for at least a year and if you have not had an asthma attack within that year you will be able to stop taking your prescription."

Question 6

Which priority question should the nurse ask a client prior to the administration of ipratropium (Atrovent)?

A) "Are you allergic to soy?"
B) "Do you have diabetes mellitus?"
C) "Do you have seizures?"
D) "Do you have gout?"

Question 7

Which information should the nurse include in the education for a client with asthma? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Drink additional fluids.
B) Eat small, frequent meals.
C) Sleep in a warm room.
D) Complete activity in the morning and rest in the afternoon.
E) Avoid foods high in protein.

Question 8

Which information should the nurse include in the education for the client prescribed Montelukast (Singulair)?

A) This prescription is indicated for acute asthma attacks.
B) Montelukast should be taken 30 minutes prior to exercise.
C) Montelukast should not be used in pediatric clients.
D) This prescription has very few side effects.

Question 9

For which class of prescription should the nurse monitor a client for a fungal infection of the throat?

A) Methylxanthines
B) Inhaled beta-adrenergic agonists
C) Mast cell inhibitors
D) Inhaled corticosteroid

Question 10

The nurse has provided education for a client prescribed zafirlukast (Accolate). Which statement made by the client indicates an understanding of the information?

A) "Zafirlukast will activate my fight-or-flight response."
B) "I can use this prescription for acute asthma attacks."
C) "This prescription will dilate my airways so I can breathe better."
D) "This decreases the inflammation in my lungs."

Question 11

Which statement is true regarding dry powder inhalers (DPI)?

A) The prescription has to be reconstituted prior to administration.
B) The prescription is delivered by fine mist.
C) The device is activated by inhalation.
D) The canister must be pressed for the prescription to be delivered.

Question 12

Which long-term control prescriptions have an anti-inflammatory mechanism of action? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Immunomodulators
B) Methylxanthines
C) Mast cell stabilizers
D) Leukotriene modifiers
E) Inhaled corticosteroids

Question 13

Which should the nurse recognize is a long-term control prescription used to treat asthma?

A) Systemic corticosteroids
B) Intermediate acting beta2-adrenergic agonists
C) Anticholinergics
D) Mast cell stabilizers

Question 14

The nurse has completed client education about the use of a metered-dose inhaler (MDI) and spacer. Which statement made by the client indicates further teaching is required?

A) "While I depress the canister I will make sure that I inhale slowly."
B) "After each use of my metered-dose inhaler (MDI) I will rinse my mouth."
C) "It is important that I drink plenty of fluids while I am using the metered-dose inhaler (MDI)."
D) "I should keep the spacer moist between uses by storing it in a plastic zip bag."

Question 15

Which are leukotriene modifiers primarily used for?

A) Status asthmaticus
B) Treat infection
C) Bronchodilation in asthma
D) Prophylaxis of asthma symptoms

Question 16

A client receiving ipratropium (Atrovent) tells the nurse they are going to stop taking their prescription because of the bitter taste left in their mouth after its use. Which response should the nurse provide the client?

A) "A bitter taste may indicate you are experiencing a serious side effect."
B) "This is a common side effect that will go away over time."
C) "You can decrease that side effect by rinsing your mouth after use."
D) "You may be administering too high of a dose."

Question 17

The nurse has provided a client with asthma education about bronchodilators. Which statement made by the client indicates an understanding of the information?

A) "The prescription widens the airways because it decreases the production of mucus that narrows them."
B) "The prescription widens the airways because it decreases the production of histamine that narrows them."
C) "The prescription widens the airways because it acts on the parasympathetic nervous system."
D) "The prescription widens the airways because it stimulates the fight-or-flight response of the nervous system."

Question 18

The nurse is providing education for a client prescribed albuterol (ProAir HFA). Which information should the nurse include in the teaching?

A) Administer the prescription 15 to 30 minutes prior to activity.
B) Albuterol can be used for prevention of an asthma attack.
C) Oral solutions can terminate an acute asthma attack.
D) A nebulizer must be used to deliver the prescription.

Question 19

Which assessment should the nurse conduct for the client receiving beclomethasone (Beconase) nasal spray? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Assess the client's mouth for any sign of fungal infection.
B) Assess the client's blood glucose prior to administration of nasal spray.
C) Assess if the client has blown his nose prior to administration of nasal spray.
D) Assess if the client has had a change in taste.
E) Assess the client for any hoarseness or change in voice.

Question 20

For which adverse effect should the nurse assess a client receiving a methylxanthine?

A) "Have you experienced any recent coughing?"
B) "Have you experienced any weight loss?"
C) "How have you been sleeping?"
D) "Have you experienced any urinary retention?"

Question 21

A client with COPD tells the nurse, "I don't see why I need to stop smoking because the damage to my lungs is already done." Which statement should the nurse provide the client?

A) "If you stop smoking, your lungs have a good chance of improving quickly."
B) "Your symptoms may be lessened if you aren't smoking."
C) "You should at least try because smoking is associated with other diseases."
D) "If you stop smoking the disease process will not advance."

Question 22

Which foods should the nurse associate with triggering asthma? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Cured meat
B) Dairy products
C) Grapefruit juice
D) Nuts
E) Shellfish

Question 23

Which assessment questions should the nurse ask the parents of a young child diagnosed with asthma? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "Has your child eaten any new foods?"
B) "Does anyone smoke in the home?"
C) "Have any chemicals been used in your home?"
D) "Has your child recently traveled to any warm climates?"
E) "Have you changed the laundry soap recently?"

Question 24

Which condition is an adverse effect of a beta-adrenergic agonist?

A) Bradycardia
B) Constipation
C) Tachycardia
D) Runny nose

Question 25

A client has been prescribed a leukotriene modifier. Which assessment finding would cause the nurse to question this prescription? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) A client who is 72 years old
B) Type II diabetic
C) A client with chronic kidney disease
D) The client with chronic hepatitis C
E) The client with a history of a CVA 2 years ago

Question 26

A client tells the nurse, "My healthcare provider told me that I have COPD and might develop emphysema. I always thought I had chronic bronchitis." Which response should the nurse provide the client? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "Are you certain you do not have asthma?"
B) "Chronic bronchitis has no relation to COPD."
C) "COPD is either asthma, chronic bronchitis, or emphysema, or a combination of those disorders."
D) "As COPD progresses, it becomes emphysema."
E) "Both diagnoses are correct."

Question 27

Which laboratory test should the nurse monitor for a client receiving albuterol (Proventil) reporting fatigue and palpitations?

A) Amylase
B) Electrolytes
C) Hemoglobin
D) Arterial blood gases

Question 28

The nurse has provided education for a client diagnosed with asthma. Which statements made by the client indicate that further teaching is required? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "My albuterol inhaler should be taken routinely to prevent asthma attacks."
B) "I should plan to take a corticosteroid for the rest of my life."
C) "My cromolyn inhaler (Intal) will help prevent an asthma attack."
D) "I'll use my montelukast (Singulair) inhaler every day."
E) "My therapy will include both oral and inhaled drugs."

Question 29

A nurse is explaining the process of respiration to a client. Which information should be given? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "Moving air in and out of the lungs is called ventilation."
B) The smooth muscle in the alveoli helps to pull air into the lungs.
C) Exchange of oxygen and carbon dioxide occurs across a thin capillary membrane.
D) Respiration is not effective without perfusion.
E) Your basic respiratory drive is determined by your brain.

Question 30

Which should the nurse monitor for a young child prescribed a corticosteroid for asthma? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Height
B) Bone density
C) IQ
D) Weight
E) EKG