Deck 39: Drugs for Asthma and Other Pulmonary Disorders

Question 1

The nurse teaches the client about the use of a metered-dose inhaler (MDI)and spacer.The nurse evaluates that additional teaching is required when the client makes which statement?
1)"I need to follow the instructions about using the metered-dose inhaler (MDI)."
2)"I need to rinse my mouth each time after using the metered-dose inhaler (MDI)."
3)"I need to drink a lot of fluids while I am using the metered-dose inhaler (MDI)."
4)"I should keep the spacer moist between uses by storing it in a plastic zipbag."

Answer 1

4

Question 2

A client receives theophylline (Theo-Dur)and calls the clinic to say he has had nausea and vomiting for two days.What is the best action by the nurse?
1)Tell the client to come to the clinic for an assessment.
2)Ask the client if he has eaten at any unclean restaurants.
3)Ask the client if he has been exposed to anyone with the flu.
4)Recommend that the client begin a clear liquid diet.

Answer 2

1

Question 3

Bronchoconstriction in the airways is stimulated by
1)perfusion.
2)ventilation.
3)the sympathetic nervous system.
4)parasympathetic nervous system.

Answer 3

4

Question 4

The physician has ordered ipratropium (Atrovent)for the client.What is a priority assessment for the nurse to ask prior to administering this medication?
1)"Do you have glaucoma?"
2)"Do you have diabetes mellitus?"
3)"Do you have seizures?"
4)"Do you have gout?"

Question 5

The client receives albuterol (Proventil)via inhaler.He asks the nurse why he can't just take a pill.What is the best response by the nurse?
1)"When you inhale the drug the blood supply in your lungs picks it up rapidly,resulting in quicker effects."
2)"Because pills cannot help your illness;you must have inhaled medications for relief of symptoms."
3)"Because pills would produce too many side effects;you will have very few side effects with inhaled medications."
4)"Because this medication cannot be absorbed from your GI tract;the acid in your stomach would destroy it."

Question 6

The nurse plans to teach an adolescent about inhalation therapy as part of the treatment plan for the client's asthma.What does the best plan by the nurse include?
1)Inhalation therapy is effective because it provides around-the-clock therapy,as opposed to oral medications.
2)Inhalation therapy is the preferred treatment for adolescents because it is easier for them to manage.
3)Inhalation therapy is effective because it provides systemic relief of symptoms as well as local relief.
4)Inhalation therapy is effective because it goes to the direct site of action in the respiratory tract.

Question 7

The nurse would observe for fungal infection of the throat with which class of medications?
1)Methylxanthines
2)Beta-adrenergic agonists
3)Mast cell inhibitors
4)Glucocorticoids

Question 8

The nurse teaches a medication class on bronchodilators for clients with asthma.The nurse evaluates that learning has occurred when the clients make which statement?
1)"The medication widens the airways because it decreases the production of mucous that narrows them."
2)"The medication widens the airways because it decreases the production of histamine that narrows them."
3)"The medication widens the airways because it acts on the parasympathetic nervous system."
4)"The medication widens the airways because it stimulates the fight-or-flight response of the nervous system."

Question 9

The client asks the nurse why she must continue taking her asthma medication even though she has not had an asthma attack in several months.What is the best response by the nurse?
1)"The medication needs to be taken indefinitely according to your doctor,so you should discuss this with him."
2)"The medication is still needed to decrease inflammation in your airways and help prevent an attack."
3)"The medication needs to be taken or your lungs will be severely damaged and we will not be able to stop an acute attack."
4)"The medication needs to be taken for at least a year;then,if you have not had an acute attack,you can stop it."

Question 10

The client receives ipratropium (Atrovent)via inhalation for the treatment of chronic asthma.The nurse plans to do medication education with the client.What will the best plan by the nurse include? Credit will be given only if all correct choices and no incorrect choices are selected.
1)Wait 15 minutes before using any other inhaled medications.
2)The medication may also be used for acute asthma attacks.
3)Report any increased dyspnea.
4)Report any changes in urinary pattern.
5)Use the medication consistently,not occasionally.

Question 11

The client receives beclomethasone (Beconase).What will the best assessment by the nurse include? Credit will be given only if all correct choices and no incorrect choices are selected.
1)Assess the client's mouth for any sign of fungal infection.
2)Assess the client's blood glucose prior to administration of nasal spray.
3)Assess if the client has blown his nose prior to administration of nasal spray.
4)Assess if the client has had a change in taste.
5)Assess the client for any hoarseness or change in voice.

Question 12

Leukotriene modifiers are primarily used for
1)status asthmaticus.
2)infection.
3)bronchodilation in asthma.
4)prophylaxis of asthma symptoms.

Question 13

The client receives ipratropium (Atrovent).She tells the nurse she is going to stop it because of the bitter taste in her mouth after using the medication.What is the best response by the nurse?
1)"That is a good idea;you are experiencing a serious side effect."
2)"That is a common side effect;it will go away in time."
3)"You can decrease that side effect by rinsing your mouth after use."
4)"Are you sure you are using the medication properly?"

Question 14

The client receives zafirlukast (Accolate)as treatment for asthma.The nurse has completed medication education and evaluates that learning has occurred when the client makes which statement?
1)"This medication activates my fight-or-flight response."
2)"This medication is good when I have an acute attack of asthma."
3)"This medication dilates my airways so I can breathe better."
4)"This medication decreases the inflammation in my lungs."

Question 15

Which of the following is true regarding dry powder inhalers (DPI)?
1)The medication is delivered by tablet orally.
2)The medication is delivered by fine mist.
3)The device is activated by inhalation.
4)The medication is applied topically.

Question 16

The physician has prescribed cromolyn (Intal)for the client with asthma.The nurse plans to do medication education.What will the best plan by the nurse include?
1)This medication is indicated for acute asthma attacks.
2)This medication can affect blood glucose levels.
3)This medication will help prevent asthma attacks.
4)This medication can result in hypertension.

Question 17

The nurse is preparing to administer beclomethasone (Beconase)to several clients.For which client would the nurse hold the drug and contact the physician?
1)The client who has had a myocardial infarction (MI)
2)The client who has methicillin resistant Staphylococcus aureus (MRSA)
3)The client who has diabetes mellitus
4)The client who has terminal cancer

Question 18

Which of the following is an adverse effect of a beta-adrenergic agonist?
1)Bradycardia
2)Constipation
3)Tachycardia
4)Runny nose

Question 19

Which of the following statements is true regarding asthma?
1)It has both inflammatory and bronchoconstriction components.
2)Asthma is caused by a virus.
3)Asthma cannot be treated.
4)Symptoms most often occur with rest.

Question 20

The nurse understands that one advantage of inhaled pulmonary drugs over oral drugs is that inhaled drugs
1)increase adverse effects.
2)allow for convenience to the client.
3)are delivered to systemic locations.
4)allow for quick absorption.

Question 21

A nurse is explaining the process of respiration to a client.Which information should be given? Credit will be given only if all correct choices and no incorrect choices are selected.
1)"Moving air in and out of the lungs is really called ventilation."
2)The smooth muscle in the alveoli helps to pull air into the lungs.
3)Exchange of oxygen and carbon dioxide occurs across a thin capillary membrane.
4)Respiration is not effective without perfusion.
5)Your basic respiratory drive is determined by your brain.

Question 22

A client has been prescribed a leukotriene modifier.Which assessment finding would cause the nurse to this prescription? Credit will be given only if all correct choices and no incorrect choices are selected.
1)The client is 54 years old.
2)The client reports frequent foot cramps.
3)The client reports drinking two or three mixed alcohol drinks each day.
4)The client has chronic hepatitis C.
5)The client has a history of a CVA two years ago.

Question 23

An 8-year-old child was just diagnosed with asthma.Which assessment s should the nurse ask the child and parents? Credit will be given only if all correct choices and no incorrect choices are selected.
1)"Have you eaten any new foods?"
2)"Are you exposed to anyone who smokes?"
3)"Have you had your carpet cleaned lately?"
4)"Have you grown taller since last year?"
5)"Has there been a change in laundry products recently?"

Question 24

A client says,"My doctor told me that I have COPD and might develop emphysema.I always thought I had chronic bronchitis." How should the nurse respond to this statement? Credit will be given only if all correct choices and no incorrect choices are selected.
1)"Are you certain he didn't say you have asthma?"
2)"Chronic bronchitis doesn't have anything to do with COPD."
3)"COPD is either asthma,chronic bronchitis,or emphysema,or a combination of those disorders.
4)"As COPD progresses it becomes emphysema."
5)"Both diagnoses are correct."

Question 25

A client diagnosed with COPD says,"I don't see why I need to stop smoking.The damage to my lungs is already done." How should the nurse respond to this statement? Credit will be given only if all correct choices and no incorrect choices are selected.
1)"If you stop smoking now your COPD may not get worse as fast."
2)"If you stop smoking,your lungs will get better pretty quickly."
3)"Your symptoms might not be as bad if you aren't smoking."
4)"You are probably correct,but you should at least try."
5)"If I were you,I would enjoy what time I have left."