Deck 29: Drugs for Pulmonary Disorders

Question 1

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?

A) Ask the client if he has been exposed to anyone with the flu.
B) Ask the client if he has eaten at any unclean restaurants.
C) Tell the client to come to the clinic for an assessment.
D) Recommend that the client begin a clear liquid diet.

Answer 1

Tell the client to come to the clinic for an assessment.

Question 2

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 of the nurse include? Select all that apply.

A) Wait 15 minutes before using any other inhaled medications.
B) Report a change in the colour or amount of sputum.
C) The medication may also be used for acute asthma attacks.
D) Report any changes in urinary pattern.
E) Use the medication consistently, not occasionally.

Answer 2

Report a change in the colour or amount of sputum.
Report any changes in urinary pattern.
Use the medication consistently, not occasionally.

Question 3

The client receives beclomethasone (Beclovent). What will the best assessment of the nurse include? Select all that apply.

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

Answer 3

Assess if the client has blown his nose prior to administration of nasal spray.
Assess the client's mouth for any sign of fungal infection.
Assess if the client alternates nares with administration of nasal spray.
Assess the client for any hoarseness or change in voice.

Question 4

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?

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

Question 5

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?

A) "The medication needs to be taken indefinitely according to your doctor, so you should discuss this with him."
B) "The medication needs to be taken or your lungs will be severely damaged and we will not be able to stop an acute attack."
C) "The medication is still needed to decrease inflammation in your airways and help prevent an attack."
D) "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 6

The physician has ordered salmeterol (Serevent Diskhaler Disk) for the client with asthma. The client asks the nurse how to use the medication. What is the best response by the nurse?

A) "Take it 30 to 60 minutes before you exercise."
B) "Use it when you have an acute asthma attack."
C) "Use it frequently because its action is very short."
D) "Take it 5 to 10 minutes before you exercise."

Question 7

The client receives salbutamol (PMS -Salbutamol) via inhaler. He asks the nurse why he can't just take a pill. What is the best response by the nurse?

A) "Because this medication cannot be absorbed from your GI tract; the acid in your stomach would destroy it."
B) "Because the surface of your lungs, and their blood supply, results in a rapid onset of action of the drug when inhaled."
C) "Because pills would produce too many side effects; you will have very few side effects with inhaled medications."
D) "Because pills cannot help your illness; you must have inhaled medications for relief of symptoms."

Question 8

The client receives isoproterenol (Isuprel) via inhalation. The nurse determines that the client is experiencing a side effect of this medication when reviewing which laboratory test?

A) sodium of 160 mmol/L
B) AST of 20 U/L
C) creatinine of 84 umol/L
D) glucose of 7.6 mmolL

Question 9

The nurse is preparing to administer beclomethasone (Beclovent) to several clients. For which client would the nurse hold the drug and contact the physician?

A) the client who has methicillin resistant staphylococcus aureus (MRSA)
B) the client who has had a myocardial infarction (MI)
C) the client who has diabetes mellitus
D) the client who has terminal cancer

Question 10

The client is receiving hydrocodone (Hycodan), for a non -productive cough. She tells the nurse that she has a rash, tightness in her throat and is having difficulty breathing. The clients vital sign are blood pressure 100/50, pulse 135, respiratory rate 10. What is the client experiencing?

A) "That is a common side effect; it will go away in time."
B) "Are you sure you are using the medication properly?"
C) "The hydrocodone (Hycodan) is clearing her airway, which is a positive reaction"
D) "The client is likely allergic to opiods."

Question 11

The physician has prescribed cromolyn (Apo,Nu - Cromolyn) for the client with asthma. The nurse plans to do medication education. What will the best plan of the nurse include?

A) This medication can affect blood glucose levels.
B) This medication will help prevent asthma attacks.
C) This medication is indicated for acute asthma attacks.
D) This medication can result in hypertension.

Question 12

The physician has ordered ipratropium (Atrovent) for the client. What is a priority assessment question for the nurse to ask prior to administering this medication?

A) "Have you ever had a heart attack?"
B) "Do you have seizures?"
C) "Do you have glaucoma?"
D) "Do you have diabetes mellitus?"

Question 13

The client receives zafirlukast (Accolate) as treatment for asthma. The nurse has completed medication education and evaluates learning has occurred when the client makes which statement?

A) "This medication is good when I have an acute attack of asthma."
B) "This medication dilates my airways so I can breathe better."
C) "This medication decreases the inflammation in my lungs."
D) "This medication activates my fight -or -flight response."

Question 14

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 of the nurse include?

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

Question 15

The nurse teaches the client about the use of a metered -dose inhaler (MDI). The nurse evaluates that additional teaching is required when the client makes which statement?

A) "I need to rinse my mouth each time after using the metered -dose inhaler (MDI)."
B) "I need to follow the instructions about using the metered -dose inhaler (MDI)."
C) "I should hear a whistling sound each time I use the metered -dose inhaler (MDI)."
D) "I need to drink a lot of fluids while I am using the metered -dose inhaler (MDI)."