Deck 41: Drugs for Lower Respiratory Disorders

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:

A) liver enzymes.
B) serum glucose.
C) calcium level.
D) potassium level.

Answer 1

liver enzymes.

Question 2

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

A) fat; carbohydrate
B) carbohydrate; fat
C) fiber; protein
D) protein; carbohydrate

Answer 2

protein; carbohydrate

Question 3

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

A) Soak the spacer in alcohol between uses.
B) Do not use a spacer.
C) Rinse the mouth with water after each use.
D) Use fluconazole (Diflucan) prophylactically.

Answer 3

Rinse the mouth with water after each use.

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.

A) 8 to 12
B) 12 to 24
C) 24 to 36
D) 36 to 48

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:

A) remaining medication regimen.
B) body weight in kilograms.
C) breathing pattern and lung capacity.
D) current pulmonary function test.

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:

A) increased action of the Alupent.
B) toxicity of the beta blocker.
C) decreased action of the Alupent.
D) anaphylactic reaction to the beta blocker.

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:

A) the inhaled dose is higher than the oral dose.
B) the onset of the inhaled dose is faster than that of the oral dose.
C) there are more side effects with the inhaled dose.
D) the oral dose has a shorter half-life.

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?

A) Ginkgo
B) Ginseng
C) Ginger
D) Ephedra

Question 9

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

A) headache and an aura.
B) hypertension and flushing.
C) tachycardia and palpitations.
D) diarrhea and dehydration.

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?

A) Abnormal liver function tests
B) Hyperglycemia
C) Increased potassium level
D) Change in cardiac enzymes

Question 11

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

A) Hypoglycemia
B) Decreased serum potassium
C) Increased calcium
D) Decreased serum magnesium

Question 12

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

A) in the morning.
B) at noon.
C) late in the afternoon.
D) 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 _____.

A) mucolytic drug; 30; bronchodilator
B) bronchodilator; 30; mucolytic drug
C) mucolytic drug; 5; bronchodilator
D) bronchodilator; 5; mucolytic drug

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?

A) Increased
B) Decreased
C) The same
D) Closely monitored