Question 1

The client who is using a nebulizer asks the nurse why the physician said to rinse the mouth after completing a treatment.The appropriate response by the nurse is that rinsing the mouth will do which of the following?

Accepted Answer

Rinsing the mouth after using a nebulizer helps to prevent dry mouth, which can be a side effect of the medication. It does not aid systemic drug absorption, reduce the risk of developing cold sores, or eliminate the risk of adverse drug effects.

Question 2

The allergist has told a client that drug therapy will be needed with omalizumab (Xolair)as treatment for severe persistent asthma of an allergic nature.The nurse plans to teach the client that the drug is administered routinely by which of the following routes?

Accepted Answer

Omalizumab (Xolair) is administered subcutaneously, which means it is injected under the skin. It is not given orally, by inhalation, or intradermally.

Question 3

The emergency department nurse obtains acetylcysteine (Mucomyst)from the medication storage area after hearing that a client with overdose of which of the following substances is in transport to the hospital?

Accepted Answer

Acetylcysteine (Mucomyst) is used as an antidote for acetaminophen (Tylenol) overdose. It helps to prevent liver damage caused by the toxic metabolite of acetaminophen.

Question 4

The nurse explains to a client with asthma that which of the following substances is the most effective mucokinetic agent for clearing the respiratory passages of mucus?

Accepted Answer

Water is the most effective mucokinetic agent as it helps to thin mucus, making it easier to clear from the respiratory passages.

Question 5

The nurse anticipates that a client with which of the following conditions would be a candidate for drug therapy with cromolyn (Intal)?

Accepted Answer

Cromolyn (Intal) is indicated for the prophylaxis and treatment of bronchial asthma. It is not indicated for the treatment of emphysema, pneumonia, or nasal congestion.

Question 6

The nurse teaches a client beginning drug therapy with theophylline (Slo-Phyllin)that which of the following items is likely to decrease drug effectiveness with excessive use?

Accepted Answer

Charcoal-broiled foods can induce liver enzymes that metabolize theophylline, potentially decreasing its effectiveness by increasing its clearance from the body.

Question 7

The nurse explains to a client beginning drug therapy with nedocromil (Tilade)that which of the following may occur as an adverse drug effect?

Accepted Answer

Bad taste in the mouth after the dose is a known adverse effect of nedocromil (Tilade). Excessive salivation, constipation, and excessive sleepiness are not typically associated with this medication.

Question 8

A client beginning drug therapy with nedocromil (Tilade)indicates an understanding of drug information by stating that the full drug effects may not be noted for how many weeks?

Accepted Answer

The full effects of nedocromil (Tilade) may not be noted for up to four weeks. This medication is used for the maintenance treatment of asthma and works by reducing inflammation in the airways, but it can take several weeks for its full benefits to be observed.

Question 9

The nurse notes a new medication order for montelukast (Singulair).The nurse understands that this medication would not be helpful for which of the following purposes?

Accepted Answer

Montelukast (Singulair) is not helpful for managing an acute asthma attack. It is used to prevent asthma attacks, reduce bronchial inflammation and interfere with mucus secretion.

Question 10

The nurse would assess the client receiving montelukast (Singulair)for which of the following adverse drug effects?

Accepted Answer

The most common adverse effects of montelukast (Singulair) are headache and gastrointestinal distress, such as nausea, diarrhea, and upset stomach. Hypothermia, dry skin, muscle twitching, joint pain, irregular heart rhythm, and rapid pulse are not typical adverse effects of this medication.

Question 11

The nurse monitoring the serum theophylline level for a client taking theophylline (SLO Phyllin)notes that the client is having the expected result of therapy after noting which of the following results?

Accepted Answer

The therapeutic range for theophylline serum levels is generally considered to be between 10 to 20 mg/L. A level of 14 mg/L falls within this range, indicating that the client is experiencing the expected therapeutic effects of the medication without being at significant risk for toxicity.

Question 12

The mother of a pediatric client tells the clinic nurse that she saw an advertisement on television for montelukast (Singulair)as treatment for allergic rhinitis.The nurse would explain that the child is not a candidate for treatment with this drug if the child were younger than

Accepted Answer

Montelukast (Singulair) is not recommended for children younger than 2 years old for the treatment of allergic rhinitis.

Question 13

The nurse explains to a client taking an inhaled corticosteroid that rinsing the mouth after each dose is necessary to reduce the risk of which most important problem?

Accepted Answer

Rinsing the mouth after each dose of an inhaled corticosteroid reduces the risk of oral candidiasis, which is a fungal infection that can develop in the mouth as a result of the medication suppressing the immune system in that area.

Question 14

The nurse evaluates that drug therapy with acetylcysteine (Airbron)has been most effective after noting which of the following items of assessment data?

Accepted Answer

Acetylcysteine is a mucolytic that works by breaking up mucus and making it easier to expectorate. Therefore, an increase in the amount of expectorated mucus would be a positive sign that the drug is effective. The other options are either not specific enough to evaluate the effectiveness of the drug or do not directly relate to the drug's mechanism of action.

Question 15

A client newly diagnosed with asthma will begin drug therapy with albuterol (Proventil)and triamcinolone (Azmacort),two puffs each by inhalation.The nurse explains that which of the following directions is the proper method for self-administration?

Accepted Answer

The proper method for self-administration is to take the albuterol before the triamcinolone. Albuterol is a bronchodilator that opens the airways, while triamcinolone is a corticosteroid that reduces inflammation. Taking the albuterol first helps to open up the airways, allowing for better penetration of the corticosteroid. Alternating puffs between the two may not be as effective and may lead to improper dosing.

Question 16

A client has an order to take two drugs by inhalation: albuterol (Proventil)and fluticasone (Flonase).The nurse instructs the client to wait how many minutes between inhalations between these two drugs?

Accepted Answer

The answer of A client has an order to take...

Question 17

The nurse would include which of the following directions when teaching a client about how to clean the spacer and mouthpiece of a metered-dose inhaler?

Accepted Answer

Washing the mouthpiece and spacer with mild dishwashing soap twice per week is the recommended method to clean a metered-dose inhaler. Rinsing the mouthpiece three times per day is not necessary and could lead to excessive moisture buildup. Using hot water when rinsing the mouthpiece could damage the device, and shaking the mouthpiece could damage the internal parts.

Question 18

The client is learning to use a metered-dose inhaler for bronchodilator medications.If the client will be using a spacer device,the nurse teaches the client to do which of the following as part of proper use?

Accepted Answer

When using a spacer with a metered-dose inhaler, the client should inhale while pressing the canister down on the mouthpiece to ensure the medication is delivered effectively into the lungs.

Question 19

A client taking theophylline telephones the clinic on the weekend to say that she used the last dose of the drug and the prescription has no refills.The client indicates her sister also takes theophylline but as a different brand name.She asks if she can use her sister's medication until her office visit in 2 days.Which response by the nurse is best?

Accepted Answer

Using a different brand of theophylline may not have the same effect as the brand the client was using previously. It is important to wait until the client can see her healthcare provider to obtain a refill of her own medication.

Question 20

The nurse interprets that a client taking theophylline (Slo-Phyllin)could be experiencing drug toxicity if which of the following items of assessment data was noted?

Accepted Answer

The answer of The nurse interprets that a client taking...

Quiz 37: Bronchodilator,antiasthmatic,and Mucolytic Drugs

The client who is using a nebulizer asks the nurse why the physician said to rinse the mouth after completing a treatment.The appropriate response by the nurse is that rinsing the mouth will do which of the following?

The allergist has told a client that drug therapy will be needed with omalizumab (Xolair) as treatment for severe persistent asthma of an allergic nature.The nurse plans to teach the client that the drug is administered routinely by which of the following routes?

The emergency department nurse obtains acetylcysteine (Mucomyst) from the medication storage area after hearing that a client with overdose of which of the following substances is in transport to the hospital?

The nurse explains to a client with asthma that which of the following substances is the most effective mucokinetic agent for clearing the respiratory passages of mucus?

The nurse anticipates that a client with which of the following conditions would be a candidate for drug therapy with cromolyn (Intal) ?

The nurse teaches a client beginning drug therapy with theophylline (Slo-Phyllin) that which of the following items is likely to decrease drug effectiveness with excessive use?

The nurse explains to a client beginning drug therapy with nedocromil (Tilade) that which of the following may occur as an adverse drug effect?

A client beginning drug therapy with nedocromil (Tilade) indicates an understanding of drug information by stating that the full drug effects may not be noted for how many weeks?

The nurse notes a new medication order for montelukast (Singulair) .The nurse understands that this medication would not be helpful for which of the following purposes?

The nurse would assess the client receiving montelukast (Singulair) for which of the following adverse drug effects?

The nurse monitoring the serum theophylline level for a client taking theophylline (SLO Phyllin) notes that the client is having the expected result of therapy after noting which of the following results?

The mother of a pediatric client tells the clinic nurse that she saw an advertisement on television for montelukast (Singulair) as treatment for allergic rhinitis.The nurse would explain that the child is not a candidate for treatment with this drug if the child were younger than

The nurse explains to a client taking an inhaled corticosteroid that rinsing the mouth after each dose is necessary to reduce the risk of which most important problem?

The nurse evaluates that drug therapy with acetylcysteine (Airbron) has been most effective after noting which of the following items of assessment data?

A client newly diagnosed with asthma will begin drug therapy with albuterol (Proventil) and triamcinolone (Azmacort) ,two puffs each by inhalation.The nurse explains that which of the following directions is the proper method for self-administration?

A client has an order to take two drugs by inhalation: albuterol (Proventil) and fluticasone (Flonase) .The nurse instructs the client to wait how many minutes between inhalations between these two drugs?

The nurse would include which of the following directions when teaching a client about how to clean the spacer and mouthpiece of a metered-dose inhaler?

The client is learning to use a metered-dose inhaler for bronchodilator medications.If the client will be using a spacer device,the nurse teaches the client to do which of the following as part of proper use?

The nurse interprets that a client taking theophylline (Slo-Phyllin) could be experiencing drug toxicity if which of the following items of assessment data was noted?