Drugs
The LPN is assisting in the admission process for a patient with a history of asthma. In addition to a rescue inhaler, the LPN would expect the patient may take which of the following medications?
Cromolyn sodium (Intal)
The LPN is taking a medication history from a patient with chronic obstructive pulmonary disease (COPD) who reports taking tiotropium (Spiriva). The nurse is aware the patient takes this medication in what type of formulation?
As an inhaled powder
The LPN is taking a dose of multisymptom cold medication and is aware that which of the following active ingredients will help reduce nasal congestion?
Pseudoephedrine
The LPN is counseling a patient who is taking bupropion (Wellbutrin). Which of the following statements is most important to include in the teaching?
“This medication can cause people to think about killing themselves, so it is imperative that you notify the doctor if you have any thoughts like that.”
The LPN is talking to a patient newly prescribed nedocromil (Tilade) who asks, “Why do I have to take this medication? Why can’t I just take my inhaler when I have an asthma attack?” Which of the following responses by the nurse is best?
“This medication helps decrease your body’s reaction to things that set off an asthma attack.”
The LPN is caring for a patient who reports taking ipratropium (Atrovent) and budesonide (Pulmicort) inhalers. Which action by the nurse is best?
Provide the ipratropium first, and then the budesonide.
The LPN is visiting her father, who has been hospitalized with pneumonia. The LPN recognizes that her father has thick secretions and a frequent cough. Which of the following medications might the LPN inquire about to help her father?
Acetylcysteine (Mucomyst)
The nurse is assisting in the care of a patient who smokes two packs of cigarettes per day. The patient has been prescribed a 14-mg nicotine patch (NicoDerm). The patient expresses a desire to smoke. Which action by the nurse is best?
Contact the physician to request an order for Nicorette gum as needed.
The LPN is assisting a patient newly diagnosed with influenza who has been given a prescription for oseltamivir (Tamiflu). The nurse recognizes the patient is aware of potential side effects by which of the following statements?
“This medication may cause nervousness or difficulty sleeping.”
The LPN is instructing a patient how to take the prescribed theophylline (TheoCap). Which of the following actions by the patient ensures the patient understood the instructions?
The patient takes the medication daily on an empty stomach with a glass of water.
A student nurse is talking to a respiratory therapist about the various patients receiving nebulizer treatments. Which patient is most likely to receive acetylcysteine (Mucomyst)?
A 19-year-old patient with cystic fibrosis
The LPN is attempting to stop smoking and has tried to quit “cold turkey” multiple times. This time he is willing to seek help and wants to use a medication that will make his desire to smoke fade away. Which of the following medications will the physician most likely prescribe?
Varenicline (Chantix)
The LPN is caring for a sick child at home who has a bad cough. The nurse would choose an over-the-counter cough syrup that contained which of the following active ingredients?
Dextromethorphan
After reviewing a new prescription for theophylline (Slo-Bid), the nurse would ensure the patient understood which of the following?
Careful monitoring with blood tests will be necessary.
The nurse is caring for a patient recently returned from surgery who is on oxygen at 2 L per minute via nasal cannula. The patient has continuous pulse oximeter in place and the monitor alarms and indicates the patient’s oxygen saturation is 88%. Which action by the nurse is best?
Instruct the patient to take deep breaths through the nose.
While working at a family practice physician’s office, the LPN would counsel patients taking over-the-counter decongestants to be cautious and check with their physician if they were also taking which of the following?
MAO inhibitors
Beta blockers
The nurse prepares to provide guaifenesin (Mucinex) as ordered. The patient asks, “What is this for?” Which of the following responses by the nurse is best?
“This helps thin the mucus so it is easier for you to cough it up.”
The LPN is working with a patient in a long-term care facility who takes metaproterenol (Alupent). The nurse is aware that the patient’s blood pressure that morning was 118/68. Which action should the nurse take?
Provide the metaproterenol.
Which of the following individuals is the most likely to receive caffeine citrate (Cafcit)?
A 3-day-old boy born at 30 weeks’ gestation
For whom is the use of oxygen therapy potentially dangerous?
A 71-year-old patient with chronic obstructive pulmonary disease with an O2 mask at 60%
A baby born at 27 weeks’ gestation receiving high-flow oxygen