Respiratory Meds
All of the following are examples of adrenergic agonists except:
a. Albuterol
b. Tiotropium
c. Terbutaline
b. Tiotropium (Spiriva)
The patient has an order for each of the following inhalers. Which one should the nurse offer to the patient at the onset of an asthma attack?
1. Albuterol (Proventil)
2. Salmeterol (Serevent)
3. Beclomethasone (Qvar)
4. Ipratropium bromide (Atrovent)
1. Albuterol (Proventil)
The chest deceases in size as the patient inhales.
a. True
b. False
False
The nurse evaluates that nursing interventions to promote airway clearance in a patient admitted with COPD are successful based on which finding?
a. Improved mental status
b. Effective and productive coughing
c. PaO2 within normal range for the patient
b. Effective and productive coughing
A client is prescribed an antitussive medication. What is the most important thing for the nurse to teach the patient?
a. "This medication may cause drowsiness and dizziness."
b. "Watch out for diarrhea and abdominal cramping."
c. "This may cause tremors and anxiety."
d. "Headache and hypertension are common side effects."
a. "This medication may cause drowsiness and dizziness."
A nurse reviews a client's medication history and notes that the client is taking a nonselective adrenergic agonist bronchodilator and has a history of coronary artery disease. What is a priority nursing intervention?
a. Monitor client for potential chest pain.
b. Monitor blood pressure continuously.
c. Assess daily for hyperkalemia.
d. Assess 12-lead ECG each shift.
a. Monitor client for potential chest pain.
A client has taken albuterol. What is the nurse's priority action?
a. Monitor for heart rate >100 beats/min.
b. Tell the client not to drive for 2 hours.
c. Monitor for sedation.
d. Assess for elevated blood pressure.
a. Monitor for heart rate >100 beats/min.
Which of the following is part of the upper respiratory system?
a. Alveoli
b. Larynx
c. Diaphragm
b. Larynx
A male patient with COPD becomes dyspneic at rest. His baseline blood gas results are PaO2 70 mm Hg, PaCO2 52 mm Hg, and pH 7.34. What updated patient assessment requires the nurse's priority intervention?
a. Arterial pH 7.26
b. PaCO2 50 mm Hg
c. Patient in tripod position
d Increased sputum expectoration
a. Arterial pH 7.26
What is the most important thing for the nurse to teach a client who is switching allergy medications from diphenhydramine (Benadryl) to loratadine (Claritin)?
a. This medication can potentially cause dysrhythmias.
b. This medication has fewer sedative effects.
c. This medication has increased bronchodilating effects.
d. This medication causes less gastrointestinal upset.
b. This medication has fewer sedative effects.
What class of drug is montelukast?
a. Leukotriene inhibitor
b. Long acting beta-2 agonist (LABA)
c. Corticosteroid
d. Anticholinergic bronchodilator
Leukotriene inhibitor
A client with a history of asthma is short of breath and says, "I feel like I'm having an asthmatic attack." What is the nurse's best action?
a. Call a code.
b. Ask the client to describe the symptoms.
c. Administer a beta2 adrenergic agonist.
d. Administer a long-acting glucocorticoid.
c. Administer a beta2 adrenergic agonist.
Name 2 parts of the lower respiratory system
Lung
Bronchioles
Bronchi
Alveoli
The nurse is caring for a patient with an acute exacerbation of asthma. Following initial treatment, what finding indicates to the nurse that the patient's respiratory status is improving?
a. Wheezing becomes louder.
b. Cough remains nonproductive.
c. Vesicular breath sounds decrease.
d. Aerosol bronchodilators stimulate coughing.
a. Wheezing becomes louder.
The client tells the nurse that she has a bad cold, is coughing, and feels like she has "stuff" in her lungs. What should the nurse do?
a. Administer dextromethorphan.
b. Administer guaifenesin.
c. Encourage the client to drink fluids hourly.
d. Administer fluticasone (Flonase).
b. Administer guaifenesin.
Discharge teaching to a client receiving a beta-agonist bronchodilator should emphasize reporting which side effect?
a. Hypoglycemia
b. Nonproductive cough
c. Sedation
d. Tachycardia
d. Tachycardia
The nurse is instructing a client about the advantages of salmeterol (Serevent) over other beta2 agonists such as albuterol (Proventil). How will the nurse explain to the client the difference in these two medications?
a. Salmeterol has a shorter onset of action.
b. Salmeterol does not have any side effects.
c. Albuterol has a longer onset of action.
d. Salmeterol has a longer duration of action.
d. Salmeterol has a longer duration of action.
Response to an allergen can cause and upper respiratory infection. True or false
True
Allergen or antigen
Which position is most appropriate for the nurse to place a patient experiencing an asthma exacerbation?
a. Supine
b. Lithotomy
c. High Fowler's
d. Reverse Trendelenburg
High Fowler's
The nurse, who has administered a first dose of oral prednisone to a patient with asthma, writes on the care plan to begin monitoring for which patient parameters?
a. Apical pulse
b. Daily weight
c. Bowel sounds
d. Deep tendon reflexes
Daily weight
A client with COPD is taking a leukotriene antagonist, montelukast (Singulair). The nurse is aware that this medication is given for which purpose?
a. Maintenance treatment of asthma
b. Treatment of an acute asthma attack
c. Reversing bronchospasm associated with COPD
d. Treatment of inflammation in chronic bronchitis
a. Maintenance treatment of asthma
Client teaching regarding the use of antileukotriene agents such as zafirlukast (Accolate) should include which statement?
a. "Take the medication as soon as you begin wheezing."
b. "It will take about 3 weeks before you notice a therapeutic effect."
c. "This medication will prevent the inflammation that causes your asthma attack."
d. "Increase fiber and fluid in your diet to prevent the side effect of constipation."
c. "This medication will prevent the inflammation that causes your asthma attack."
The nurse is taking care of a patient that tested positive foe the influenza virus. The nurse knows the goal of therapy is which of the following.
a. Administer antibiotics
b. Reduce the temperature in the room
c. Monitor family visits
d. Symptom management
During an assessment of a 45-year-old patient with asthma, the nurse notes wheezing and dyspnea. The nurse interprets that these symptoms are related to what pathophysiologic change?
a. Laryngospasm
b. Pulmonary edema
c. Narrowing of the airway
d. Overdistention of the alveoli
c. Narrowing of the airway
The nurse determines that a patient is experiencing common adverse effects from the inhaled corticosteroid beclomethasone (Beclovent) after what occurs?
a. Hypertension and pulmonary edema
b. Oropharyngeal candidiasis and hoarseness
c. Elevation of blood glucose and calcium levels
d. Adrenocortical dysfunction and hyperglycemia
b. Oropharyngeal candidiasis and hoarseness