Nursing 1141- Pharmacology » Fall 2022 » Mastery EAQ Ch. 37

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Question #1
Which instruction would the nurse provide a patient beginning treatment with a fluticasone/salmeterol inhaler to prevent complications?
A.   Do not abruptly stop the drug, Drink 8–10 glasses of water daily, Document daily intake and output
B.   Drink 8–10 glasses of water daily, Rinse your mouth out after dose, Document daily intake and output
C.   Drink 8–10 glasses of water daily, Document daily intake and output, Monitor for signs of infection
D.   Monitor for signs of infection, Do not abruptly stop the drug, Rinse your mouth out after dose
Question #2
Which parameter would the nurse assess after a scheduled dose of albuterol-ipratropium is finished to determine drug effectiveness for a patient with pneumonia?
A.   Heart rate, Blood pressure, Respiratory rate
B.   Breath sounds, Respiratory rate, Oxygen saturation
C.   Heart rate, Breath sounds, Blood pressure
D.   Oxygen saturation, Blood pressure, Heart rate
Question #3
The nurse is reviewing the laboratory results for a patient scheduled to receive theophylline for asthma. Based on a theophylline level of 25 mcg/mL, which action would the nurse take?
A.   Hold the dose, Contact the health care provider
B.   Wait 1 hour to give the dose, Ask lab to redraw blood
C.   Administer the dose, Ask lab to redraw blood
D.   Wait 1 hour to give the dose
Question #4
Which symptoms would the nurse expect to find in a patient with asthma?
A.   Wheezing, Chest tightness, Shortness of breath
B.   Rhinorrhea, Conjunctival swelling, Wheezing
C.   Chest tightness, Rhinorrhea, Conjunctival swelling
D.   Rhinorrhea, Shortness of breath, Conjunctival swelling
Question #5
Which medication is a mast cell stabilizer?
A.   Arformoterol
B.   Montelukast
C.   Cromolyn
D.   Zileuton
Question #6
Which route is most common for albuterol administration?
A.   Subcutaneous
B.   Intramuscular
C.   Inhalation
D.   Intravenous
Question #7
Which condition is characterized by enlargement of air spaces caused by the destruction of the alveolar walls?
A.   Emphysema
B.   Bronchial asthma
C.   Chronic bronchitis
D.   Rhinitis
Question #8
Which complaint would the nurse anticipate from a patient who is taking inhaled ipratropium?
A.   Anginal pain
B.   Insomnia
C.   Vascular headache
D.   Dry mouth
Question #9
Which medication given for the treatment of asthma can suppress bone growth in children?
A.   A beta agonist
B.   A corticosteroid
C.   A xanthine derivative
D.   An anticholinergic
Question #10
Which drug is a long-acting beta-agonist (LABA) inhaler?
A.   Terbutaline
B.   Levalbuterol
C.   Formoterol
D.   Metaproterenol
Question #11
Which is the elimination half-life of theophylline?
A.   5.5 hours
B.   1 to 2 hours
C.   12 hours
D.   6 to 13 hours
Question #12
Which time frame describes how long it will take ipratropium to have its maximum effect?
A.   4-5 hours
B.   5-15 minutes
C.   1-2 hours
D.   1.6 hours
Question #13
Which condition is a contraindication for the administration of montelukast?
A.   Joint pain
B.   Diabetes
C.   Lactose allergy
D.   Peanut allergy
Question #14
Which medication disrupts the inflammatory response and is indicated in the treatment of asthma?
A.   Salmeterol
B.   Ipratropium
C.   Montelukast
D.   Theophylline
Question #15
Which is an adverse effect of albuterol?
A.   Skin rashes, Tremors, Hypoglycemia
B.   Tremors, Palpitations, Tachycardia
C.   Tachycardia, Skin rashes, Hypoglycemia
D.   Skin rashes, Hypoglycemia, Palpitations
Question #16
Which antiasthmatic, available only for oral use, is approved for use in children 1 years of age and older?
A.   Montelukast
B.   Systemic corticosteroid
C.   Albuterol
D.   Terbutaline
Question #17
Which condition would the nurse include in the teaching plan for a patient with assessment findings of moon face, acne, increased fat pads, and swelling who is taking methylprednisolone?
A.   Hypothyroidism
B.   Thyrotoxicosis
C.   Cushing’s syndrome
D.   Addisonian crisis
Question #18
Which antiasthmatic drugs work by preventing the inflammation commonly provoked by the substances released from mast cells?
A.   Anticholinergics
B.   Xanthine derivatives
C.   Mast cell stabilizers
D.   Corticosteroids
Question #19
The nurse is teaching a patient who has asthma about the frequency of inhalation of salmeterol. Which statement by the patient indicates effective learning?
A.   "I will inhale it once a day upon waking."
B.   "I will inhale it twice a day approximately 12 hours apart."
C.   "I will inhale it twice a day at my convenience."
D.   "I will inhale it once a day before bedtime."
Question #20
Which laboratory parameter would the nurse monitor for a patient who is prescribed theophylline?
A.   Serum calcium levels
B.   Serum creatinine levels
C.   Serum level of drug
D.   Serum uric acid levels
Question #21
Which intervention would the nurse implement for a pediatric patient who is having difficulty using a metered-dose inhaler?
A.   Ask the health care provider to switch to oral medications.
B.   Tell the parent that young children should not use inhalers.
C.   Tell the parent to hold the inhaler for the child.
D.   Teach the child to use a spacer.
Question #22
Which side effect of a beta-agonist bronchodilator will the nurse teach the patient to report to the health care provider?
A.   Bradycardia
B.   Increased appetite
C.   Tachycardia
D.   Hypoglycemia
Question #23
Which is the correct nursing action for a patient who is prescribed albuterol and beclomethasone inhalers?
A.   Question the prescription; two inhalers should not be given at one time.
B.   Administer each inhaler at 30-minute intervals.
C.   Administer the albuterol, wait 5 minutes, and then administer beclomethasone.
D.   Administer beclomethasone, wait 2 minutes, and then administer albuterol.
Question #24
Which type of medication will be administered first to the patient with a history of asthma who is brought to the clinic with acute dyspnea, wheezing, hypercapnia, and hypoxemia?
A.   Beta2 agonists
B.   Glucocorticoids
C.   Leukotriene modifiers
D.   Anticholinergics
Question #25
Which instruction would the nurse give to the patient to prevent gastrointestinal (GI) upset when taking oral albuterol?
A.   "Take the prescribed medication with food."
B.   "Increase fluid intake up to 2500 mL a day."
C.   "Take the prescribed medication on an empty stomach."
D.   "Avoid sleeping with the head in an elevated position."
Question #26
Which assessment will the nurse perform to evaluate a patient who reports dizziness after taking albuterol?
A.   Balance reactions
B.   Respiratory rate
C.   Blood pressure
D.   Visual acuity
Question #27
Which interaction can occur when an asthmatic patient consumes rifampin along with xanthine derivatives?
A.   Additive cardiac stimulation is produced.
B.   Additive central nervous system stimulation is produced.
C.   Theophylline levels are decreased.
D.   Theophylline metabolism is decreased.
Question #28
Which action would the nurse implement first for a patient who is taking ipratropium and complains of dry cough?
A.   Instruct the patient to drink water.
B.   Administer 30 mg of dextromethorphan.
C.   Administer rescue therapy.
D.   Listen to the patient’s lungs.
Question #29
Which action by the patient will improve the absorption of tiotropium into the lung?
A.   Inhaling the tiotropium continuously for some time
B.   Avoiding rinsing the mouth with water after inhaling the medicine
C.   Taking a higher dose of tiotropium for inhalation
D.   Waiting for 1 to 2 minutes before inhaling the second dose
Question #30
Which order would the nurse anticipate for a patient prescribed ipratropium for treatment of chronic obstructive pulmonary disease (COPD) who also takes diphenhydramine to treat allergies?
A.   Administer both medicines simultaneously.
B.   Discontinue the dose of diphenhydramine.
C.   Administer both medications as prescribed.
D.   Discontinue the ipratropium.
Question #31
Which intervention, if followed, may prevent a fatal outcome for a patient changing from systemic corticosteroids to inhaled corticosteroids?
A.   Providing an initial high dose of inhaled corticosteroid
B.   Reducing the dose frequency of the inhaled corticosteroid
C.   Administering the same dose of systemic corticosteroid
D.   Tapering the dose of systemic corticosteroid
Question #32
Which complication would the nurse anticipate in a patient who is prescribed theophylline therapy and complains of gastroesophageal reflux during sleep?
A.   Insomnia, Ventricular dysrhythmias, Dry mouth
B.   Increased urination, Insomnia, Dry mouth
C.   Insomnia, Dry mouth, Vomiting
D.   Vomiting, Increased urination, Ventricular dysrhythmias
Question #33
Which adjustment to drug therapy would the nurse anticipate the health care provider will make for a patient who has been prescribed epinephrine and is also taking metformin?
A.   Increase in dose of metformin
B.   Replacement of epinephrine with aminophylline
C.   Replacement of metformin with aminophylline
D.   Increase in dose of epinephrine
Question #34
Which complication would be prevented when the nurse instructs the patient to rinse the mouth with water immedietely after inhaling ipratropium?
A.   Mucosal irritation and dryness
B.   Throat infection
C.   Nasal congestion
D.   Oral candidiasis
Question #35
Which is the nurse’s best action for a patient who is due for a dose of oral theophylline but displays irritability and has a blood pressure of 100/50 mm Hg and a heart rate of 110 beats/min?
A.   Administer oxygen at 2 L per minute via nasal cannula.
B.   Call the health care provider to request an increased dose.
C.   Hold the next dose of theophylline and assess the patient.
D.   Continue to monitor the patient and give the medication.
Question #36
A 10-year-old child presents to the school nurse’s office experiencing an acute asthma attack. Based on the assessment findings below, which medication would the nurse administer? Assessment Data o Alert and oriented x 4 o Temperature 99.1° F o Heart rate 110 beats/min o Respiratory rate 32 breaths/min o Blood pressure 132/82 mm Hg o Oxygen saturation 90% room air o Wheezing noted throughout lung fields o Breathing pattern rapid and labored o Capillary refill 3 sec
A.   Symbicort
B.   Epinephrine
C.   Salmetero
D.   Albuterol
Question #37
A patient with a history of asthma reports palpitations, tremors, and anxiety. Based on the home medication profile, which question would the nurse ask first? Medication Administration Record o Advair 1 puff twice daily o Albuterol 2 puffs Q 4 hours PRN o Cetirizine 10 mg PO QD o Lisinopril 10 mg PO QD
A.   “How often do you take your albuterol?”
B.   “Do you have any pets at home?”
C.   “When was the last time you took your Advair?”
D.   “What do you do after taking your Advair?”
Question #38
The health care provider has prescribed montelukast for the treatment of allergic rhinitis and allergy-induced asthma. Which cue in the health record would make the use of this drug contraindicated? Medical Diagnoses o Seizure disorder o Allergy-induced asthma o Depression o Allergic rhinitis Medication Administration Record o Phenobarbital 60 mg PO BID o Montelukast 10 mg PO daily o Citalopram 20 mg PO daily
A.   Phenobarbital
B.   Hypertension
C.   Seizure disorder
D.   Atenolol
Question #39
Which respiratory therapy would the nurse administer to lower the carbon dioxide concentration of a patient with chronic obstructive pulmonary disorder (COPD)?
A.   Fluticasone propionate
B.   Salmeterol
C.   Oxygen via a nasal cannula, 2 L/min
D.   Albuterol nebulizer
Question #40
Which step of asthma management involves a prescription for fluticasone and a salmeterol inhaler?
A.   Step 5
B.   Step 4
C.   Step 6
D.   Step 2
Question #41
Which medication would the nurse expect to administer to a patient with bronchospasms who develops tachycardia?
A.   Levalbuterol
B.   Salmeterol
C.   Arformoterol
D.   Formoterol
Question #42
Which item would the nurse advise a patient who is prescribed a zanthine-derivitive drug to avoid?
A.   Coffee, Charcoal-broiled foods, Low-protein foods, Low-carbohydrate foods
B.   Sugar, Low-protein foods, Cigarettes, Low-carbohydrate foods
C.   Coffee, Charcoal-broiled foods, Cigarettes, Low-carbohydrate foods
D.   Coffee, Charcoal-broiled foods, Cigarettes, Sugar
Question #43
Which instruction would the nurse give to the patient for safe administration of theophylline?
A.   "Increase intake of low-carbohydrate food."
B.   "Increase fluid intake up to 3 L per day."
C.   "Avoid consumption of citrus fruit."
D.   "Avoid intake of a high-protein diet."
Question #44
Which reason explains why the nurse would recommend an alternate method of contraception to a patient taking theophylline and an oral contraceptive?
A.   Oral contraceptives inhibit theophylline action.
B.   Theophylline decreases the effectiveness of contraceptives.
C.   Theophylline and oral contraceptives cause additive toxicity.
D.   Oral contraceptives increase the serum level of theophylline.
Question #45
Which side effects would the nurse ask the patient to be watchful when administering mixed alpha/beta agonists?
A.   Drowsiness, Hypoglycemia, Anorexia
B.   Drowsiness, Hypoglycemia, Vascular headache
C.   Cardiac stimulation, Hypoglycemia, Drowsiness
D.   Anorexia, Vascular headache, Cardiac stimulation
Question #46
Which medication will the nurse anticipate will be prescribed for a patient in status asthmaticus who continues to have symptoms after administration of epinephrine?
A.   Salmeterol
B.   Terbutaline
C.   Aminophylline
D.   Albuterol
Question #47
Which instruction would the nurse provide a patient beginning treatment with a fluticasone/salmeterol inhaler to prevent complications?
A.   Drink 8–10 glasses of water daily, Document daily intake and output, Monitor for signs of infection
B.   Do not abruptly stop the drug, Drink 8–10 glasses of water daily, Document daily intake and output
C.   Monitor for signs of infection, Do not abruptly stop the drug, Rinse your mouth out after dose
D.   Drink 8–10 glasses of water daily, Document daily intake and output, Rinse your mouth out after dose
Question #48
Which adverse effects will the nurse monitor in a patient who is receiving tiotropium?
A.   Nasal congestion, Heart palpitations, Dry mouth or throat
B.   Heart palpitations, Skeletal pain, Hyperglycemia
C.   Skeletal pain, Hyperglycemia, Nasal congestion
D.   Hyperglycemia, Dry mouth or throat, Skeletal pain
Question #49
  
A.   Arformoterol
B.   Theophylline
C.   Activated charcoal
D.   Formoterol
Question #50
Which priority instruction would the nurse include for a patient with acute asthma who completed 4 days of intravenous methylprednisolone therapy and has just received a prescription for fluticasone at discharge?
A.   "Administer albuterol before other asthma medications."
B.   "Rinse your mouth with water after using fluticasone."
C.   "Take fluticasone exactly as it is prescribed."
D.   "Avoid situations that can expose you to infections."
Question #51
Which biochemical test may be performed in the patient before administration of an inhaled corticosteroid for treatment of asthma?
A.   Hemoglobin test
B.   Liver enzyme test
C.   Sputum test
D.   Prothrombin time
Question #52
Which action is the nurse’s highest priority when a patient with a history of asthma reports feeling short of breath?
A.   Administering a beta2-adrenergic agonist
B.   Asking the patient to describe the symptoms
C.   Calling a code
D.   Administering a long-acting glucocorticoid
Question #53
Which laboratory value would the nurse monitor to ensure safe drug administration for a patient who is prescribed zileuton?
A.   Liver enzyme levels
B.   Complete blood count
C.   Creatinine clearance
D.   Uric acid baseline level
Question #54
Which patient would cause the nurse to question a prescription of theophylline?
A.   A patient who is 16 years old
B.   A patient with a history of type 2 diabetes
C.   A patient with atrial fibrillation with a pulse rate of 100 beats/min
D.   A patient with a history of emphysema
Question #55
Which adverse effect manifesting in nausea, shortness of breath, joint pain, weakness, and fatigue could be caused from a patient abruptly discontinuing prednisone therapy?
A.   Coronary ischemia
B.   Rheumatoid arthritis
C.   Addisonian crisis
D.   Cushing’s syndrome
Question #56
Which assessment would the nurse perform to ensure safety of drug administration for a patient who is prescribed omalizumab?
A.   Body temperature
B.   Gastrointestinal upset
C.   Hypersensitivity reactions
D.   Urine frequency

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