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.
Monitor for signs of infection, Do not abruptly stop the drug, Rinse your mouth out after dose
B.
Do not abruptly stop the drug, Drink 8–10 glasses of water daily, Document daily intake and output
C.
Drink 8–10 glasses of water daily, Document daily intake and output, Monitor for signs of infection
D.
Drink 8–10 glasses of water daily, Rinse your mouth out after dose, Document daily intake and output
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, Breath sounds, Blood pressure
B.
Breath sounds, Respiratory rate, Oxygen saturation
C.
Oxygen saturation, Blood pressure, Heart rate
D.
Heart rate, Blood pressure, Respiratory 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.
Administer the dose, Ask lab to redraw blood
B.
Hold the dose, Contact the health care provider
C.
Wait 1 hour to give 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.
Zileuton
B.
Arformoterol
C.
Cromolyn
D.
Montelukast
Question #6
Which route is most common for albuterol administration?
A.
Subcutaneous
B.
Intravenous
C.
Inhalation
D.
Intramuscular
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.
Vascular headache
B.
Anginal pain
C.
Dry mouth
D.
Insomnia
Question #9
Which medication given for the treatment of asthma can suppress bone growth in children?
A.
A beta agonist
B.
An anticholinergic
C.
A corticosteroid
D.
A xanthine derivative
Question #10
Which drug is a long-acting beta-agonist (LABA) inhaler?
A.
Terbutaline
B.
Formoterol
C.
Metaproterenol
D.
Levalbuterol
Question #11
Which is the elimination half-life of theophylline?
A.
12 hours
B.
1 to 2 hours
C.
5.5 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.
1.6 hours
C.
1-2 hours
D.
5-15 minutes
Question #13
Which condition is a contraindication for the administration of montelukast?
A.
Peanut allergy
B.
Joint pain
C.
Lactose allergy
D.
Diabetes
Question #14
Which medication disrupts the inflammatory response and is indicated in the treatment of asthma?
A.
Salmeterol
B.
Montelukast
C.
Theophylline
D.
Ipratropium
Question #15
Which is an adverse effect of albuterol?
A.
Tachycardia, Skin rashes, Hypoglycemia
B.
Tremors, Palpitations, Tachycardia
C.
Skin rashes, Tremors, 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.
Terbutaline
B.
Montelukast
C.
Systemic corticosteroid
D.
Albuterol
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.
Cushing’s syndrome
B.
Addisonian crisis
C.
Hypothyroidism
D.
Thyrotoxicosis
Question #18
Which antiasthmatic drugs work by preventing the inflammation commonly provoked by the substances released from mast cells?
A.
Mast cell stabilizers
B.
Xanthine derivatives
C.
Anticholinergics
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 at my convenience."
C.
"I will inhale it twice a day approximately 12 hours apart."
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 level of drug
B.
Serum uric acid levels
C.
Serum creatinine levels
D.
Serum calcium levels
Question #21
Which intervention would the nurse implement for a pediatric patient who is having difficulty using a metered-dose inhaler?
A.
Tell the parent to hold the inhaler for the child.
B.
Teach the child to use a spacer.
C.
Ask the health care provider to switch to oral medications.
D.
Tell the parent that young children should not use inhalers.
Question #22
Which side effect of a beta-agonist bronchodilator will the nurse teach the patient to report to the health care provider?
A.
Hypoglycemia
B.
Increased appetite
C.
Bradycardia
D.
Tachycardia
Question #23
Which is the correct nursing action for a patient who is prescribed albuterol and beclomethasone inhalers?
A.
Administer beclomethasone, wait 2 minutes, and then administer albuterol.
B.
Question the prescription; two inhalers should not be given at one time.
C.
Administer the albuterol, wait 5 minutes, and then administer beclomethasone.
D.
Administer each inhaler at 30-minute intervals.
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.
Leukotriene modifiers
B.
Beta2 agonists
C.
Anticholinergics
D.
Glucocorticoids
Question #25
Which instruction would the nurse give to the patient to prevent gastrointestinal (GI) upset when taking oral albuterol?
A.
"Increase fluid intake up to 2500 mL a day."
B.
"Take the prescribed medication on an empty stomach."
C.
"Take the prescribed medication with food."
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.
Blood pressure
B.
Balance reactions
C.
Respiratory rate
D.
Visual acuity
Question #27
Which interaction can occur when an asthmatic patient consumes rifampin along with xanthine derivatives?
A.
Theophylline metabolism is decreased.
B.
Theophylline levels are decreased.
C.
Additive cardiac stimulation is produced.
D.
Additive central nervous system stimulation is produced.
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 rescue therapy.
C.
Administer 30 mg of dextromethorphan.
D.
Listen to the patient’s lungs.
Question #29
Which action by the patient will improve the absorption of tiotropium into the lung?
A.
Avoiding rinsing the mouth with water after inhaling the medicine
B.
Inhaling the tiotropium continuously for some time
C.
Waiting for 1 to 2 minutes before inhaling the second dose
D.
Taking a higher dose of tiotropium for inhalation
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.
Administer both medications as prescribed.
C.
Discontinue the dose of diphenhydramine.
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.
Reducing the dose frequency of the inhaled corticosteroid
B.
Tapering the dose of systemic corticosteroid
C.
Administering the same dose of systemic corticosteroid
D.
Providing an initial high dose of inhaled 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, Dry mouth, Vomiting
B.
Vomiting, Increased urination, Ventricular dysrhythmias
C.
Increased urination, Insomnia, Dry mouth
D.
Insomnia, Ventricular dysrhythmias, Dry mouth
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 metformin with aminophylline
C.
Replacement of epinephrine 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.
Nasal congestion
C.
Oral candidiasis
D.
Throat infection
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.
Continue to monitor the patient and give the medication.
B.
Administer oxygen at 2 L per minute via nasal cannula.
C.
Hold the next dose of theophylline and assess the patient.
D.
Call the health care provider to request an increased dose.
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.
Salmetero
B.
Epinephrine
C.
Albuterol
D.
Symbicort
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.
“What do you do after taking your Advair?”
B.
“Do you have any pets at home?”
C.
“How often do you take your albuterol?”
D.
“When was the last time you took 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.
Hypertension
B.
Seizure disorder
C.
Phenobarbital
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.
Oxygen via a nasal cannula, 2 L/min
C.
Salmeterol
D.
Albuterol nebulizer
Question #40
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.
Arformoterol
C.
Formoterol
D.
Salmeterol
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.
Coffee, Charcoal-broiled foods, Cigarettes, Sugar
C.
Coffee, Charcoal-broiled foods, Cigarettes, Low-carbohydrate foods
D.
Sugar, Low-protein foods, Cigarettes, Low-carbohydrate foods
Question #43
Which instruction would the nurse give to the patient for safe administration of theophylline?
A.
"Avoid consumption of citrus fruit."
B.
"Increase fluid intake up to 3 L per day."
C.
"Increase intake of low-carbohydrate food."
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.
Oral contraceptives increase the serum level of theophylline.
D.
Theophylline and oral contraceptives cause additive toxicity.
Question #45
Which side effects would the nurse ask the patient to be watchful when administering mixed alpha/beta agonists?
A.
Anorexia, Vascular headache, Cardiac stimulation
B.
Drowsiness, Hypoglycemia, Vascular headache
C.
Cardiac stimulation, Hypoglycemia, Drowsiness
D.
Drowsiness, Hypoglycemia, Anorexia
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.
Drink 8–10 glasses of water daily, Document daily intake and output, Rinse your mouth out after dose
C.
Do not abruptly stop the drug, Drink 8–10 glasses of water daily, Document daily intake and output
D.
Monitor for signs of infection, Do not abruptly stop the drug, Rinse your mouth out after dose
Question #48
Which adverse effects will the nurse monitor in a patient who is receiving tiotropium?
A.
Skeletal pain, Hyperglycemia, Nasal congestion
B.
Nasal congestion, Heart palpitations, Dry mouth or throat
C.
Heart palpitations, Skeletal pain, Hyperglycemia
D.
Hyperglycemia, Dry mouth or throat, Skeletal pain
Question #49
A.
Theophylline
B.
Arformoterol
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.
"Rinse your mouth with water after using fluticasone."
B.
"Avoid situations that can expose you to infections."
C.
"Take fluticasone exactly as it is prescribed."
D.
"Administer albuterol before other asthma medications."
Question #51
Which biochemical test may be performed in the patient before administration of an inhaled corticosteroid for treatment of asthma?
A.
Liver enzyme test
B.
Sputum test
C.
Prothrombin time
D.
Hemoglobin test
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 long-acting glucocorticoid
B.
Administering a beta2-adrenergic agonist
C.
Calling a code
D.
Asking the patient to describe the symptoms
Question #53
Which laboratory value would the nurse monitor to ensure safe drug administration for a patient who is prescribed zileuton?
A.
Creatinine clearance
B.
Uric acid baseline level
C.
Complete blood count
D.
Liver enzyme levels
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 atrial fibrillation with a pulse rate of 100 beats/min
C.
A patient with a history of emphysema
D.
A patient with a history of type 2 diabetes
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.
Addisonian crisis
B.
Cushing’s syndrome
C.
Rheumatoid arthritis
D.
Coronary ischemia
Question #56
Which assessment would the nurse perform to ensure safety of drug administration for a patient who is prescribed omalizumab?
A.
Hypersensitivity reactions
B.
Body temperature
C.
Gastrointestinal upset
D.
Urine frequency
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