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.
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, 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.
Oxygen saturation, Blood pressure, Heart rate
B.
Breath sounds, Respiratory rate, Oxygen saturation
C.
Heart rate, Breath sounds, Blood pressure
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.
Wait 1 hour to give the dose, Ask lab to redraw blood
C.
Wait 1 hour to give the dose
D.
Hold the dose, Contact the health care provider
Question #4
Which symptoms would the nurse expect to find in a patient with asthma?
A.
Wheezing, Chest tightness, Shortness of breath
B.
Chest tightness, Rhinorrhea, Conjunctival swelling
C.
Rhinorrhea, Shortness of breath, Conjunctival swelling
D.
Rhinorrhea, Conjunctival swelling, Wheezing
Question #5
Which medication is a mast cell stabilizer?
A.
Zileuton
B.
Arformoterol
C.
Montelukast
D.
Cromolyn
Question #6
Which route is most common for albuterol administration?
A.
Inhalation
B.
Intravenous
C.
Intramuscular
D.
Subcutaneous
Question #7
Which condition is characterized by enlargement of air spaces caused by the destruction of the alveolar walls?
A.
Emphysema
B.
Chronic bronchitis
C.
Bronchial asthma
D.
Rhinitis
Question #8
Which complaint would the nurse anticipate from a patient who is taking inhaled ipratropium?
A.
Insomnia
B.
Anginal pain
C.
Dry mouth
D.
Vascular headache
Question #9
Which medication given for the treatment of asthma can suppress bone growth in children?
A.
A corticosteroid
B.
A beta agonist
C.
A xanthine derivative
D.
An anticholinergic
Question #10
Which drug is a long-acting beta-agonist (LABA) inhaler?
A.
Levalbuterol
B.
Metaproterenol
C.
Terbutaline
D.
Formoterol
Question #11
Which is the elimination half-life of theophylline?
A.
5.5 hours
B.
1 to 2 hours
C.
6 to 13 hours
D.
12 hours
Question #12
Which time frame describes how long it will take ipratropium to have its maximum effect?
A.
1-2 hours
B.
1.6 hours
C.
4-5 hours
D.
5-15 minutes
Question #13
Which condition is a contraindication for the administration of montelukast?
A.
Joint pain
B.
Peanut allergy
C.
Lactose allergy
D.
Diabetes
Question #14
Which medication disrupts the inflammatory response and is indicated in the treatment of asthma?
A.
Montelukast
B.
Ipratropium
C.
Theophylline
D.
Salmeterol
Question #15
Which is an adverse effect of albuterol?
A.
Tremors, Palpitations, Tachycardia
B.
Skin rashes, Tremors, Hypoglycemia
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.
Cushing’s syndrome
B.
Addisonian crisis
C.
Thyrotoxicosis
D.
Hypothyroidism
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 before bedtime."
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 upon waking."
Question #20
Which laboratory parameter would the nurse monitor for a patient who is prescribed theophylline?
A.
Serum uric acid levels
B.
Serum level of drug
C.
Serum calcium levels
D.
Serum creatinine 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.
Ask the health care provider to switch to oral medications.
C.
Tell the parent that young children should not use inhalers.
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.
Tachycardia
B.
Increased appetite
C.
Bradycardia
D.
Hypoglycemia
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.
Administer the albuterol, wait 5 minutes, and then administer beclomethasone.
C.
Question the prescription; two inhalers should not be given at one time.
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.
Glucocorticoids
B.
Anticholinergics
C.
Beta2 agonists
D.
Leukotriene modifiers
Question #25
Which instruction would the nurse give to the patient to prevent gastrointestinal (GI) upset when taking oral albuterol?
A.
"Avoid sleeping with the head in an elevated position."
B.
"Take the prescribed medication with food."
C.
"Take the prescribed medication on an empty stomach."
D.
"Increase fluid intake up to 2500 mL a day."
Question #26
Which assessment will the nurse perform to evaluate a patient who reports dizziness after taking albuterol?
A.
Respiratory rate
B.
Blood pressure
C.
Balance reactions
D.
Visual acuity
Question #27
Which interaction can occur when an asthmatic patient consumes rifampin along with xanthine derivatives?
A.
Additive central nervous system stimulation is produced.
B.
Additive cardiac stimulation is produced.
C.
Theophylline metabolism is decreased.
D.
Theophylline levels are decreased.
Question #28
Which action would the nurse implement first for a patient who is taking ipratropium and complains of dry cough?
A.
Administer 30 mg of dextromethorphan.
B.
Administer rescue therapy.
C.
Listen to the patient’s lungs.
D.
Instruct the patient to drink water.
Question #29
Which action by the patient will improve the absorption of tiotropium into the lung?
A.
Taking a higher dose of tiotropium for inhalation
B.
Waiting for 1 to 2 minutes before inhaling the second dose
C.
Inhaling the tiotropium continuously for some time
D.
Avoiding rinsing the mouth with water after inhaling the medicine
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 medications as prescribed.
B.
Administer both medicines simultaneously.
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.
Administering the same dose of systemic corticosteroid
B.
Providing an initial high dose of inhaled corticosteroid
C.
Tapering the dose of systemic corticosteroid
D.
Reducing the dose frequency of the 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.
Increased urination, Insomnia, Dry mouth
B.
Vomiting, Increased urination, Ventricular dysrhythmias
C.
Insomnia, Dry mouth, Vomiting
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 epinephrine
B.
Replacement of epinephrine with aminophylline
C.
Replacement of metformin with aminophylline
D.
Increase in dose of metformin
Question #34
Which complication would be prevented when the nurse instructs the patient to rinse the mouth with water immedietely after inhaling ipratropium?
A.
Nasal congestion
B.
Mucosal irritation and dryness
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.
Hold the next dose of theophylline and assess the patient.
B.
Administer oxygen at 2 L per minute via nasal cannula.
C.
Continue to monitor the patient and give the medication.
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.
Epinephrine
B.
Albuterol
C.
Symbicort
D.
Salmetero
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.
“When was the last time you took your Advair?”
B.
“How often do you take your albuterol?”
C.
“What do you do after taking your Advair?”
D.
“Do you have any pets at home?”
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.
Atenolol
C.
Phenobarbital
D.
Seizure disorder
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
Which step of asthma management involves a prescription for fluticasone and a salmeterol inhaler?
A.
Step 4
B.
Step 2
C.
Step 6
D.
Step 5
Question #41
Which medication would the nurse expect to administer to a patient with bronchospasms who develops tachycardia?
A.
Salmeterol
B.
Formoterol
C.
Levalbuterol
D.
Arformoterol
Question #42
Which item would the nurse advise a patient who is prescribed a zanthine-derivitive drug to avoid?
A.
Sugar, Low-protein foods, Cigarettes, Low-carbohydrate foods
B.
Coffee, Charcoal-broiled foods, Cigarettes, Sugar
C.
Coffee, Charcoal-broiled foods, Cigarettes, Low-carbohydrate foods
D.
Coffee, Charcoal-broiled foods, Low-protein foods, Low-carbohydrate foods
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 increase the serum level of theophylline.
B.
Theophylline and oral contraceptives cause additive toxicity.
C.
Theophylline decreases the effectiveness of contraceptives.
D.
Oral contraceptives inhibit theophylline action.
Question #45
Which side effects would the nurse ask the patient to be watchful when administering mixed alpha/beta agonists?
A.
Cardiac stimulation, Hypoglycemia, Drowsiness
B.
Anorexia, Vascular headache, Cardiac stimulation
C.
Drowsiness, Hypoglycemia, Vascular headache
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.
Aminophylline
B.
Salmeterol
C.
Terbutaline
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.
Monitor for signs of infection, Do not abruptly stop the drug, Rinse your mouth out after dose
D.
Do not abruptly stop the drug, Drink 8–10 glasses of water daily, Document daily intake and output
Question #48
Which adverse effects will the nurse monitor in a patient who is receiving tiotropium?
A.
Skeletal pain, Hyperglycemia, Nasal congestion
B.
Hyperglycemia, Dry mouth or throat, Skeletal pain
C.
Nasal congestion, Heart palpitations, Dry mouth or throat
D.
Heart palpitations, Skeletal pain, Hyperglycemia
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.
"Avoid situations that can expose you to infections."
D.
"Take fluticasone exactly as it is prescribed."
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.
Prothrombin time
C.
Sputum test
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.
Complete blood count
C.
Liver enzyme levels
D.
Uric acid baseline level
Question #54
Which patient would cause the nurse to question a prescription of theophylline?
A.
A patient with a history of type 2 diabetes
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 who is 16 years old
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.
Rheumatoid arthritis
B.
Addisonian crisis
C.
Coronary ischemia
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.
Hypersensitivity reactions
C.
Gastrointestinal upset
D.
Urine frequency
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