N4 test respiratory drugs

Lilley: Pharmacology and the Nursing Process, 4th Edition
Multiple Choice Review Questions Chapter 36
1.
The nurse evaluates a theophylline level of 14 mcg/mL as:
A. Subtherapeutic
B. Therapeutic
C. Toxic
D. Life-threatening

2.
Discharge teaching to a patient receiving a beta-agonist bronchodilator should emphasize reporting which of the following side effects?
A. Tachycardia
B. Nonproductive cough
C. Hypoglycemia
D. Sedation

3.
Which of the following over-the-counter products, when taken with theophylline, can decrease theophylline’s serum drug levels?
A. Caffeine
B. diphenhydramine
C. St. John’s wort
D. echinacea

4.
Nonselective adrenergic agonist bronchodilators should be used cautiously in patients with:
A. Coronary artery disease
B. COPD
C. Hyperkalemia
D. Premature labor

5.
The advantage of salmeterol (Serevent) over other beta2-agonists such as albuterol (Proventil) is:
A. Shorter onset of action
B. Better side effect profile
C. Quicker peak action
D. Longer duration of action

6.
Patient teaching regarding the use of antileukotriene agents such as zafirlukast (Accolate) should include which of the following statements?
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 works by preventing the inflammation that causes your asthma attack.”
D. “Increase fiber and fluid in your diet to prevent the common side effect of constipation.”

7.
Which of the following respiratory medications is an antileukotriene agent?
A. isoproterenol (Isuprel)
B. epinephrine (Adrenalin)
C. cromolyn sodium (Intal)
D. montelukast (Singulair)

8.
Corticosteroids are useful in the treatment of acute respiratory disorders secondary to their ability to:
A. Stimulate the immune system
B. Directly di: e the bronchi
C. Increase gas exchange in the alveoli
D. Decrease inflammation

9.
A patient demonstrates understanding of flunisolide (AeroBid) by stating:
A. “I will take two puffs to treat an acute asthma attack.”
B. “I will rinse my mouth with water after each use.”
C. “I will immediately stop taking my oral prednisone as soon as I start using the AeroBid.”
D. “I will not use my albuterol inhaler while I am taking AeroBid.”

10.
Mast cell stabilizers are most effective in treating bronchoconstriction associated with:
A. Emphysema
B. Exposure to cold
C. Allergens
D. Infection

11.
When teaching a patient about cromolyn sodium, the nurse stresses that:
A. Cromolyn is not effective in treating an acute asthma attack
B. The capsule should not be opened when administered orally
C. Cromolyn can only be given at bedtime secondary to sedating side effects
D. They can expect a therapeutic response within 12 hours

12.
The physician orders ipratropium bromide (Atrovent), albuterol (Proventil), and beclomethasone (Vanceril) inhalers for your patient. The nurse should:
A. Question the order; three inhalers should not be given at one time
B. Administer the bronchodilator first, wait 5 minutes, and administer the anticholinergic, followed by the corticosteroid several minutes later
C. Administer each inhaler at 30-minute intervals
D. Do none of the above

13.
Which of the following statements would be included when teaching a patient about the proper use of metered-dose inhalers?
A. “After you inhale the medication once, repeat until you obtain relief.”
B. “Make sure that you puff out air repeatedly after you inhale the medication.”
C. “Hold your breath for 10 seconds if you can after you inhale the medication.”
D. “Hold the inhaler in your mouth, take a deep breath, and then compress the inhaler.”

14.
The nurse knows that teaching has been successful if the patient, who is using the anticholinergic inhaler ipratropium bromide (Atrovent), states:
A. “I will increase my intake of caffeine.”
B. “I may gain weight as a result of taking this medication.”
C. “Nausea and vomiting are common adverse effects of this medication, so I will always take it with meals.”
D. “This inhaler is not to be used alone to treat an acute asthma attack.”

15.
When assessing for a therapeutic effect of acetylcysteine (Mucomyst), the nurse would expect to find:
A. Decreased cough reflex
B. Decreased nasal secretions
C. Liquefying and loosening of bronchial secretions
D. Relief of bronchospasms