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Pharmacology
Chapter 55 questions
| Question | Answer |
|---|---|
| Which of the following effects would result from the action of montelukast? | Decreased eosinophil migration |
| A nurse would expect to increase the dosage of theophylline if the client has a current history of which of the following? | Cigarette smoking |
| Why are inhaled steroids used to treat asthma and COPD? | |
| A client is admitted to the emergency department with inspiratory stridor and air hunger. When anticipating treatment, the nurse will prepare which medication for administration? | Epinephrine |
| The nurse is reviewing a client’s morning blood work and notes a theophylline level of 22.2 mcg/mL (123.21 µmol/L). What action should the nurse take? | Inform the health care provider that the client has toxic theophylline levels. |
| Mr. Ashum is prescribed an albuterol inhaler as part of his treatment regimen for asthma. What is the mechanism of action for this medication? | Albuterol causes relaxation of the bronchial smooth muscles. |
| A high school student was diagnosed with asthma when he was in elementary school and has become accustomed to carrying and using his “puffers”. In recent months, he has become more involved in sports and has developed a habit of administering albuterol up to 10 times daily. The nurse should teach the student that overuse of albuterol can lead to | rebound bronchoconstriction. |
| The nurse is providing education to a client with asthma on the therapeutic action of inhaled corticosteroid agents. How will the nurse describe the action? | Inhaled corticosteroid agents reduce airway inflammation. |
| The client has been diagnosed with asthma and is being treated with two inhalers, albuterol and flunisolide. The nurse teaches the client that the two medications should be administered in what order? | Albuterol first, wait five minutes and then follow with flunisolide |
| The nurse assesses the serum theophylline of a client. Which finding would the nurse identify as being therapeutic? | 15 mcg/mL |
| When describing the action of mast cell stabilizers, which of the following would the nurse include as being inhibited? | Slow-reacting substance of anaphylaxis |
| The nurse is providing education to a client who has been prescribed an antiasthmatic drug. The nurse should instruct the client to avoid excessive intake of what beverage? | Coffee |
| A client is being assessed by the home care nurse for the appropriate use of a metered-dose inhaler. Instructions concerning which intervention will assist a client in the proper use of the device? | using a spacer |
| The nurse has finished teaching a 15-year-old client how to use an inhaler to treat asthma. What statement by the client suggests an understanding of the teaching? | "I need to shake the inhaler well before taking the medication." |
| A premature newborn diagnosed with respiratory distress syndrome(RDS) has received surfactant therapy. The infant's nursing care plan should include which monitoring interventions to evaluate the effectiveness of the therapy? Select all that apply. | Respirations Endotracheal tube placement Adventitious breath sounds |
| The nurse is providing education to a client who has been prescribed albuterol. What adverse reaction should the nurse discuss during teaching? | Tachycardia |
| A client has been admitted to a health care facility with asthma. The nurse is to administer theophylline to the client. To which clients can the nurse safely administer theophylline? | A 65-year-old male with asthma |
| A nurse is providing health education to a client recently diagnosed with asthma and prescribed albuterol and ipratropium. Which of the client’s statements suggests a need for clarification by the nurse? | I’ll keep taking my medications until I’m not experiencing any more symptoms.” |
| After reviewing information about drugs used to treat lower respiratory system conditions, a group of nursing students demonstrate understanding of the information when they identify which as an example of a short-acting beta-2 agonist (SABA)? | Albuterol |
| The nurse instructs a patient who is using albuterol for exercise-induced bronchospasm to use the inhaler at which time? | 15 minutes prior to exercising |
Created by:
bonitasoul
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