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Pharmacology NCLEX Questions: RespiratoryStudy online at https://quizlet.com/_1ldrj31.a. AsthmaA client is diagnosed with a pulmonary disorder that causes COPD. Lungs tissue changes are normally reversible with this condition. The nurse understands that which is the client's most likely diagnosis?a. Asthmab. Emphysemac. Bronchiectasisd. Chronic bronchitis2.b. epinephrine (Adrena-lin)A client with COPD has an acute bronchospasm. The nurse knows that which is the best medication for this emergency situation?a. zafirlukast (Accolate)b. epinephrine (Adrenalin)c. dexamethasone (Decadron)d. oxtriphylline-theophyllinate (Choledyl)3.c. Increased heart rateA client is taking aminophylline-theophylline eth-ylenediamine (Somophyllin). For what should the nurse monitor the client?a. Drowsinessb. Hypoglycemiac. Increased heart rated. Decreased white blood cell count4.b. 10 to 20 mcg/mLA client is prescribed theophylline to relax the smooth muscles of the bronchi. The nurse moni-tors the client's theophylline serum levels to main-tain which therapeutic range?a. 1 to 10 mcg/mLb. 10 to 20 mcg/mLc. 20 to 30 mcg/mLd. 30 to 40 mcg/mL1 / 6
Pharmacology NCLEX Questions: RespiratoryStudy online at https://quizlet.com/_1ldrj35.a. Maintenance treat-ment of asthmaA client with COPD is taking a leukotriene antag-onist, montelukast (Singulair). The nurse is aware that this medication is given for which purpose?a. Maintenance treatment of asthmab. Treatment of an acute asthma attackc. Reversing bronchospasm associated with COPDd. Treatment of inflammation in chronic bronchitis6.c. Continue to assess the client's oxygenation.The nurse is caring for a client with a theophylline level of 14 mcg/mL. What is the priority nursing intervention?a. Increase the IV drip rate.b. Monitor the client for toxicity.c. Continue to assess the client's oxygenation.d. Stop the IV for an hour then restart at lower rate.7.d. TachycardiaDischarge teaching to a client receiving a beta-ag-onist bronchodilator should emphasize reporting which side effect?a. Hypoglycemiab. Nonproductive coughc. Sedationd. Tachycardia8.d. St. John's wortThe nurse instructs the client to avoid which over-the-counter products when taking theo-phylline (Theo-Dur)?a. acetaminophen (Tylenol)b. echinaceac. diphenhydramine (Benadryl)d. St. John's wort9.a. Monitor client for po-tential chest pain.A nurse reviews a client's medication history and notes that the client is taking a nonselective adren-ergic agonist bronchodilator and has a history of 2 / 6
Pharmacology NCLEX Questions: RespiratoryStudy online at https://quizlet.com/_1ldrj3coronary artery disease. What is a priority nursing intervention?a. Monitor client for potential chest pain.b. Monitor blood pressure continuously.c. Assess daily for hyperkalemia.d. Assess 12-lead ECG each shift.10.d. Salmeterol has a longer duration of ac-tion.The nurse is instructing a client about the advan-tages of salmeterol (Serevent) over other beta2 agonists such as albuterol (Proventil). How will the nurse explain to the client the difference in these two medications?a. Salmeterol has a shorter onset of action.b. Salmeterol does not have any side effects.c. Albuterol has a longer onset of action.d. Salmeterol has a longer duration of action.11.c. "This medication will prevent the inflamma-tion that causes your asthma attack."Client teaching regarding the use of an-tileukotriene agents such as zafirlukast (Accolate) should include which statement?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 will prevent the inflammation that causes your asthma attack."d. "Increase fiber and fluid in your diet to prevent the side effect of constipation."12.c. Administer a beta2 adrenergic agonist.A client with a history of asthma is short of breath and says, "I feel like I'm having an asthmatic at-tack." What is the nurse's best action?a. Call a code.b. Ask the client to describe the symptoms.3 / 6
Pharmacology NCLEX Questions: RespiratoryStudy online at https://quizlet.com/_1ldrj3c. Administer a beta2 adrenergic agonist.d. Administer a long-acting glucocorticoid.13.a. Monitor for heart rate >100 beats/min.A client has taken metaproterenol. What is the nurse's priority action?a. Monitor for heart rate >100 beats/min.b. Tell the client not to drive for 2 hours.c. Monitor for sedation.d. Assess for elevated blood pressure.14.b. Rinse his mouth with water after each use.A client demonstrates understanding of flunisolide (AeroBid) by saying that he will do what?a. Take two puffs to treat an acute asthma attack.b. Rinse his mouth with water after each use.c. Immediately stop taking his oral prednisone when he starts using AeroBid.d. Not use his albuterol inhaler while he is taking AeroBid.15.d. Teach the child to use a spacer.The nurse is caring for a young child who has been prescribed an inhaler for control of her asthma. The child is having difficulty using the inhaler. What is the nurse's best action?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.16.d. The client with atrial fibrillation with a rate of 100The nurse is caring for clients on the pulmonary unit. Which client should not receive epinephrine if ordered?a. The client with a history of emphysemab. The client with a history of type 2 diabetes4 / 6
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