Question 1

A patient is in an urgent-care center with an acute asthma attack. The nurse expects that which medication will be used for initial treatment?

Accepted Answer

A)   An anticholinergic such as ipratropium (Atrovent) 
B)   A short-acting beta2 agonist such as albuterol (Proventil) 
C)   A long-acting beta2 agonist such as salmeterol (Serevent) 
D)   A corticosteroid such as fluticasone (Flovent)

Question 2

The nurse is monitoring drug levels for a patient who is receiving theophylline. The most recent theophylline level was 13 mcg/mL, and the nurse evaluates this level to be

Accepted Answer

A)   below the therapeutic level.
B)   at a therapeutic level.
C)   above the therapeutic level.
D)   at a toxic level. B

Question 3

When evaluating a patient's use of a metered-dose inhaler (MDI) , the nurse notes that the patient is unable to coordinate the activation of the inhaler with her breathing. What intervention is most appropriate at this time?

Accepted Answer

A)   Notify the doctor that the patient is unable to use the MDI.
B)   Obtain an order for a peak flow meter.
C)   Obtain an order for a spacer device.
D)   Ask the prescriber if the medication can be given orally.

Question 4

The nurse is providing instructions to a patient who has a new prescription for a corticosteroid metered-dose inhaler. Which statement by the patient indicates that further instruction is needed? (Select all that apply.)

Accepted Answer

A)   "I will rinse my mouth with water after using the inhaler and then spit out the water."
B)   "I will gargle after using the inhaler and then swallow."
C)   "I will clean the plastic inhaler casing weekly by removing the canister and then washing the casing in warm soapy water. I will then let it dry before reassembling."
D)   "I will use this inhaler for asthma attacks."
E)   "I will continue to use this inhaler, even if I am feeling better."F)  "I will use a peak flow meter to measure my response to therapy."

Question 5

A patient has a metered-dose inhaler that contains 200 actuations (puffs), and it does not have a dose counter. He is to take two puffs two times a day. If he does not take any extra doses, how many days will this inhaler last at the prescribed dose?

Accepted Answer

50 days
Note the number of doses in the canister, and then calculate the number of days that the canister will last. For this question, assuming that two puffs are taken two times a day, and the inhaler has a capacity of 200 inhalations. Two puffs two times a day equal four inhalations per day. Four divided into 200 yields 50; that is, the inhaler will last approximately 50 days.

Question 6

A patient is taking intravenous aminophylline for a severe exacerbation of chronic obstructive pulmonary disease. The nurse will assess for which therapeutic response?

Accepted Answer

A)   Increased sputum production
B)   Increased heart rate
C)   Increased respiratory rate
D)   Increased ease of breathing

Question 7

The prescriber has changed the patient's medication regimen to include the leukotriene receptor antagonist montelukast (Singulair)  to treat asthma. The nurse will emphasize which point about this medication?

Accepted Answer

A)   The proper technique for inhalation must be followed.
B)   The patient needs to keep it close by at all times to treat acute asthma attacks.
C)   It needs to be taken every day on a continuous schedule, even if symptoms improve.
D)   When the asthma symptoms improve, the dosage schedule can be tapered and eventually discontinued.

Question 8

After receiving a nebulizer treatment with a beta agonist, the patient complains of feeling slightly nervous and wonders if her asthma is getting worse. What is the nurse's best response?

Accepted Answer

A)   "This is an expected adverse effect. Let me take your pulse."
B)   "The next scheduled nebulizer treatment will be skipped."
C)   "I will notify the physician about this adverse effect."
D)   "We will hold the treatment for 24 hours."

Question 9

A patient has prescriptions for two inhalers. One inhaler is a bronchodilator, and the other is a corticosteroid. Which instruction regarding these inhalers will the nurse give to the patient?

Accepted Answer

A)   "Take the corticosteroid inhaler first."
B)   "Take the bronchodilator inhaler first."
C)   "Take these two drugs at least 2 hours apart."
D)   "It does not matter which inhaler you use first." B

Question 10

The nurse is reviewing medications for the treatment of asthma. Which drugs are used for acute asthma attacks? (Select all that apply.)

Accepted Answer

A)   salmeterol (Serevent)  inhaler
B)   albuterol (Proventil)  nebulizer solution
C)   epinephrine
D)   montelukast (Singulair) 
E)   fluticasone (Flovent)  Rotadisk inhalerF)  aminophylline IV infusion

Question 11

When educating a patient recently placed on inhaled corticosteroids, the nurse will discuss which potential adverse effects?

Accepted Answer

A)   Fatigue and depression
B)   Anxiety and palpitations
C)   Headache and rapid heart rate
D)   Oral candidiasis and dry mouth

Question 12

The nurse is providing instructions about the Advair inhaler (fluticasone propionate and salmeterol) . Which statement about this inhaler is accurate?

Accepted Answer

A)   It is indicated for the treatment of acute bronchospasms.
B)   It needs to be used with a spacer for best results.
C)   Patients need to avoid drinking water for 1 hour after taking this drug.
D)   It is used for prevention of bronchospasms.

Question 13

A patient has a new order for an ipratropium (Atrovent)  inhaler, an anticholinergic drug. The nurse knows to assess for an allergy to which food before giving this drug?

Accepted Answer

A)   Shellfish
B)   Soy products
C)   Peanuts
D)   Eggs

Question 14

A patient will be receiving oral theophylline (Theo-Dur), 600 mg/day, in three divided doses. How many milligrams will the patient receive per dose?

Accepted Answer

200 mg
600...

Question 15

A patient is taking a xanthine derivative as part of treatment for chronic obstructive pulmonary disease. The nurse will monitor for adverse effects associated with the use of xanthine derivatives, such as

Accepted Answer

A)   diarrhea.
B)   palpitations.
C)   bradycardia.
D)   drowsiness.

Exam 37: Respiratory Drugs

A patient is in an urgent-care center with an acute asthma attack. The nurse expects that which medication will be used for initial treatment?

Correct Answer
verified

The nurse is monitoring drug levels for a patient who is receiving theophylline. The most recent theophylline level was 13 mcg/mL, and the nurse evaluates this level to be

Correct Answer
verified
B

When evaluating a patient's use of a metered-dose inhaler (MDI) , the nurse notes that the patient is unable to coordinate the activation of the inhaler with her breathing. What intervention is most appropriate at this time?

Correct Answer
verified

The nurse is providing instructions to a patient who has a new prescription for a corticosteroid metered-dose inhaler. Which statement by the patient indicates that further instruction is needed? (Select all that apply.)

Correct Answer
verified

A patient has a metered-dose inhaler that contains 200 actuations (puffs), and it does not have a dose counter. He is to take two puffs two times a day. If he does not take any extra doses, how many days will this inhaler last at the prescribed dose?

A patient is taking intravenous aminophylline for a severe exacerbation of chronic obstructive pulmonary disease. The nurse will assess for which therapeutic response?

Correct Answer
verified

The prescriber has changed the patient's medication regimen to include the leukotriene receptor antagonist montelukast (Singulair) to treat asthma. The nurse will emphasize which point about this medication?

Correct Answer
verified

After receiving a nebulizer treatment with a beta agonist, the patient complains of feeling slightly nervous and wonders if her asthma is getting worse. What is the nurse's best response?

Correct Answer
verified

A patient has prescriptions for two inhalers. One inhaler is a bronchodilator, and the other is a corticosteroid. Which instruction regarding these inhalers will the nurse give to the patient?

Correct Answer
verified
B

The nurse is reviewing medications for the treatment of asthma. Which drugs are used for acute asthma attacks? (Select all that apply.)

Correct Answer
verified

When educating a patient recently placed on inhaled corticosteroids, the nurse will discuss which potential adverse effects?

Correct Answer
verified

The nurse is providing instructions about the Advair inhaler (fluticasone propionate and salmeterol) . Which statement about this inhaler is accurate?

Correct Answer
verified

A patient has a new order for an ipratropium (Atrovent) inhaler, an anticholinergic drug. The nurse knows to assess for an allergy to which food before giving this drug?

Correct Answer
verified

A patient will be receiving oral theophylline (Theo-Dur), 600 mg/day, in three divided doses. How many milligrams will the patient receive per dose?

Correct Answer
verified
200 mg
600...
View Answer

A patient is taking a xanthine derivative as part of treatment for chronic obstructive pulmonary disease. The nurse will monitor for adverse effects associated with the use of xanthine derivatives, such as

Correct Answer
verified

Exam 37: Respiratory Drugs

A patient is in an urgent-care center with an acute asthma attack. The nurse expects that which medication will be used for initial treatment?

Correct AnswerverifiedShow Answer

The nurse is monitoring drug levels for a patient who is receiving theophylline. The most recent theophylline level was 13 mcg/mL, and the nurse evaluates this level to be

Correct AnswerverifiedB

When evaluating a patient's use of a metered-dose inhaler (MDI) , the nurse notes that the patient is unable to coordinate the activation of the inhaler with her breathing. What intervention is most appropriate at this time?

Correct AnswerverifiedShow Answer

The nurse is providing instructions to a patient who has a new prescription for a corticosteroid metered-dose inhaler. Which statement by the patient indicates that further instruction is needed? (Select all that apply.)

Correct AnswerverifiedShow Answer

A patient has a metered-dose inhaler that contains 200 actuations (puffs), and it does not have a dose counter. He is to take two puffs two times a day. If he does not take any extra doses, how many days will this inhaler last at the prescribed dose?

A patient is taking intravenous aminophylline for a severe exacerbation of chronic obstructive pulmonary disease. The nurse will assess for which therapeutic response?

Correct AnswerverifiedShow Answer

The prescriber has changed the patient's medication regimen to include the leukotriene receptor antagonist montelukast (Singulair) to treat asthma. The nurse will emphasize which point about this medication?

Correct AnswerverifiedShow Answer

After receiving a nebulizer treatment with a beta agonist, the patient complains of feeling slightly nervous and wonders if her asthma is getting worse. What is the nurse's best response?

Correct AnswerverifiedShow Answer

A patient has prescriptions for two inhalers. One inhaler is a bronchodilator, and the other is a corticosteroid. Which instruction regarding these inhalers will the nurse give to the patient?

Correct AnswerverifiedB

The nurse is reviewing medications for the treatment of asthma. Which drugs are used for acute asthma attacks? (Select all that apply.)

Correct AnswerverifiedShow Answer

When educating a patient recently placed on inhaled corticosteroids, the nurse will discuss which potential adverse effects?

Correct AnswerverifiedShow Answer

The nurse is providing instructions about the Advair inhaler (fluticasone propionate and salmeterol) . Which statement about this inhaler is accurate?

Correct AnswerverifiedShow Answer

A patient has a new order for an ipratropium (Atrovent) inhaler, an anticholinergic drug. The nurse knows to assess for an allergy to which food before giving this drug?

Correct AnswerverifiedShow Answer

A patient will be receiving oral theophylline (Theo-Dur), 600 mg/day, in three divided doses. How many milligrams will the patient receive per dose?

Correct Answerverified200 mg600...View AnswerShow Answer

A patient is taking a xanthine derivative as part of treatment for chronic obstructive pulmonary disease. The nurse will monitor for adverse effects associated with the use of xanthine derivatives, such as

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified
B

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
B

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
200 mg
600...
View Answer

Correct Answer
verified