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Chapter 30: Drugs Used to Treat Lower Respiratory Disease Willihnganz: Clayton’s Basic Pharmacology for Nurses, 19th Edition Exam Questions And Answers
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Which response by the nurse is the best when a patient has questions regarding a recently prescribed antitussive agent? - correct answer ✅b. ―It will reduce the frequency of your cough.‖ Which is a common expectorant in over-the-counter medications? - correct answer ✅c. Guaifenesin Which reason is correct for administering sodium chloride to a patient with emphysema? - correct answer ✅b. Decreases mucus viscosity Which action will thenurse take when within minutes of theinitiation of a nebulizer treatment with a sympathomimetic bronchodilator, thepatient turns on their call light and states that they feels ―panicky‖ and their heart is racing? - correct answer ✅d. Stop treatment and notify the healthcare provider.
Which condition will premedication assessments before theuse of anticholinergic bronchodilating agents verify that thepatient does not have in their history? - correct answer ✅d. Glaucoma A patient is seen in theemergency department. thepatient had been maintained on theophylline (Theo Dur), and a blood sample reveals theserum theophylline level is subtherapeutic. Which may cause a subtherapeutic serum level? - correct answer ✅c. Smoking Which action is accurate when referencing zafirlukast (Accolate)? - correct answer ✅b. Decreases leukotriene release. Which condition is albuterol (Proventil) used to treat? - correct answer ✅a. Acute bronchospasm
would support that albuterol (Proventil) was effective? - correct answer ✅a. Decrease in wheezing present on auscultation Which statement by a mother whose child has been diagnosed with asthma indicates a need for further teaching? - correct answer ✅b. ―We will confine our dog to the kitchen area.‖ The nurse is providing nutrition information to a patient diagnosed with a lower respiratory tract disease. Which rationale is correct for limiting caffeine? - correct answer ✅b. Caffeine can result in thicker lung secretions. Which information provided by thenurse is accurate when teaching a patient with a history of COPD to self-administer tiotropium (Spiriva) by dry powder inhalation? - correct answer ✅c. Avoid breathing into the mouth piece.
The healthcare provider in an outpatient clinic has prescribed omalizumab (Xolair) to a patient. Which primary outcome will thenurse teach thepatient to expect? - correct answer ✅b. Less frequent asthma exacerbations Which number indicates thecorrect calculation of thepack years when a patient reports smoking one pack of cigarettes per day for thepast 20 years? - correct answer ✅c. 20 A resident in a long-term care facility diagnosed with COPD has a new medication order for indacaterol. Which information will be included when thenurse is providing medication education to theresident? - correct answer ✅c. Onset of action is within 5 minutes.
correct answer ✅a. Smoking history and exposure to secondhand smoke b. Current medications c. Chief complaint and onset of symptoms d. Support system e. Home oxygen use Which physical assessment(s) would be pertinent to thepatient with asthma? (Select all that apply.) - correct answer ✅a. Lung sounds b. Patient color c. Respiratory rate and effort d. Peak expiratory flow e. Pulse oximetry reading Which principle(s) would be when teaching a patient to use a steroid inhaler? (Select all that
apply.) - correct answer ✅a. Frequent oral hygiene is necessary. c. Rinse and spit after inhalation of themedication. d. When taking a steroid drug as well as a bronchodilator, thebronchodilator should be administered first. e. Hold the breath for 10 seconds during inhalation of the medication. Which statement(s) about acetylcysteine is/are true? (Select all that apply.) - correct answer ✅a. It reduces viscosity of secretions. b. It treats acetaminophen toxicity. d. It is given to improve airway flow. f. It is administered by inhalation. Which statement(s) about ipratropium bromide (Atrovent) is/are true? (Select all that apply.) - correct answer ✅a. It is administered by aerosol inhalation.