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Pharmacology finals Drugs Affecting the Respiratory System Complete A+ Guide., Assignments of Nursing

Pharmacology finals Drugs Affecting the Respiratory System Complete A+ Guide.

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Pharmacology finals
Drugs Affecting the Respiratory System
Nasal Decongestants
Bronchodilators/Anti-asthmatics
1. A 29-year-old female patient has sinusitis, so the physician orders a
topical nasal decongestant. What instructions should be given? A)
Avoid becoming pregnant during decongestant therapy. B) Increase
fluids to 2 L/d. C) Restrict fluids to 500 mL/d. D) Take the medication
with meals A 29-year-old female patient has sinusitis, so the physician orders a
topical nasal decongestant. What instructions should be given?
A) Avoid becoming pregnant during decongestant therapy.
B) Increase fluids to 2 L/d.
C) Restrict fluids to 500 mL/d.
D) Take the medication with meals.
2. What statement by the patient leads the nurse to believe that he needs additional
instruction regarding his nasal decongestant?
A) I will blow my nose before instilling the nasal spray.
B) I will report any dizziness, drowsiness, or rapid pulse.
C) I will drink 2,000 to 3,000 mL of fluid daily.
D) I will use it only when I have nasal discharge.
3. The nurse is giving discharge instructions to a patient with an upper respiratory
infection who has been advised to take an over-the-counter (OTC) topical nasal
decongestant. The nurse advises the patient about what common adverse
reaction to these medications?
A) Diarrhea
B) Rhinitis medicamentosa
C) Rash
D) Headache
4. The nurse advises that patient to avoid long-term use of nasal decongestants
because it may lead to what condition?
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Pharmacology finals

Drugs Affecting the Respiratory System

Nasal Decongestants

Bronchodilators/Anti-asthmatics

1. A 29-year-old female patient has sinusitis, so the physician orders a

topical nasal decongestant. What instructions should be given? A)

Avoid becoming pregnant during decongestant therapy. B) Increase

fluids to 2 L/d. C) Restrict fluids to 500 mL/d. D) Take the medication

with meals A 29-year-old female patient has sinusitis, so the physician orders a

topical nasal decongestant. What instructions should be given? A) Avoid becoming pregnant during decongestant therapy. B) Increase fluids to 2 L/d. C) Restrict fluids to 500 mL/d. D) Take the medication with meals.

  1. What statement by the patient leads the nurse to believe that he needs additional instruction regarding his nasal decongestant? A) I will blow my nose before instilling the nasal spray. B) I will report any dizziness, drowsiness, or rapid pulse. C) I will drink 2,000 to 3,000 mL of fluid daily. D) I will use it only when I have nasal discharge.
  2. The nurse is giving discharge instructions to a patient with an upper respiratory infection who has been advised to take an over-the-counter (OTC) topical nasal decongestant. The nurse advises the patient about what common adverse reaction to these medications? A) Diarrhea B) Rhinitis medicamentosa C) Rash D) Headache
  3. The nurse advises that patient to avoid long-term use of nasal decongestants because it may lead to what condition?

A) Mucosal ulcerations B) Decreased drainage C) Increased risk of infection D) Asthma

  1. What disorders would the pharmacology instructor tell the nursing students may be exacerbated by the use of nasal decongestants? A) Pneumonia B) Rheumatoid arthritis C) Acid reflux D) Hypothyroidism

Bronchodilators/Anti-asthmatics

  1. The nurse is caring for a patient who is taking an adrenergic bronchodilator. In what disease process should adrenergic bronchodilators be used cautiously? A) Liver failure B) Renal failure C) Respiratory failure D) Heart failure
  2. The patient is a 34-year-old man who recently started taking theophylline. The nurse knows that medication teaching has been successful when he agrees to what activity? A) Avoiding caffeine B) Eating foods high in potassium C) Limiting fluid intake to 1,000 mL a day D) Taking the medicine on an empty stomach
  3. A patient presents to the emergency department (ED) having an acute asthma attack. An ED physician has ordered a sympathomimetic (epinephrine). The nurse expects what as the therapeutic effect of this drug? A) Decrease the inflammatory response in the airways B) Reduce the surface tension within the alveoli allowing for gas exchange

A) Polydipsia B) Tachycardia C) Hypotension D) Diarrhea

  1. The nursing instructor is discussing bronchodilators with a group of nursing students. The students understand the instruction when they identify what drug is most effective in treating acute bronchospasm? A) Ipratropium bromide (Atrovent) B) Epinephrine (Adrenalin) C) Cromolyn (Intal) D) Ephedrine
  2. The nurse has provided health teaching for a 15-year-old boy newly diagnosed with asthma. What statement, made by the patient, indicates that he has a good understanding of the teaching the nurse has done regarding inhalers? A) I should hold my breath when administering a puff. B) The aerosol canister should be shaken well before using. C) I need to take three short quick breaths when I administer the inhaler. D) A second aerosol medication cannot be administered until 30 minutes after the first aerosol medication.
  3. The nurse is writing a plan of care for a patient newly admitted to the floor with an asthma attack that occurred while exercising. What would be the most appropriate intervention for this patient? A) Assist patients with moderate to severe asthma in obtaining a home nebulizer unit B) Try to prevent or reduce panic, which may initiate bronchospasm C) Teach patient to use an inhaler before exercising

D) Monitor peak flow rates, especially in children

  1. A patient tells the nurse that a friend has recommended the use of caffeine to treat the patient’s asthma. The nurse counsels the patient to begin treatment immediately with the prescribed medication for what reason? A) Caffeine can aggravate the drugs used to treat asthma.

B) Most natural products are less toxic or more potent than traditional asthma medications. C) Natural products decrease the adverse effects associated with adrenergic bronchodilators. D) Delays in appropriate treatment can have serious, even fatal, consequences.

  1. Epinephrine, formerly the drug of choice for acute attacks of bronchoconstriction, has been replaced by what? A) Short-acting bronchodilators are the drug of choice in this situation. B) Nothing has replaced epinephrine as drug of choice in this situation. C) Self-administered metered-dose inhalers (MDIs) D) Long-acting beta 2 -adrenergic agonists (LABAs)
  2. A patient has an acute asthma attack. A bronchodilator is used to bring the exacerbation under control. What drug would be used to prevent acute bronchoconstriction? A) Salbutamol (Ventolin) B) Salmeterol (Serevent) C) Fenoterol (Berotec) D) Terbutaline (Bricanyl)
  3. A patient is prescribed salmeterol with dosage on a 4 to 6 hour schedule for treatment of exercise- induced asthma. What is the recommended dosing schedule of asthma experts regarding this drug? A) 30 minutes before exercise to prevent dyspnea during exercise B) Every 15 minutes during exercise to prevent dyspnea C) As needed to treat or prevent dyspnea during exercise D) Every 1 to 2 hours to treat or prevent dyspnea during exercise
  4. The pharmacology instructor is explaining the difference between bronchodilators and anti- inflammatory drugs. How does an anti- inflammatory drug reduce bronchoconstriction? A) Increases ability to metabolize medication B) Decreases formation of mucus secretions C) Increases reactivity to medication

the accumulation of the drug in the kidney? A) Avoid caffeine intake. B) Increase fluids. C) Decrease activity. D) Increase consumption of fruits and vegetables.

  1. A patient is receiving meropenem (Merrem IV). What drug-related reaction will the nurse assess for? A) Gastrointestinal toxicity B) Hepatic toxicity C) Nephrotoxicity D) Neurotoxicity
  2. A patient is admitted to the unit and the nurse assesses whether he or she is at increased risk for infection when what factors are determined? (Select all that apply.) A) Malnutrition B) Hypertension C) Suppression of immune system D) Advanced age E) Decreased amylase levels
  3. A patient calls the clinic to talk to the nurse. The patient states that he or she saw the physician last week and was prescribed penicillin for a strep throat. The patient goes on to say that they feel so much better they stopped taking the drug today, even though there are a few pills left. What is the nurse’s best response? A) Okay, thank you for letting me know. I will document in your medical record that the treatment was effective. B) It is important that you take all the medication so all the germs are killed. Otherwise they could come right back and be even stronger. C) What you have described is the halo effect of the drug, making you feel better when you are still infected. You’ll feel sick again when the drug is out of your system.

D) You will need to come to the clinic and be evaluated by your physician to make sure the infection is really gone.

  1. When administering anti-infectives to patients, the nurse is aware of the risk for what potentially fatal adverse effect? A) Gastrointestinal toxicity B) Eighth cranial nerve damage C) Anaphylaxis D) Toxic effects on the kidney
  2. The nurse is administering an anti-infective to a pediatric patient. What will the nurse assess for related to adverse effects in this patient? A) Cardiovascular function and perfusion B) Hydration and nutritional status C) Liver and pancreatic function D) Rest and sleep status
  3. The nurse is caring for a patient receiving IV aminoglycosides for an intractable infection in his or her leg. What would it be important for the nurse to monitor this patient for? A) Visual disturbances B) Liver dysfunction C) Serum glucose levels D) Renal dysfunction
  4. The nurse is caring for a patient who is receiving an aminoglycoside. What would be a priority assessment on this patient? A) Respiratory function B) Vision C) Cardiac function D) Liver function
  5. The patient is admitted to the acute care facility with acute septicemia and has orders to receive gentamicin and ampicillin IV. The nurse is performing an admission assessment that includes a complete nursing history. What information provided by the patient would indicate the need to consult the health care provider before administering the ordered medication?

C) Increase your fluid intake. Drink lots of water. D) If you notice yellowing of your eyes or skin, contact your health care provider immediately.

  1. The nurse is providing health teaching to a 62-year-old female patient who has been started on norfloxacin (Noroxin). This patient should be taught to contact her physician if she experiences what adverse effect? A) Polydipsia B) Tachycardia C) Confusion D) Hypertension
  2. The nurse is caring for a 79-year-old male patient who was admitted through the emergency room for mental status changes determined to be caused by a urinary tract infection. The patient is started on norfloxacin (Noroxin) before his discharge home. What adverse effect should the nurse observe this patient for? A) Liver toxicity B) Photosensitivity C) Excess saliva D) Congestive heart failure
  3. The clinic nurse is providing care for a patient with a urinary tract infection (UTI). Which drug would the nurse expect to administer to this patient? A) Solifenacin B) Pentosan polysulfate sodium C) Norfloxacin D) Alfuzosin

Tetracycline administration instructions

  1. The nurse is providing discharge teaching to a patient who is being sent home on oral tetracycline (Sumycin). What instructions should the nurse include? A) Take the medication only once a day. B) Check pulse rate and hold the drug if lower than 60 beats per minute (bpm). C) Take the drug on an empty stomach.

D) Take the medication with 2 ounces of water.

  1. A patient has come to the clinic and been diagnosed with Lyme disease. The physician has ordered oral tetracycline. What is important for the nurse to include in the teaching plan about tetracycline? (Select all that apply.) A) Do not take the drug with anything high in sodium content to keep from producing a state of hypernatremia in the body. B) Do not take the drug with foods or other drugs that contain calcium. C) Do not take the drug at the same time you take an iron supplement or with foods that are high in iron content. D) Avoid exposure to the sun when taking this drug as it can turn your skin purple. E) Avoid eating bananas at the same time you take this drug as the potassium content of the tetracycline can produce hyperkalemia in the body.
  2. What is the priority reason for the nurse to consider questioning an order for tetracycline in a child younger than 8 years of age? a. Children younger than 8 years of age cannot take tetracyclines. b. Weight-bearing joints have been impaired in young animals given the drugs. c. Tetracyclines can damage developing teeth and bone in children younger than 8 years of age. d. Liver and kidney function may be damaged when it is given to children under 8 years of age.
  3. The nurse is admitting a 12-year-old girl to the acute care facility and notices discolored secondary teeth. The mother says she doesn’t know why the teeth are discolored because the child is very good about brushing and flossing and sees the dentist regularly. What question would the nurse ask? A) Has she ever received tetracycline? B) Has she ever received gentamicin? C) Has she ever received ampicillin? D) Has she ever received cephalexin?

Cephalosporin

  1. The nurse is caring for a patient with a gram-positive infection. What antibiotic would be most effective in treating this infection? A) Cefaclor (Ceclor) B) Cefoxitin (generic)

Viral Eradication

  1. The nurse explains why viruses are so difficult to treat when making what statement? A) Viruses are contained inside the human cell and cannot be destroyed without destroying the cell. B) Release of interferons by the host cell makes the virus replicate more quickly allowing the virus to spread. C) Drugs exist to treat all viral infections but they carry serious adverse effects and the benefit often does not outweigh the risk. D) Individual antiviral drugs are often effective in treating many different viruses because one virus in a category behaves like others in the same category.

Anti-Hepatitis B Agents

  1. The nurse is caring for a patient with hepatitis B. The patient is taking adefovir ( Hepsera). Which medication would the nurse question if it were ordered? A) Cimetidine (Tagament) B) Diltiazem (Cardizem) C) Diphenhydramine (Benadryl) D) Telbivudine (Tyzeka)
  2. The school nurse is preparing a lecture on hepatitis B for a health class in high school. What is an important teaching point for the nurse to include about the transmission of hepatitis B? (Select all that apply.) A) Hepatitis B is transmitted through the bite of an insect. B) Hepatitis B is transmitted through sexual contact. C) Hepatitis B is transmitted through blood-to-blood contact. D) Hepatitis B is transmitted from the mother to her unborn baby. E) Hepatitis B is transmitted through nonsexual household contact.
  3. The nurse is caring for a patient hospitalized with hepatitis B. The family comes to visit and a family member asks the nurse if it is safe to visit. What is the nurse’s best response? A) You seem fearful. Why do you think you are at risk? B) Don’t worry, you will not contract the disease from the patient.

C) There is no risk unless you come in contact with blood and body fluids. D) The patient should be isolated and have limited visitation.

  1. A nurse practitioner is teaching a health class in the local high school. The NP informs the class about hepatitis B. What occupation does the NP inform the class is at the greatest risk for contracting hepatitis B? A) Policemen B) Health care workers C) Educators D) Fire fighters
  2. What liver function test is a sensitive indicator of injury to liver cells and useful in detecting acute liver disease such as hepatitis? A) Clotting factors B) SGGT C) Serum aminotransferases D) Alkaline phosphatase
  3. The nurse is providing discharge teaching for a patient going home on the medication entecavir (Baraclude). What is the priority teaching point for this patient? A) Take the whole course of the medication as prescribed. B) Take this medication with grapefruit juice. C) Do not stop taking this medication or allow the prescription to run out. D) The patient will take this medication for the rest of his life.
  4. The nurse is caring for a patient who is taking adefovir to treat hepatitis B. The nurse would hold the medication and notify the health care provider if assessing the signs and symptoms of what? (Select all that apply.) A) Lactic acidosis B) Hepatotoxicity C) Headache

Amphotericin B

administration and adverse effects

  1. By what route would the nurse administer amphotericin B? A) Intravenously B) Intramuscularly C) Orally D) Topically
  2. The nurse provides teaching about amphotericin B (Fungizone) for an 82-year- old patient. The nurse evaluates the patient understood teaching when he says he could develop what condition? A) Diabetes B) Liver necrosis C) Kidney damage D) Pancreatitis
  3. What classification of medication will the nurse administer concurrently with amphotericin B (Fungizone) to help minimize the adverse reactions to this medication? A) Sedatives B) Antipyretics C) Beta-adrenergic blockers D) Diuretics

Anthelmintic Agents

Intestine-Invading Worm Infections

  1. A public health nurse is speaking to parents of first graders. When discussing worm infection, the nurse will explain that the most common type found in U.S. school-aged children is what? A) Pinworms B) Roundworms C) Threadworms

D) Whipworms

  1. A mother of a 3-year-old child brings her child to the clinic. The child is diagnosed with pinworms. What drug would be the best choice for the patient? A) Pyrantel ( Pin-Rid ) B) Ivermectin ( Stromectol ) C) Mebendazole ( Vermox ) D) Albendazole ( Albenza )
  2. A patient has been diagnosed with roundworms and is to be treated with albendazole. A priority nursing assessment of this patient would be to determine if the patient is taking what? A) Cimetidine (Tagamet) B) Pioglitazone ( Actos ) C) Alprazolam ( Xanax ) D) Loperamide ( Imodium )
  3. What would be a priority nursing action related to the care of a patient taking albendazole (Albenza)? A) Check blood pressure, pulse, and respirations B) Weigh the patient C) Monitor renal function

D) Encourage small, frequent meals

  1. The nurse is caring for an adult patient receiving a prescription for an anthelmintic drug. What is a possible nursing diagnosis for this patient? A) Constipation B) Disturbed body image C) Acute confusion D) Imbalanced nutrition: More than body requirements
  2. A nurse is teaching a patient who has been diagnosed with trichinosis. The nurse will include in the discussion that trichinosis is caused by roundworms having what effect? A) Disruption of the host’s normal cellular functions causing cell death and resulting in

A) Inhalation B) Contact with skin C) Ingestion of undercooked foods D) Blood-borne exposure

  1. A patient is diagnosed with an ascaris infection. The patient asks what the best way is to prevent ascaris

infections. What is the nurse’s best response? A) Wash hands before eating. B) Do not share hairbrushes or hats. C) Wash fresh fruits and vegetables before eating. D) Avoid heavily populated areas.

  1. What is an appropriate nursing diagnosis for a patient with tapeworm? A) Imbalanced nutrition: less than body requirements B) Chronic pain C) Constipation D) Impaired mobility
  2. The nursing instructor is discussing helmintic infections with the nursing students. How would the instructor explain the action of anthelmintic drugs? A) Destroy the nervous system of the invading worm B) Act on metabolic pathways that are present in the invading worm C) Interfere in the reproductive cycle of the invading worm D) Cause fatal mutations in the deoxyribonucleic acid of the invading worm
  3. What anthelmintics would the nurse expect will be readily absorbed from the gastrointestinal (GI) tract? (Select all that apply.) A) Mebendazole B) Pyrantel C) Albendazole D) Praziquantel E) Ivermectin
  4. A mother brings her 18-month-old son into the clinic. The child is diagnosed with pinworms. Which anthelmintic would the nurse expect to be prescribed?