PME RESPIRATORY

paz-troubleman & nina miranda

For which of the following reasons should a client attach a spacer to a metered-dose inhaler?

To increase the amount of drug delivered to the lungs

A nurse is teaching an adult client about diphenhydramine. The nurse should inform the client to expect which of the following adverse effects while taking this drug?

drowsiness

A nurse is caring for a client who is having difficulty mobilizing thick respiratory secretions. Which of the following drugs should the nurse expect to administer to the client?

acetylcysteine

A nurse should identify that dextromethorphan can have which of the following effects when combined with morphine?

Potentiation of depression of CNS actions

A nurse is teaching a client about albuterol. The nurse should instruct the client to monitor for and report which of the following as an adverse effect of this drug?

palpitations

For which of the following reasons should a nurse instruct a client to avoid taking guaifenesin with combination over-the-counter cold products?

Over-the-counter cold products can also contain guaifenesin.

A nurse is teaching a client about ipratropium. Which of the following instructions should the nurse include?

Wait 5 min between using the drug and another inhaled drug.

A nurse is teaching a client who is beginning fluticasone propionate/salmeterol therapy. Which of the following instructions should the nurse include?

Increase weight-bearing activity.

A nurse is teaching a client about ipratropium. The nurse should include that this drug has which of the following adverse effects? (Select all that apply.)

1.Urinary retention

2.Increased intraocular pressure

3.Dry mouth

4.Muscle tremors

5.Insomnia

1,2,3

A nurse is teaching a client about the use of beclomethasone to treat asthma. The nurse should explain that the drug has which of the following therapeutic effects?

Decreases inflammation

A nurse is teaching a client about the use of cromolyn sodium to prevent bronchospasm. The nurse should explain that the drug has which of the following therapeutic effects?

Reduces inflammation

A nurse is teaching a client who is taking prednisone for an acute asthma exacerbation. Which of the following instructions should the nurse include?

"Avoid taking nonsteroidal anti-inflammatory drugs to prevent GI bleeds"

A nurse is preparing to administer phenylephrine to a client. The nurse should identify that that which of the following manifestations is an adverse effect of this drug?

Hypertension

A nurse is monitoring plasma drug levels in a client who is taking theophylline. Which of the following findings should the nurse expect to see if the client's drug level indicates toxicity?

Seizures

A nurse is teaching a client about the use of an expectorant to treat a cough. The nurse should include that an expectorant has which of the following therapeutic effects?

Reduces surface tension

A nurse is teaching a client about the use of a mucolytic to treat a cough. The nurse should include that a mucolytic has which of the following therapeutic effects?

Thins and loosens mucus

A nurse is teaching a client about the use of antihistamines to treat allergic rhinitis. The nurse should explain that these drugs are effective because they perform which of the following actions?

Prevent histamine from binding to receptors

A nurse is caring for a client who is taking codeine. The nurse should identify that which of the following assessments is priority to make?

Respirations

A nurse is teaching a client who has a prescription for zileuton. Which of the following instructions should the nurse include?

Have laboratory tests performed at regular intervals.