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Respiratory Medications

Total questions: 25

Worksheet time: 1hrs 15mins

Name
Class
Date
1.

A client has a prescription to take guaifenesin. The

nurse determines that the client understands the

proper administration of this medication if the client

states that he or she will perform which action?

a)

Take an extra dose if fever appears

b)

Take the medicine only with food.

c)

Take the tablet with a full glass of water.

d)

Reduce the amount of daily fluid intake.

2.

The nurse is preparing to administer a dose of naloxone

intravenously to a client with an opioid overdose. Which supportive medical equipment should the nurse plan to have at the client’s bedside if needed?

a)

Nasogastric tube

b)

Paracentesis tray

c)

Resuscitation equipment

d)

Central line insertion tray

3.

The nurse teaches a client about the effects of diphenhydramine, which has been prescribed as a cough suppressant. The nurse determines that the client needs further instruction if the client makes which statement?

a)

“Iwill take themedication on an emptystomach.”

b)

“I won’t drink alcohol while taking this medication.”

c)

“I won’t do activities that require mental alertness while taking this medication.”

d)

“Iwill use sugarless gum, candy, or oral rinses to decrease dryness in my mouth.”

4.

Acromolyn sodium inhaler is prescribed for a client

with allergic asthma. The nurse provides instructions regarding the adverse effects of thismedication and should tell the client that which undesirable effect is associated with this medication?

a)

Insomnia

b)

Constipation

c)

Hypotension

d)

Bronchospasm

5.

Terbutaline is prescribed for a client with bronchitis.

The nurse checks the client’s medical history for which disorder in which the medication should be used with caution?

a)

Osteoarthritis

b)

Hypothyroidism

c)

Diabetes mellitus

d)

Polycystic Disease

6.

Zafirlukast is prescribed for a client with bronchial

asthma. Which laboratory test does the nurse expect to be prescribed before the administration of this medication?

a)

Platelet count

b)

Neutrophil count

c)

Liver function tests

d)

Complete blood count

7.

A client has been taking isoniazid for 2 months. The client complains to the nurse about numbness, paresthesias, and tingling in the extremities. The nurse interprets that the client is experiencing which problem?

a)

Hypercalcemia

b)

Peripheral neuritis

c)

Small blood vessel spasm

d)

Impaired peripheral circulation

8.

A client is to begin a 6-month course of therapy with isoniazid. The nurse should plan to teach the client to take which action?

a)

Use alcohol in small amounts only.

b)

Report yellow eyes or skin immediately.

c)

Increase intake of Swiss or aged cheeses.

d)

Avoid vitamin supplements during therapy.

9.

Aclient has been started on long-term therapywith rifampin. The nurse should provide which information to the client about the medication?

a)

Should always be taken with food or antacids

b)

Should be double-dosed if 1 dose is forgotten

c)

Causes orange discoloration of sweat, tears, urine, and feces

d)

May be discontinued independently if symptoms are gone in 3 months

10.

The nurse has given a client taking ethambutol

information about the medication. The nurse determines that the client understands the instructions if the client states that he or she will immediately report which finding?

a)

Impaired sense of hearing

b)

Gastrointestinal side effects

c)

Orange-red discoloration of body secretions

d)

Difficulty in discriminating the color red from green

11.

A client with tuberculosis is being started on antituberculosis therapy with isoniazid. Before giving

the client the first dose, the nurse should ensure that which baseline study has been completed?

a)

Electrolyte levels

b)

Coagulation times

c)

Liver enzyme levels

d)

Serum creatinine level

12.

The nurse has a prescription to give a client salmeterol, 2 puffs, and beclomethasone dipropionate, 2 puffs, by metered-dose inhaler. The nurse should administer the medication using which procedure?

a)

Beclomethasone first and then the salmeterol

b)

Salmeterol first and then the beclomethasone

c)

Alternating a single puff of each, beginningwith the salmeterol

d)

Alternating a single puff of each, beginningwith the beclomethasone

13.

Rifabutin is prescribed for a client with active Mycobacterium avium complex (MAC) disease and tuberculosis. For which side and adverse effects of the

medication should the nurse monitor? Select all that apply.

a)

Signs of hepatitis

b)

Flulike syndrome

c)

Low neutrophil count

d)

Vitamin B6 deficiency

e)

Ocular pain or blurred vision

14.

A client has begun therapy with theophylline. The nurse should plan to teach the client to limit the intake of which items while taking this medication?

a)

Coffee, cola, and chocolate

b)

Oysters, lobster, and shrimp

c)

Melons, oranges, and pineapple

d)

Cottage cheese, cream cheese, and dairy creamers

15.

The nurse has just administered the first dose of omalizumab to a client. Which statement by the client would alert the nurse that the client may be experiencing a life-threatening effect?

a)

“I have a severe headache.”

b)

“My feet are quite swollen.”

c)

“I am nauseated and may vomit.”

d)

“My lips and tongue are swollen.”

16.

The nurse is caring for a client with a diagnosis of

influenza who first began to experience symptoms yesterday. Antiviral therapy is prescribed and the nurse provides instructions to the client about the therapy. Which statement by the client indicates an understanding of the instructions?

a)

“I must take the medication exactly as prescribed.”

b)

“Once I start the medication, I will no longer be contagious.”

c)

“I will not get any colds or infections while taking this medication.”

d)

“This medication has minimal side effects and I can return to normal activities.”

17.

About the use of antiviral drugs, answer. Select all the apply

a)

Use during influenza outbreaks depends on about the current strain of influenza

b)

The diagnosis of influenza should include diagnostic tests because infection from others pathogens can cause symptoms similar to those of influenza infection.

c)

It can be administered as a prophylaxis against infection but should not replace vaccination

d)

It can be given as a treatment to replace vaccination.

18.

About the use of cycloserine, answer the contraindications and precautions. Select all the apply

a)

The use of alcohol or ethionamide increases risk of seizures

b)

It is used with caution in clients with seizures disorder, depression, severe anxiety, psychosis, or kidney failure, or in clients who use alcohol

c)

Contraindicated in clients with hypersensitivity

d)

Used with caution in clients with diabetes

mellitus or renal dysfunction

19.

About the use of cycloserine, please answer some of the side and adverse effects. Selec all the apply.

a)

Hypersensitivity

b)

Threw up

c)

Neurotoxicity

d)

Fever

e)

Convulsions

20.

About the use of antibiotics, answer the correct answer.

a)

Aminoglycoside or fluoroquinolone antibiotics, given with at least one other anti-tuberculosis drug medicine.

b)

Bactericidal due to receptor binding action that does not interfere with protein synthesis in susceptible microorganisms

c)

Gastrointestinal disturbances are the least common side effects.

d)

Fluoroquinolones are recommended for use in children.

21.

About the use of Pyrazinamide, answer your what are its side effects and adverse

a)

Arthralgia, myalgia

b)

Photosensitivity

c)

Hepatotoxicity

d)

Thrombocytopenia

e)

Hypersensitivity

22.

In irritation and secretion of the respiratory tract. What are the medicines for the common cold?

a)

Antitussives

b)

Decongestants

c)

Mucolytics / expectorants

d)

Antihistamines

23.

Decongestants are used for?

a)

Runny nose / stuffy head

b)

Prevents fluid from filling the blood vessels

c)

Avoid congestion

d)

Inhibits alpha andergic receptors - vasoconstriction

24.

Fill in the blank:

____________ relax the muscles around the bronchioles, which helps open the airways and makes breathing easier

a)

bronchodilators

b)

antitussives

c)

antidepressants

d)

antibiotics

25.

The Nebulizer, what is the most complete concept?

a)

It is a device that divides liquid medicines into very small drops.

b)

This machine has a compressor, a vaporization chamber, a dosing chamber, a tube, and an inhalation pipette or mask.

c)

A small machine that vaporizes a liquid medicine into a fine mist that is inhaled using a mask or handheld device.

d)

They are devices used to administer liquid asthma medications.