WorksheetsPharm day 4 pre/post quiz
Total questions: 20
Worksheet time: 11mins
A nurse explains to a patient that albuterol may cause side effects. Which of the following patient statements indicates they understood the teaching?
I should take it every day even if I feel fine.
If I feel shaky after taking it, that means it’s not working.
If I start to feel my heart racing, I should let my doctor know.
This medication works by reducing mucus in my lungs.
A nurse is caring for a patient with asthma who reports using their albuterol inhaler "every 2 hours for the past day" due to increasing shortness of breath. Which action should the nurse take first?
Encourage the patient to continue using the inhaler as needed.
Assess the patient’s respiratory status and vital signs.
Administer an oral corticosteroid.
Instruct the patient to stop using the inhaler immediately.
A nurse is caring for a patient with chronic asthma who has been prescribed salmeterol twice daily. During a follow-up visit, the patient reports using salmeterol for sudden wheezing episodes. Which is the nurse’s best response?
That’s appropriate. Salmeterol works quickly to relieve acute symptoms.
You should use salmeterol more frequently if your symptoms worsen.
Salmeterol is not meant for sudden symptoms. You need to use your rescue inhaler instead.
Next time, try to take a double dose of salmeterol to stop the wheezing faster.
A nurse is reviewing inhaler use with a patient who is prescribed salmeterol for long-term asthma control and albuterol as a rescue inhaler. The patient asks, "What should I do if I feel short of breath before my exercise class?" What is the nurse’s best response?
Use your salmeterol inhaler immediately before exercise to open your airways.
Take both your salmeterol and albuterol inhalers together before exercising.
Use your albuterol inhaler 15–30 minutes before exercise to help prevent symptoms.
Skip your exercise class if you’re having shortness of breath.
A nurse is teaching a patient with persistent asthma how to use their budesonide inhaler. Which of the following statements by the patient indicates they need further teaching?
I’ll rinse my mouth and spit after using the inhaler.
I’ll take this every day even if I’m feeling fine.
This inhaler will stop my wheezing quickly during an attack.
I need to follow the steps to use the inhaler properly every time.
The provider orders fluticasone via metered-dose inhaler (MDI) for a patient with asthma. The nurse observes the patient exhaling immediately after pressing the inhaler. What is the nurse’s best response?
That’s the correct way to clear your lungs before your next breath.
You need to hold your breath for about 10 seconds after inhaling the medication.
Be sure to blow out before using your inhaler to fully empty your lungs.
Next time, take the medication through your nose instead of your mouth.
A nurse is reviewing discharge instructions with a patient prescribed beclomethasone for asthma control. Which of the following actions should the patient take to minimize a common side effect of the medication?
Increase fluid intake to prevent dehydration.
Use a spacer device and rinse the mouth after each use.
Take the medication only during allergy season.
Avoid dairy products while using the inhaler.
Which statement by Mr. Wilson indicates a need for further teaching regarding colchicine?
I will take this medication at the first sign of a flare-up.
If I get diarrhea or nausea, I’ll let my doctor know right away.
This drug will lower my uric acid levels over time.
I should avoid drinking alcohol while on this medication.
Mr. Wilson calls the clinic and reports severe diarrhea and abdominal cramping after taking colchicine. What is the nurse’s best response?
Continue the medication until the flare fully resolves.
These symptoms are expected and will go away soon.
Stop the medication and come in to be evaluated.
Take the next dose with food to reduce the stomach upset.
Which statement by Mr. Wilson shows he understands the purpose of allopurinol?
I should take this drug only when I have gout pain.
This drug will reduce the inflammation in my joints.
This medication helps prevent future gout attacks by lowering uric acid.
This medication helps prevent future gout attacks by lowering uric acid.
Which of the following lab values should the nurse monitor most closely in a patient taking allopurinol long-term?
Hemoglobin A1C
Uric acid and liver enzymes
Potassium and calcium
INR and platelet count
Which instruction should the nurse prioritize when teaching the client about probenecid medication?
Restrict fluid intake to prevent drug dilution
Maintain normal fluid intake of 2-3 liters daily
Increase fluid intake to at least 3-4 liters daily
Decrease fluid intake in the evening to prevent nocturia
Mr. Thompson says, “I don’t really understand why I take probenecid.” Which explanation by the nurse best describes its action?
It helps your body produce more uric acid.
It increases excretion of uric acid through your kidneys.
It reduces inflammation in your joints.
It blocks uric acid absorption in your intestines.
A nurse is teaching a patient about using codeine to manage a chronic cough. The nurse should instruct the patient to increase fluid intake and monitor for (a) a common side effect of codeine that can occur with prolonged use.
Dextromethorphan works by suppressing the cough reflex through action on the central nervous system.
True
False
Which of the following statements about dextromethorphan is accurate?
It causes physical dependence at therapeutic doses
It acts peripherally to suppress cough
It can cause dissociative effects when abused in high doses
It is a controlled substance in the United States
A nurse is caring for a patient who has been prescribed cyclobenzaprine (Flexeril) for muscle spasms. Which of the following patient statements indicates a need for further teaching?
I will avoid driving until I know how the medication affects me.
I can take this medication with alcohol to help me relax.
I may feel drowsy while taking this medication.
I will take the medication exactly as prescribed by my doctor.
Drag and drop central acting muscle relaxants
cyclobenzaprine
baclofen
dantrolene
A nurse is monitoring a patient who has been receiving baclofen for treatment of severe muscle spasticity. Which of the following findings should the nurse recognize as an adverse effect of this medication?
Increased muscle tone and hyperreflexia
Hypotension and dizziness
Tachycardia and agitation
Insomnia and increased energy
A nurse is teaching a patient how to use a metered-dose inhaler (MDI) with no spacer. Place the following steps in the correct order:
Shake the inhaler well.
Exhale fully
Place the mouthpiece in the mouth and seal the lips around it.
Press down on the inhaler while inhaling deeply and slowly
Hold breath for 10 seconds.
