NURS 601 Pharm Respiratory Medications Questions and Answers- University of San Francisco
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NURS 601 Pharm Respiratory Medications Questions and Answers- University of San Francisco/NURS 601 Pharm Respiratory Medications Questions and Answers- University of San Francisco/NURS 601 Pharm Respiratory Medications Questions and Answers- University of San Francisco/NURS 601 Pharm Respiratory Me...
nurs 601 pharm respiratory medications questions and answers university of san francisconurs 601 pharm respiratory medications questions and answers university of san francisconurs 601 pharm respi
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KEY:
All un-highlighted questions are required for Patho-Pharm 1
Red Text = Should Understand
Green Text = Absolutely Should Know
Yellow Highlight = Patho-Pharm 2 Material (Skip in Patho-Pharm 1)
Blue Highlight = Skip (In both Patho-Pharm 1 & 2)
Respiratory Medications
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?
1. Take an extra dose if fever develops.
2. Take the medication with meals only.
3. Take the tablet with a full glass of water.
4. Decrease the amount of daily fluid intake.
Correct answer: 3
Rationale: Guaifenesin is an expectorant and should be taken with a full glass of water to
decrease the viscosity of secretions. Extra doses should not be taken. The client should contact
the health care provider if the cough lasts longer than 1 week or is accompanied by fever, rash,
sore throat, or persistent headache. Fluids are needed to decrease the viscosity of secretions.
The medication does not have to be taken with meals.
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?
1. Nasogastric tube
2. Paracentesis tray
3. Resuscitation equipment
4. Central line insertion tray
Correct answer: 3
Rationale: The nurse administering Naloxone {Narcan = antidote of Narcotic drugs} for
suspected opioid overdose should have resuscitation equipment readily available to support
,naloxone therapy if it is needed. Other adjuncts that may be needed include oxygen, a
mechanical ventilator, and vasopressors.
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?
1. "I will take the medication on an empty stomach."
2. "I won't drink alcohol while taking this medication."
3. "I won't do activities that require mental alertness while taking this medication."
4. "I will use sugarless gum, candy, or oral rinses to decrease dryness in my mouth."
Correct answer: 1
Rationale: Diphenhydramine has several uses, including as an antihistamine, antitussive,
antidyskinetic, and sedative-hypnotic. Instructions for use include taking with food or milk to
decrease gastrointestinal upset and using oral rinses, sugarless gum, or hard candy to minimize
dry mouth. Because the medication causes drowsiness, the client should avoid use of alcohol or
central nervous system depressants, operating a car, or engaging in other activities requiring
mental awareness during use.
4. A cromolyn sodium inhaler is prescribed for a client with allergic asthma. The nurse provides
instructions regarding the adverse effects of this medication and should tell the client that
which undesirable effect is associated with this medication?
Rationale: Cromolyn sodium is an inhaled nonsteroidal antiallergy agent and a mast cell
stabilizer. Undesirable effects associated with inhalation therapy of cromolyn sodium are
bronchospasm, cough, nasal congestion, throat irritation, and wheezing. Clients receiving this
medication orally may experience pruritus, nausea, diarrhea, and myalgia.
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?
Rationale: Terbutaline is a bronchodilator and is contraindicated in clients with hypersensitivity
to sympathomimetics. It should be used with caution in clients with impaired cardiac function,
diabetes mellitus, hypertension, hyperthyroidism, or a history of seizures. The medication may
increase blood glucose levels.
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?
Rationale: Zafirlukast is a leukotriene receptor antagonist used in the prophylaxis and long-
term treatment of bronchial asthma {Leukotriene cause bronchoconstriction; leukotriene
modifiers/antagonists cause bronchodilation}. Zafirlukast is used with caution in clients with
impaired hepatic function. Liver function laboratory tests should be performed to obtain a
baseline, and the levels should be monitored during administration of the medication. It is not
necessary to perform the other laboratory tests before administration of the medication.
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?
Rationale: Isoniazid is an antitubercular medication. A common side effect of isoniazid is
peripheral neuritis, manifested by numbness, tingling, and paresthesias in the extremities. This
can be minimized with pyridoxine (vitamin B6) intake. Options 1, 3, and 4 are not associated
with the information in the question.
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?
1. Use alcohol in small amounts only.
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