Chapter 31, Lower Respiratory System Drugs TEST BANK INTRODUCTORY CLINICAL PHARMACOLOGY 12TH EDITION By Susan M Ford

Chapter 31, Lower Respiratory System Drugs 1. The nursing instructor is teaching a session explaining mast cel l stabilizers. The instructor determines the session is successful when the students correctly choose which drug as an example? A) Beclomethasone B) Cromolyn C) Albuterol D) Montelukast Answer: B Rationale: Cromolyn is an example of a mast cell stabilizer. Beclometh asone is an inhaled corticosteroid. Albuterol is a short-acting beta 2 agonist. Montelukast is an example of a leukotriene modifier. Question format: Multiple Choice Chapter: 31 Learning Objective: 1 Cognitive Level: Remember Client Needs: Physiological Int egrity: Pharmacological Therapies Integrated Process: Teaching/Learning Reference: p. 395, Summary Drug Table 2. A nurse has administered albuterol to a client with asthma, who is now reporting dizziness, especially when standing up. When analyzing the clien t's record for potential sources, which prescribed medications should the nurse question? A) Warfarin B) Theophylline C) Atenolol D) Methyldopa Answer: D Rationale: The nurse should consider methyldopa as a cause for the client's concern of dizziness on standing, suggesting orthostatic hypotension. Methyldopa and albuterol interact, leading to hypotension. Albuterol does not interact with warfarin. The use of theophylline will increase the risk of cardiotoxicity. The use of beta-adrenergic blockers will inhibit cardi ac, bronchodilating, and vasodilating effects of the adrenergic medication. Question format: Multiple Choice Chapter: 31 Learning Objective: 1 Cognitive Level: Analyze Client Needs: Physiological Integrity: Pharmacological Therapies Integrated Process: Cli nical Problem -solving Process (Nursing Process) Reference: p. 383, Cardiovascular System Reactions TEST BANK INTRODUCTORY CLINICAL PHARMACOLOGY 12TH EDITION By Susan M Ford 3. A client with chronic asthma is prescribed albuterol. The nurse will prioritize which nursing diagnosis for this client? A) Anxiety B) Risk of impaired oral mucou s membranes C) Ineffective tissue perfusion D) Risk of injury Answer: A Rationale: The nurse would most likely identify a nursing diagnosis of anxiety related to the adverse reaction of albuterol. A nursing diagnosis of risk of impaired mucous membranes may be seen with the use of corticosteroids, which increase the risk of oral candidiasis. There is no increased risk of injury or ineffective tissue perfusion with the use of albuterol therapy. Question format: Multiple Choice Chapter: 31 Learning Objective: 3 Cognitive Level: Analyze Client Needs: Physiological Integrity: Pharmacological Therapies Integrated Process: Clinical Problem -solving Process (Nursing Process) Reference: p. 392, Anxiety 4. The health care provider has ordered epinephrine for a client admitt ed emergently with bronchospasms. The nurse will prepare to administer this drug via which route? A) Intravenous B) Intramuscular C) Subcutaneous D) Intradermal Answer: C Rationale: The nurse should use the subcutaneous route to administer epinephrine for acute bronchospasm. The other routes are not appropriate for this situation. Question format: Multiple Choice Chapter: 31 Learning Objective: 4 Cognitive Level: Apply Client Needs: Physiological Integrity: Pharmacological Therapies Integrated Process: Clinical Probl em-solving Process (Nursing Process) Reference: p. 390, Quick Relief for Acute Symptom Intervention 5. The nurse is preparing to teach a child with asthma and caregivers about the prescribed corticosteroids. Which factor should the nurse point out will require monitoring? A) Blood pressure B) Skin turgor