Exam (elaborations)
Respiratory Drugs - NCLEX Questions and answers
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Respiratory Drugs - NCLEX Questions and answers
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RespiratoryDrugs
-
NCLEX
Questions
A
client
has
a
prescription
to
take
guaifenesin
(Mucinex).
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
develops.
b)
Take
the
medication
with
meals
only.
c)
Take
the
tablet
with
a
full
glass
of
water.
d)
Decrease
the
amount
of
daily
fluid
intake.
-
ANSWER-c)
Take
the
tablet
with
a
full
glass
of
water.
Rationale:
Guaifenesin
(Mucinex)
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.
The
nurse
is
preparing
to
administer
a
dose
of
naloxone
hydrochloride
intravenously
to
a
client
with
an
intravenous
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
-
ANSWER-c)
Resuscitation
equipment
Rationale:
The
nurse
administering
naloxone
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,
mechanical
ventilator,
and
vasopressors. The
nurse
teaches
a
client
about
the
effects
of
diphenhydramine
(Benadryl),
which
has
been
prescribed
as
a
cough
suppressant.
The
nurse
determines
that
the
client
needs
further
instruction
if
the
client
makes
which
statement?
a)
"I
will
take
the
medication
on
an
empty
stomach."
b)
"I
won't
drink
alcohol
while
taking
this
medication."
c)
"I
will
use
sugarless
gum,
candy,
or
oral
rinses
to
decrease
dryness
in
my
mouth."
d)
"I
won't
do
activities
that
require
mental
alertness
while
taking
this
medication."
-
ANSWER-a)
"I
will
take
the
medication
on
an
empty
stomach."
Rationale:
Diphenhydramine
(Benadryl)
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
or
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.
A
cromolyn
sodium
inhaler
is
prescribed
for
a
client
with
allergic
asthma.
The
nurse
provides
instructions
regarding
the
side
and
adverse
effects
of
this
medication
and
should
tell
the
client
that
which
undesirable
effect
is
associated
with
this
medication?
a)
Insomnia
b)
Constipation
c)
Hypotension
d)
Bronchospasm
-
ANSWER-d)
Bronchospasm
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. Terbutaline
is
prescribed
for
a
client
with
bronchitis.
The
nurse
understands
that
this
medication
should
be
used
with
caution
if
which
medical
condition
is
present
in
the
client?
a)
Osteoarthritis
b)
Hypothyroidism
c)
Diabetes
mellitus
d)
Polycystic
disease
-
ANSWER-c)
Diabetes
mellitus
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.
Zafirlukast
(Accolate)
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
-
ANSWER-c)
Liver
function
tests
Rationale:
Zafirlukast
(Accolate)
is
a
leukotriene
receptor
antagonist
used
in
the
prophylaxis
and
long-term
treatment
of
bronchial
asthma.
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.
A
client
has
been
taking
isoniazid
for
1½
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
-
ANSWER-b)
Peripheral
neuritis
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