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Pharmacology NCLEX Respiratory: Drugs for Upper & Lower disorders questions with complete solution

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Pharmacology NCLEX Respiratory: Drugs for Upper & Lower disorders questions with complete solution

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  • February 13, 2024
  • 15
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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  • pharmacology nclex respiratory drugs for upper

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  • Pharmacology NCLEX Respiratory: Drugs for Uppr &
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Pharmacology
NCLEX
Respiratory:
Drugs
for
Upper
&
Lower
disorders
The
client
diagnosed
with
emphysema
is
admitted
to
the
surgical
unit
for
a
cholecystectomy
(gallbladder
removal).
Which
postoperative
interventions
should
the
nurse
implement?
Select
all
that
apply.
1.
Have
the
patient
turn,
cough,
and
breathe
deeply
every
2
hours.
2.
Administer
oxygen
to
the
client
at
4
L/min.
3.
Assess
the
surgical
dressing
every
4
hours.
4.
Medicate
frequently
with
morphine
15
mg
IV
push
(IVP).
5.
Use
the
incentive
spirometer
every
4
hours.
-
ANSWER-ANSWER:
1.
Clients
undergoing
surgery
are
encouraged
to
turn,
cough,
and
deep
breathe
(TC&DB)
a
minimum
of
every
2
hours.
Clients
with
emphysema
should
TC&DB
more
often
than
every
2
hours.
3.
Clients
diagnosed
with
chronic
lung
disease
are
frequently
prescribed
long-term
steroid
therapy.
Steroids
delay
wound
healing.
The
nurse
should
assess
the
wound
to
determine
that
the
surgical
incision
is
healing
as
desired.
5.
The
client
should
use
the
incentive
spirometer
to
help
prevent
pneumonia.
Every
4
hours
is
an
appropriate
time
span.
RATIONALE
WHY
THESE
AREN'T
THE
ANSWERS:
2.
The
client
should
be
administered
oxygen
at
1
to
3
L/min.
Clients
with
chronic
lung
disease
have
developed
carbon
dioxide
narcosis.
High
levels
of
carbon
dioxide
have
destroyed
the
client's
first
stimulus
for
breathing.
Oxygen
hunger
is
the
body's
backup
system
for
sustaining
life.
Administering
oxygen
at
levels above
2
L/min
at
rest
and
3
L/min
during
activity
may
cause
the
client
to
stop
breathing.
4.
Morphine,
a
narcotic
analgesic,
can
cause
respiratory
compromise,
especially
when
given
frequently
and
in
large
doses.
Usual
doses
of
morphine
are
between
1
and
3
mg
per
dose.
This
client
is
already
at
risk
for
respiratory
complications
from
the
emphysema
The
client
diagnosed
with
arterial
hypertension
develops
a
cold.
Which
information
regarding
over-the-counter
(OTC)
medications
should
the
nurse
teach?
1.
Try
to
find
a
medication
that
will
not
cause
drowsiness.
2.
OTC
medications
are
not
as
effective
as
a
prescription.
3.
OTC
medications
are
more
expensive
than
prescriptions.
4.
Do
not
take
OTC
medication
unless
approved
by
the
HCP.
-
ANSWER-ANSWER:
4.
Dextromethorphan
is
sold
under
several
names
OTC.
The
most
common
is
Robitussin.
Dextromethorphan
is
an
antitussive.
Many
OTC
medications
work
by
causing
vasoconstriction,
which
will
increase
the
client's
hypertension.
The
client
should
only
take
medications
(approved
by
the
HCP)
that
will
not
affect
the
client's
hypertension.
RATIONALE
WHY
THESE
AREN'T
THE
ANSWERS:
1.
The
client
should
be
informed
about
the
dangers
of
self-medicating
with
OTC
medications.
Many
OTC
medications
work
by
causing
vasoconstriction,
which
will
increase
the
client's
hypertension.
2.
Efficacy
of
medications
depends
on
the
medication
and
strength.
Most
OTC
medications
were
at
one
time
prescription
medications.
There
are
many
variables,
and
this
statement
is
too
general
to
be
true.

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