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Chapter 30, Upper Respiratory System Drugs TEST BANK INTRODUCTORY CLINICAL PHARMACOLOGY 12TH EDITION By Susan M Ford R61,16   Add to cart

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Chapter 30, Upper Respiratory System Drugs TEST BANK INTRODUCTORY CLINICAL PHARMACOLOGY 12TH EDITION By Susan M Ford

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  • INTRODUCTORY CLINICAL PHARMACOLOGY

TEST BANK INTRODUCTORY CLINICAL PHARMACOLOGY 12TH EDITION By Susan M Ford 1. The nurse has completed teaching a client about the prescribed upper respiratory drug. The nurse determines additional teaching is warranted when the client chooses which finding as requiring further assessment? A) Cou...

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  • November 30, 2023
  • 15
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
  • INTRODUCTORY CLINICAL PHARMACOLOGY
  • INTRODUCTORY CLINICAL PHARMACOLOGY
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Chapter 30, Upper Respiratory System Drugs 1. The nurse has completed teaching a client about the prescribed upper respiratory drug. The nurse determines additional teaching is warranted when the client chooses which finding as requiring further assessment? A) Cough changes from nonproductive to productiv e. B) Sputum appears clear. C) Sputum increases. D) Shortness of breath occurs. Answer: B Rationale: The client should notify their primary health care provider if the type of cough changes, sputum changes color or increases, and shortness of breath occurs. Clear sputum is normal. Question Format: Multiple Choice Chapter: 30 Learning Objective: 5 Cognitive Level: Analyze Client Needs: Physiological Integrity: Reduction of Risk Potential Integrated Process: Teaching/Learning Reference: p. 23, Educating the Client a nd Family 2. A client with a nonproductive cough is prescribed codeine sulfate. The nurse will recognize a contraindication in which client? A) Head injury B) COPD C) Premature infant D) Asthma Answer: C Rationale: Codeine sulfate is contraindicated in premature infan ts. Codeine sulfate should be used cautiously in clients with head injury, COPD, and asthma. Question Format: Multiple Choice Chapter: 30 Learning Objective: 2 Cognitive Level: Apply Client Needs: Physiological Integrity: Pharmacological Therapies Integrat ed Process: Clinical Problem -solving Process (Nursing Process) Reference: p. 371, Antitussives, Expectorants, and Mucolytics 3. A nurse is preparing to administer diphenhydramine to a client with bronchial irritation. Which activity should the nurse prioriti ze during the preadministration assessment? A) Document color and amount of any sputum present. TEST BANK INTRODUCTORY CLINICAL PHARMACOLOGY 12TH EDITION By Susan M Ford B) Record the previous prescriptions. C) Take vital signs every 4 hours. D) Assess the client's cardiovascular status. Answer: A Rationale: Before drug administration, t he nurse should document the color and amount of any sputum present. The nurse need not record the previous prescriptions; however, the nurse should determine if any drugs the client uses would potentially interact with diphenhydramine. The nurse needs to take the client's vital signs, but not every 4 hours. The nurse needs to assess the respiratory status of the client before administering mucolytics and expectorants, but not before administering diphenhydramine HCl. Assessing the client's cardiovascular s tatus is not necessary. Question Format: Multiple Choice Chapter: 30 Learning Objective: 3 Cognitive Level: Apply Client Needs: Physiological Integrity: Pharmacological Therapies Integrated Process: Clinical Problem -solving Process (Nursing Process) Refere nce: p. 373, Preadministration Assessment 4. A nurse is conducting an ongoing assessment and notes the client is experiencing difficulty bringing up mucus. Which nursing diagnosis should the nurse prioritize for this client? A) Ineffective Airway Clearance B) Acute Pain C) Injury Risk D) Impaired Oral Mucous Membranes Answer: A Rationale: Thick sputum interferes with moving air effectively in and out of the respiratory tract. Therefore, the most likely nursing diagnosis would be Ineffective Airway Clearance. There is n o evidence of pain. Injury Risk would be appropriate if the client was experiencing sedation or drowsiness from the prescribed medication. Impaired Oral Mucous Membranes would be appropriate if the client was experiencing dry mouth from the medication. Question Format: Multiple Choice Chapter: 30 Learning Objective: 4 Cognitive Level: Analyze Client Needs: Physiological Integrity: Reduction of Risk Potential Integrated Process: Clinical Problem -solving Process (Nursing Process) Reference: p. 374, Ineffectiv e Airway Clearance 5. The nurse is preparing a teaching session for a client prescribed dextromethorphan orally. Which instruction should the nurse prioritize? A) Take the drug with a glass of milk.

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