ATI Week 9: The Respiratory System

Question 1

Upper respiratory:

Answer 1

1. Nose
2. Pharynx
3. Sinuses
4. Trachea

Question 2

Lower respiratory tract:

Answer 2

1. Lungs
2. Alveoli
3. Bronchi
4. Bronchioles

Question 3

Which of the following drugs is appropriate for this client at this time?

Answer 3

Albuterol

Question 4

After the client is reassessed, the provider prescribed a stat parenteral dose of a glucocorticoid. Recognizing the A/E of glucocorticoids, you should monitor the client for which of the following? (SATA)

Answer 4

1. Hyperglycemia
2. Infection
3. Gastric bleeding

Question 5

As the client continues to stabilize, she is prescribed prednisone PO. You review her history and the drugs she has been taking. Which of the following drugs might interact adversely with prednisone?

Answer 5

Ibuprofen

Question 6

The following day, the client is stable and being prepared for discharge. You explain that she will continue to take prednisone orally at home, as prescribed, and that she should watch for a report which of the following to her usual provider?

Answer 6

1. Black, tarry stools
2. Sore throat
3. Muscle weakness

Question 7

Next, the provider tells the client that she will also take albuterol via a metered-dose inhaler (MDI). When instructing the client about using the MDI, you should include which of the following information?

Answer 7

Wait at least 1 minute before inhaling the second puff

Question 8

Which of the following information should you include when teaching a client about the use of an albuterol inhaler for asthma management?

Answer 8

Use it periodically to prevent exercise asthma

Question 9

Which of the following information indicates that a client who is taking theophylline needs further instruction?

Answer 9

The client drinks two cups of coffee each morning

Question 10

You should instruct a client who is taking zileuton to report which of the following possible indications of a serious A/E of this drug?

Answer 10

Abdominal pain

Question 11

You are obtaining a health history from a client who is to start using a new ipratropium inhaler. Which of the following information from the client’s history alerts you to take further action?

Answer 11

1. Urinary retention

2. Glaucoma

Question 12

You advise a client who is using a beclomethasone oral inhaler to watch for which of the following possible indications of an A/E of this drug?

Answer 12

White coating in the mouth

Question 13

You should recognize that which of the following is a contraindication for taking codeine?

Answer 13

Emphysema

Question 14

You are instructing a client about using cromolyn via inhalation to treat exercise-induced bronchospasm. You advise the client to take the drug:

Answer 14

15 min before exercising

Question 15

You should monitor a client taking dextromethorphan because of the potential for which of the following:

Answer 15

Drug abuse

Question 16

You are instructing a client who has a new prescription for cetirizine. Which of the following information should you be sure to include?

Answer 16

Administer the drug prophylactically during allergy seasons

Question 17

You should instruct a client using phenylephrine spray for nasal congestion to do which of the following to avoid rebound congestion?

Answer 17

Limit the drugs use to 3 - 5 days

Question 18

For which of the following reasons should a client attach a spacer to a metered-dose inhaler?

Answer 18

To increase the amount of drug delivered to the lungs

Question 19

A nurse is caring for a client who is having difficulty mobilizing thick respiratory secretions. Which of the following drugs should the nurse expect to administer to the client?

Answer 19

Acetylcysteine

Question 20

A nurse is teaching a client who has a prescription for zileuton. Which of the following instructions should the nurse include?

Answer 20

Have laboratory tests performed at regular intervals

Question 21

A nurse is teaching a client about the use of an expectorant to treat a cough. The nurse should include that an expectorant has which of the following therapeutic effects?

Answer 21

Reduces surface tension

Question 22

A nurse is teaching a client about using intranasal glucocorticoids. Which of the following instructions should the nurse give?

Answer 22

Allow at least 2 weeks for the full therapeutic affect

Question 23

A nurse is teaching a client who is beginning fluticasone propionate/ salmeterol therapy. Which of the following instructions should the nurse include?

Answer 23

Increase weight-bearing activity

Question 24

A nurse should I.D. that dextromethorphan can have which of the following effects when combined with morphine?

Answer 24

Potentiation of depression of CNS actions

Question 25

For which of the following should a nurse instruct a client to avoid taking guaifenesin with combination OTC cold products?

Answer 25

OTC cold products can also contain guaifenesin

Question 26

A nurse is teaching a client about ipratropium. Which of the following instructions should the nurse include?

Answer 26

Wait 5 min between using the drug and another inhaled drug

Question 27

A nurse is teaching a client about albuterol. The nurse should instruct the client to monitor for and report which of the following as an A/E of this drug?

Answer 27

Palpitations

Question 28

A nurse is teaching a client about the A/E of pseudoephedrine. Which of the following should the nurse include?

Answer 28

1. Restlessness
2. Insomnia
3. Anxiety

Question 29

A nurse is teaching a client about ipratropium. The nurse should include that this drug has which of the following A/E?

Answer 29

1. Urinary retention

2. Dry mouth

Question 30

A nurse is monitoring plasma levels in a client who is taking theophylline. Which of the following findings should the nurse expect to see if the client’s drug level indicates toxicity?

Answer 30

Seizures

Question 31

A nurse is teaching a client who has a prescription for albuterol via inhaler and fluticasone via inhaler for asthma management. For which of the following reasons should the nurse instruct the client to use the albuterol inhaler before using the fluticasone inhaler?

Answer 31

Albuterol will increase the absorption of fluticasone

Question 32

A nurse is preparing to administer phenylephrine to a client. The nurse should I.D that which of the following manifestations is an A/E of this drug?

Answer 32

Headache

Question 33

A nurse is teaching a client about the use of a mucolytic to treat a cough. The nurse should include that a mucolytic has which of the following therapeutic effects?

Answer 33

Thins and loosens mucus

Question 34

A nurse should recognize that using pseudoephedrine to treat allergic rhinitis requires cautious use with clients who have which of the following conditions?

Answer 34

Coronary Artery Disease

Question 35

A nurse is teaching a client who is taking prednisone for an acute asthma exacerbation. Which of the following instructions should the nurse include?

Answer 35

Avoid taking NSAIDs

Question 36

Legal restrictions apply to the purchase of pseudoephedrine because of which of the following risks?

Answer 36

Drug abuse

Question 37

A nurse is caring for a client who is taking codeine. The nurse should identify that which of the following assessments is priority to make?

Answer 37

Respirations

Question 38

A nurse is teaching a client about Montelukast. Which of the following instructions should the nurse include?

Answer 38

Take the drug once a day in the evening

Question 39

A nurse is teaching a client about the use of antihistamine to treat allergic rhinitis. The nurse should explain the these drugs are effective because they perform which of the following actions?

Answer 39

Prevent histamine from binding to receptors

Question 40

A nurse is teaching a client about the use of beclomethasone to treat asthma. The nurse should explain that the drug has which of the following therapeutic effects?

Answer 40

Decreases inflammation

Question 41

A nurse is teaching an adult client about diphenhydramine. The nurse should inform the client to expect which of the following A/E while taking this drug?

Answer 41

Drowsiness

Question 42

A nurse is teaching a client about the use of cromolyn sodium to prevent bronchospasm. The nurse should explain that the drug has which of the following therapeutic effects?

Answer 42

Reduces inflammation