Ch. 37 Respiratory Drugs Flashcards
A patient is taking intravenous aminophylline for a severe exacerbation of chronic obstructive pulmonary disease. The nurse will assess for which therapeutic response?
Increased ease of breathing
A patient is taking a xanthine derivative as part of treatment for chronic obstructive pulmonary disease. The nurse will monitor for adverse effects associated with the use of xanthine derivatives, such as
palpitations
A patient is in an urgent-care center with an acute asthma attack. The nurse expects that which medication will be used for initial treatment?
A short-acting beta2 agonist such as albuterol (Proventil)
The prescriber has changed the patient’s medication regimen to include the leukotriene receptor antagonist montelukast (Singulair) to treat asthma. The nurse will emphasize which point about this medication?
It needs to be taken every day on a continuous schedule, even if symptoms improve.
After receiving a nebulizer treatment with a beta agonist, the patient complains of feeling slightly nervous and wonders if her asthma is getting worse. What is the nurse’s best response?
“This is an expected adverse effect. Let me take your pulse.”
A patient has prescriptions for two inhalers. One inhaler is a bronchodilator, and the other is a corticosteroid. Which instruction regarding these inhalers will the nurse give to the patient?
“Take the bronchodilator inhaler first.”
When educating a patient recently placed on inhaled corticosteroids, the nurse will discuss which potential adverse effects?
Oral candidiasis and dry mouth
The nurse is monitoring drug levels for a patient who is receiving theophylline. The most recent theophylline level was 13 mcg/mL, and the nurse evaluates this level to be
at a therapeutic level.
A patient has a new order for an ipratropium (Atrovent) inhaler, an anticholinergic drug. The nurse knows to assess for an allergy to which food before giving this drug?
Peanuts
When evaluating a patient’s use of a metered-dose inhaler (MDI), the nurse notes that the patient is unable to coordinate the activation of the inhaler with her breathing. What intervention is most appropriate at this time?
Obtain an order for a spacer device.
The nurse is providing instructions about the Advair inhaler (fluticasone propionate and salmeterol). Which statement about this inhaler is accurate?
It is used for prevention of bronchospasms.
The nurse is reviewing medications for the treatment of asthma. Which drugs are used for acute asthma attacks? (Select all that apply.)
albuterol, epinephrine, aminophylline
The nurse is providing instructions to a patient who has a new prescription for a corticosteroid metered-dose inhaler. Which statement by the patient indicates that further instruction is needed? (Select all that apply.)
gargle and swallow, asthma attacks
