Exam 3 Drugs Flashcards
The nurse performs discharge teaching with a client who is prescribed the anticholinergic inhaler ipratropium bromide (Atrovent). Which statement by the client indicates to the nurse that teaching has been successful?
A. “I will not drink grapefruit juice while taking this drug.”
B. “I may gain weight as a result of taking this medication.”
C. “This inhaler is not to be used alone to treat an acute asthma attack.”
D. “Nausea and vomiting are common adverse effects of this medication.”
C. “This inhaler is not to be used alone to treat an acute asthma attack.”
The health care provider orders ipratropium bromide (Atrovent), albuterol (Proventil), and beclomethasone (Vanceril) inhalers for a client. What is the nurse’s best action?
a. Question the order; three inhalers should not be given at one time.
b. Administer the albuterol first, wait 5 minutes, and administer ipratropium bromide, followed by beclomethasone several minutes later.
c. Administer each inhaler at 30-minute intervals.
d. Administer beclomethasone first, wait 2 minutes, and administer ipratropium bromide, followed by the albuterol several minutes later.
b. Administer the albuterol first, wait 5 minutes, and administer ipratropium bromide, followed by beclomethasone several minutes later.
A patient who is taking ipratropium (Atrovent) for asthma is complaining of a dry cough. Which action should the nurse implement first?
a. Listening to the patient’s lungs
b. Giving dextromethorphan 30 mg
c. Instructing the patient to drink water
d. Administering the rescue therapy
ANS : A
Before making a recommendation, the nurse completes a patient assessment to rule out an exacerbation of asthma because the cough may be a clinical indicator of a more serious problem in a patient who has asthma.
Which medication disrupts the inflammatory response and is indicated in the treatment of asthma?
a. Ipratropium (Atrovent)
b. Montelukast (Singulair)
c. Theophylline (Theo-Dur)
d. Salmeterol (Serevent)
ANS : B
Montelukast is a leukotriene-receptor antagonist indicated in the treatment of asthma and allergic rhinitis and acts by binding to the D4 leukotriene receptor in the respiratory tract.
Which asthma medication is not available for inhalation?
a. Fluticasone propionate (Flonase)
b. Salmeterol (Serevent)
c. Theophylline (Theo-Dur)
d. Ipratropium (Atrovent)
ANS : C Theophylline is available in oral, rectal, parenteral, and topical formulations, but not in an inhalable formulation
The nurse performs discharge teaching with a patient who is prescribed the anticholinergic inhaler ipratropium bromide. Which statement by the patient indicates to the nurse that teaching has been successful?
a. “Nausea and vomiting are common adverse effects of this medication.”
b. “I will not drink grapefruit juice while taking this drug.”
c. “This inhaler is not to be used alone to treat an acute asthma attack.”
d. “I may gain weight as a result of taking this medication.”
ANS: C Although ipratropium works to prevent bronchoconstriction and thus secondarily leads to bronchodilation, a directacting bronchodilator is needed to treat an acute asthma attack.
