The Respiratory System Test Flashcards

1
Q

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

A

​To increase the amount of drug delivered to the lungs

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2
Q

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

A

Acetylcysteine

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3
Q

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

A

Have laboratory tests performed at regular intervals.

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4
Q

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 e!ects?

A

Reduces surface tension

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5
Q

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

A

Allow at least 2 weeks for the full therapeutic effect.

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6
Q

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

A

Increase weight-bearing activity.

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7
Q

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

A

Potentiation of depression of CNS actions

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8
Q

For which of the following reasons should a nurse instruct a client to avoid taking guaifenesin with combination over-the-counter cold products?

A

Over-the-counter cold products can also contain guaifenesin.

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9
Q

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

A

Wait 5 min between using the drug and another inhaled drug.

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10
Q

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 adverse effect of this drug?

A

Palpitations

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11
Q

A nurse is teaching a client about the adverse effects of pseudoephedrine. Which of the following should the nurse include? (Select all that apply.)

A

Restlessness/ Insomnia / Anxiety

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12
Q

A nurse is teaching a client about ipratropium. The nurse should include that this drug has which of the following adverse effects? (Select all that apply.)

A

Urinary retention/ Dry mouth

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13
Q

A nurse is monitoring plasma drug 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?

A

Seizures

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14
Q

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?

A

Albuterol will increase the absorption of fluticasone.

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15
Q

A nurse is preparing to administer phenylephrine to a client. The nurse should identify that that which of the following manifestations is an adverse e!ect of this drug?

A

Headache

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16
Q

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?

A

Thins and loosens mucus

17
Q

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

A

Coronary artery disease

18
Q

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

A

“Avoid taking nonsteroidal anti-inflammatory drugs.”

19
Q

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

A

Drug abuse

20
Q

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?

A

Respirations

21
Q

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

A

Take the drug once a day in the evening.

22
Q

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

A

Prevent histamine from binding to receptors

23
Q

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?

A

Decreases inflammation

24
Q

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

A

Drowsiness

25
Q

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?

A

Reduces inflammation