1.
A nurse is caring for a client with acute bronchospasm. The health care provider orders albuterol, a short-acting beta-2 adrenergic agonist. What is the most appropriate rationale for administering albuterol to the client?
-
To reduce airway inflammation
-
To stimulate cholinergic receptors
-
To induce bronchodilation
-
To suppress the immune response
2.
A client is ordered 60 mg of prednisone daily to be taken in three divided doses. How much will the client take for each dose?
-
20 mg
-
15 mg
-
30 mg
-
10 mg
3.
A nurse is reviewing the medication regimen of a client with asthma. The client is prescribed theophylline, a xanthine derivative. The nurse understands that theophylline is primarily used for what particular purpose?
-
Acute relief of bronchospasm
-
Prevention of exercise-induced asthma
-
Long-term control of asthma symptoms
-
Reduction of airway inflammation
4.
A nurse is caring for a client with COPD who is prescribed ipratropium bromide, a respiratory anticholinergic medication. What is the most appropriate rationale for administering ipratropium bromide to the client?
-
To reduce airway inflammation
-
To stimulate cholinergic receptors
-
To induce bronchodilation
-
To suppress the immune response
5.
The loading dose of theophylline is 4.6 mg/kg. The client for whom it is prescribed weighs 121 pounds. How much will the nurse give for the loading dose?
-
125 mg
-
155 mg
-
250 mg
-
253 mg
6.
A nurse is providing education to a client prescribed montelukast, a leukotriene modifier, for the management of asthma. The nurse informs the client about potential side effects of this medication. Which side effect should the nurse include in the client education?
-
Dry mouth and blurred vision
-
Increased heart rate and palpitations
-
Headache and dizziness
-
Excessive drowsiness and sedation
7.
A nurse is assessing a client who has been prescribed a respiratory anticholinergic medication. What medical history would be a concern for this nurse when administering the anticholinergic medication?
-
History of hypertension
-
History of osteoarthritis
-
History of migraines
-
History of urinary retention
8.
A nurse is educating a client who has been taking methylprednisolone for an extended period. The nurse emphasizes the importance of gradually tapering the medication instead of abruptly stopping it. Which risk is the nurse concerned about?
-
Allergic reactions
-
Gastrointestinal bleeding
-
Adrenal insufficiency
-
Neurological impairment
9.
A nurse is providing education to a client who has been prescribed salmeterol, a long-acting beta-2 adrenergic agonist. The nurse instructs the client on the proper use of the medication. Which of the following statements by the client indicates a need for further education?
-
“I should use salmeterol for quick relief during an asthma attack.”
-
“I will rinse my mouth after using the inhaler to prevent throat irritation.”
-
“Salmeterol is a long-acting medication that helps prevent asthma symptoms.”
-
“I should not exceed the prescribed dosage of salmeterol in a 24-hour period.”
10.
A nurse is caring for a client who has been prescribed tiotropium, an anticholinergic medication used to manage COPD. The nurse provides education to the client regarding the medication. Which of the following statements made by the client indicates an understanding of tiotropium?
-
“This medication will help reduce airway inflammation.”
-
“I should take this medication during an acute COPD exacerbation.”
-
“Tiotropium works by relaxing the muscles in my airways.”
-
“I can take an extra dose of tiotropium if I experience worsening symptoms.”