SHADOW HEALTH RESPIRATORY CONCEPT
LAB 2026 EXAM STUDY GUIDE COMPLETE
QUESTIONS AND VERIFIED SOLUTIONS
◉ What is the nurse's priority assessment for a patient receiving
heparin treatment?
- Assess for elevated liver enzymes
- Assess for inflammation at the injection site
- Assess for bruising or unusual bleeding
- Assess aPTT levels Answer: - Assess for bruising or unusual
bleeding
While all options are relevant assessments, bruising or unusual
bleeding can be a life threatening adverse effect of heparin
treatment, and therefore needs to be the nurse's priority.
◉ A patient who has been receiving oxycodone therapy for chronic
pain reports no relief after a 10mg dose. The patient is exhibiting:
- Opioid addiction
- Opioid tolerance
,- Drug-seeking behaviour
- Paradoxical CNS stimulation Answer: - Opioid tolerance
Prolonged use of opioid therapy can lead to tolerance, where a
patient requires a higher dose of the drug to achieve an analgesic
effect.
◉ Which meal choice exhibits a lack of understanding of
atorvastatin's drug-food interactions?
- Orange juice, banana, and toast
- Grapefruit juice and yogurt
- Orange juice, bacon, and eggs
- Coffee and croissant Answer: - Grapefruit juice and yogurt
Grapefruit juice is contraindicated for patients on statin therapy and
it may increase drug levels in the blood and increase the likelihood
of rhabdomyolysis. None of the other choices interact harmfully with
atorvastatin.
◉ Which statement indicates that the patient understood the nurse's
discharge information about his albuterol inhaler?
, - I should use this inhaler five minutes after my beclomethasone
inhaler
- I should use this inhaler regularly to manage my asthma
- I should use this inhaler when I am having an acute attack
- I should use this inhaler to reduce inflammation in my airways
Answer: - I should use this inhaler when I am having an acute attack
Inhaled albuterol is a rescue medication that reduces
bronchoconstriction that is present during acute attacks; it has no
effect on inflammation.
◉ A patient is taking promethazine for nausea and oxycodone for
pain. What is the nurse's priority assessment?
- Assess for breakthrough pain
- Assess sedation level
- Assess for constipation
- Assess for dizziness Answer: - Assess sedation level
The nurse must assess sedation level as the additive sedative effect
when promethazine and oxycodone are administered together can
lead to life-threatening respiratory depression. The other side
effects do not pose immediate risk and are therefore lower-priority
assessments.
LAB 2026 EXAM STUDY GUIDE COMPLETE
QUESTIONS AND VERIFIED SOLUTIONS
◉ What is the nurse's priority assessment for a patient receiving
heparin treatment?
- Assess for elevated liver enzymes
- Assess for inflammation at the injection site
- Assess for bruising or unusual bleeding
- Assess aPTT levels Answer: - Assess for bruising or unusual
bleeding
While all options are relevant assessments, bruising or unusual
bleeding can be a life threatening adverse effect of heparin
treatment, and therefore needs to be the nurse's priority.
◉ A patient who has been receiving oxycodone therapy for chronic
pain reports no relief after a 10mg dose. The patient is exhibiting:
- Opioid addiction
- Opioid tolerance
,- Drug-seeking behaviour
- Paradoxical CNS stimulation Answer: - Opioid tolerance
Prolonged use of opioid therapy can lead to tolerance, where a
patient requires a higher dose of the drug to achieve an analgesic
effect.
◉ Which meal choice exhibits a lack of understanding of
atorvastatin's drug-food interactions?
- Orange juice, banana, and toast
- Grapefruit juice and yogurt
- Orange juice, bacon, and eggs
- Coffee and croissant Answer: - Grapefruit juice and yogurt
Grapefruit juice is contraindicated for patients on statin therapy and
it may increase drug levels in the blood and increase the likelihood
of rhabdomyolysis. None of the other choices interact harmfully with
atorvastatin.
◉ Which statement indicates that the patient understood the nurse's
discharge information about his albuterol inhaler?
, - I should use this inhaler five minutes after my beclomethasone
inhaler
- I should use this inhaler regularly to manage my asthma
- I should use this inhaler when I am having an acute attack
- I should use this inhaler to reduce inflammation in my airways
Answer: - I should use this inhaler when I am having an acute attack
Inhaled albuterol is a rescue medication that reduces
bronchoconstriction that is present during acute attacks; it has no
effect on inflammation.
◉ A patient is taking promethazine for nausea and oxycodone for
pain. What is the nurse's priority assessment?
- Assess for breakthrough pain
- Assess sedation level
- Assess for constipation
- Assess for dizziness Answer: - Assess sedation level
The nurse must assess sedation level as the additive sedative effect
when promethazine and oxycodone are administered together can
lead to life-threatening respiratory depression. The other side
effects do not pose immediate risk and are therefore lower-priority
assessments.
