Module 4 Exam
A 29 years old female patient has sinusitis, so the physician orders a topical
nasal decongestant. What instructions should be given? Increase fluids to 2
L/ day.
A 70-year-old man is being treated for COPD with theophylline. What will be
a priority assessment by the nurse? Use of nicotine
71-year-old man with a history of heart disease and diabetes, has had an
antihistamine prescribed. The nurse is concerned with this prescription
because of the risk of what?
Cardiac arrhythmias
All of these can trigger and asthma attack, except: Acetaminophen.
The cleaning nurse is caring for a patient who has been prescribed
fexofenadine for fever. When the nurse is assessing the patient medication
history, what drug would make the nurse question the order for
fexofenadine? Ketoconazole
The clinic nurse is caring for a patient who has just been diagnosed with
chronic obstructive pulmonary disease (COPD). The patient asked nurse what
COPD means?
It means that the lung have been damaged in such way that their airflow is
limited in and out of the lung.
Decongestants are contraindicated in patients will all of these, except?
Peptic ulcer disease
Do you have a patient diagnosed with chronic bronchitis. They're asking
about complementary alternative therapy for acute exacerbation of chronic
bronchitis. You suggest: Humidify atmosphere.
Epinephrine, formerly the drug of choice for acute attacks of
bronchoconstriction has been replaced by what? Nothing has replaced
epinephrine as drug of choice.
The family nurse practitioner is caring a Hispanic woman who is 83 years old.
The patient has been no compliant with the care regimen. The nurse
practitioner has previously outlined for treatment of sinusitis. What should
the nurse practitioner do that can assist the patient in being more
compliant? Provide instructions in writing.
, A healthcare provider is providing staff education on the management of
acute asthma exacerbation. Which information is most important for the stuff
to know.
Short acting beta-2 agonist are often included in first line treatment.
An inhale sympathomimetic drug has been ordered for a teenage athlete
who has exercise induced asthma. What should the patient be instructed to
do?
Used inhaler 30 to 60 minutes before exercising to ensure pick therapeutic
levels when needed.
A 76 year old man with asthma is being treated with an anticholinergic. What
will the nurse be careful to assess for? Prostatic hypertrophy
The nurse advises that patient to avoid long-term use of nasal decongestions
because it may lead to what conditions? Mucosal ulcerations
The nurse caring for a 38 years old patient is started on albuterol (proventil)
should advise the patient that he may experience what adverse effect?
Tachycardia
A nurse is caring for a 15 years old patient with cystic fibrosis who has been
prescribed dornase alpha (pulmozyme) to relieve the buildup of secretions
and keep airways open and functioning longer. What will the nurse instruct
the patient to do concerning the use of the drug? Store the drug in the
refrigerator, protected from light.
The nurse is caring for a patient who doesn’t have a respiratory disorder but
has been prescribed acetylcysteine. What is an additional indication for
acetylcysteine?
Antidote for acetaminophen poisoning
The nurse is caring for a patient who is taking an adrenergic bronchodilator.
In what disease process should an adrenergic bronchodilator be used
cautiously? Heart failure
The nurse is caring for a patient who is taking the dextromethorphan for
cough suppression. The nurse will assess this patient for hypotension if he
also takes which order medication? Monoamine oxidase inhibitors (MAO)
The nurse is caring for a patient who needs education on his medication
therapy for allergic rhinitis. The patient is to take clemastine (tavist) daily. In
providing educational interventions regarding this medication, what is the
most important instruction on the action of the medication? It blocks the
effects of histamine.
A 29 years old female patient has sinusitis, so the physician orders a topical
nasal decongestant. What instructions should be given? Increase fluids to 2
L/ day.
A 70-year-old man is being treated for COPD with theophylline. What will be
a priority assessment by the nurse? Use of nicotine
71-year-old man with a history of heart disease and diabetes, has had an
antihistamine prescribed. The nurse is concerned with this prescription
because of the risk of what?
Cardiac arrhythmias
All of these can trigger and asthma attack, except: Acetaminophen.
The cleaning nurse is caring for a patient who has been prescribed
fexofenadine for fever. When the nurse is assessing the patient medication
history, what drug would make the nurse question the order for
fexofenadine? Ketoconazole
The clinic nurse is caring for a patient who has just been diagnosed with
chronic obstructive pulmonary disease (COPD). The patient asked nurse what
COPD means?
It means that the lung have been damaged in such way that their airflow is
limited in and out of the lung.
Decongestants are contraindicated in patients will all of these, except?
Peptic ulcer disease
Do you have a patient diagnosed with chronic bronchitis. They're asking
about complementary alternative therapy for acute exacerbation of chronic
bronchitis. You suggest: Humidify atmosphere.
Epinephrine, formerly the drug of choice for acute attacks of
bronchoconstriction has been replaced by what? Nothing has replaced
epinephrine as drug of choice.
The family nurse practitioner is caring a Hispanic woman who is 83 years old.
The patient has been no compliant with the care regimen. The nurse
practitioner has previously outlined for treatment of sinusitis. What should
the nurse practitioner do that can assist the patient in being more
compliant? Provide instructions in writing.
, A healthcare provider is providing staff education on the management of
acute asthma exacerbation. Which information is most important for the stuff
to know.
Short acting beta-2 agonist are often included in first line treatment.
An inhale sympathomimetic drug has been ordered for a teenage athlete
who has exercise induced asthma. What should the patient be instructed to
do?
Used inhaler 30 to 60 minutes before exercising to ensure pick therapeutic
levels when needed.
A 76 year old man with asthma is being treated with an anticholinergic. What
will the nurse be careful to assess for? Prostatic hypertrophy
The nurse advises that patient to avoid long-term use of nasal decongestions
because it may lead to what conditions? Mucosal ulcerations
The nurse caring for a 38 years old patient is started on albuterol (proventil)
should advise the patient that he may experience what adverse effect?
Tachycardia
A nurse is caring for a 15 years old patient with cystic fibrosis who has been
prescribed dornase alpha (pulmozyme) to relieve the buildup of secretions
and keep airways open and functioning longer. What will the nurse instruct
the patient to do concerning the use of the drug? Store the drug in the
refrigerator, protected from light.
The nurse is caring for a patient who doesn’t have a respiratory disorder but
has been prescribed acetylcysteine. What is an additional indication for
acetylcysteine?
Antidote for acetaminophen poisoning
The nurse is caring for a patient who is taking an adrenergic bronchodilator.
In what disease process should an adrenergic bronchodilator be used
cautiously? Heart failure
The nurse is caring for a patient who is taking the dextromethorphan for
cough suppression. The nurse will assess this patient for hypotension if he
also takes which order medication? Monoamine oxidase inhibitors (MAO)
The nurse is caring for a patient who needs education on his medication
therapy for allergic rhinitis. The patient is to take clemastine (tavist) daily. In
providing educational interventions regarding this medication, what is the
most important instruction on the action of the medication? It blocks the
effects of histamine.
