TEST BANK INTRODUCTORY CLINICAL PHARMACOLOGY
12TH EDITION By Susan M Ford
Chapter 30, Upper Respiratory System Drugs
1. The nurse has completed teaching a client about the prescribed upper respiratory
drug. The nurse determines additional teaching is warranted when the client
chooses which finding as requiring further assessment?
A) Cough changes from nonproductive to productive.
B) Sputum appears clear.
C) Sputum increases.
D) Shortness of breath occurs.
Answer: B
Rationale: The client should notify their primary health care provider if the type of
cough changes, sputum changes color or increases, and shortness of breath
occurs. Clear sputum is normal.
Question Format: Multiple Choice
Chapter: 30
Learning Objective: 5
Cognitive Level: Analyze
Client Needs: Physiological Integrity: Reduction of Risk Potential
Integrated Process: Teaching/Learning
Reference: p. 23, Educating the Client and Family
2. A client with a nonproductive cough is prescribed codeine sulfate. The nurse will
recognize a contraindication in which client?
A) Head injury
B) COPD
C) Premature infant
D) Asthma
Answer: C
Rationale: Codeine sulfate is contraindicated in premature infants. Codeine
sulfate should be used cautiously in clients with head injury, COPD, and asthma.
Question Format: Multiple Choice
Chapter: 30
Learning Objective: 2
Cognitive Level: Apply
Client Needs: Physiological Integrity: Pharmacological Therapies
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Reference: p. 371, Antitussives, Expectorants, and Mucolytics
3. A nurse is preparing to administer diphenhydramine to a client with bronchial
irritation. Which activity should the nurse prioritize during the preadministration
assessment?
A) Document color and amount of any sputum present.
, B) Record the previous prescriptions.
C) Take vital signs every 4 hours.
D) Assess the client's cardiovascular status.
Answer: A
Rationale: Before drug administration, the nurse should document the color and
amount of any sputum present. The nurse need not record the previous
prescriptions; however, the nurse should determine if any drugs the client uses
would potentially interact with diphenhydramine. The nurse needs to take the
client's vital signs, but not every 4 hours. The nurse needs to assess the
respiratory status of the client before administering mucolytics and expectorants,
but not before administering diphenhydramine HCl. Assessing the client's
cardiovascular status is not necessary.
Question Format: Multiple Choice
Chapter: 30
Learning Objective: 3
Cognitive Level: Apply
Client Needs: Physiological Integrity: Pharmacological Therapies
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Reference: p. 373, Preadministration Assessment
4. A nurse is conducting an ongoing assessment and notes the client is experiencing
difficulty bringing up mucus. Which nursing diagnosis should the nurse prioritize
for this client?
A) Ineffective Airway Clearance
B) Acute Pain
C) Injury Risk
D) Impaired Oral Mucous Membranes
Answer: A
Rationale: Thick sputum interferes with moving air effectively in and out of the
respiratory tract. Therefore, the most likely nursing diagnosis would be
Ineffective Airway Clearance. There is no evidence of pain. Injury Risk would be
appropriate if the client was experiencing sedation or drowsiness from the
prescribed medication. Impaired Oral Mucous Membranes would be appropriate if
the client was experiencing dry mouth from the medication.
Question Format: Multiple Choice
Chapter: 30
Learning Objective: 4
Cognitive Level: Analyze
Client Needs: Physiological Integrity: Reduction of Risk Potential
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Reference: p. 374, Ineffective Airway Clearance
5. The nurse is preparing a teaching session for a client prescribed
dextromethorphan orally. Which instruction should the nurse prioritize?
A) Take the drug with a glass of milk.
12TH EDITION By Susan M Ford
Chapter 30, Upper Respiratory System Drugs
1. The nurse has completed teaching a client about the prescribed upper respiratory
drug. The nurse determines additional teaching is warranted when the client
chooses which finding as requiring further assessment?
A) Cough changes from nonproductive to productive.
B) Sputum appears clear.
C) Sputum increases.
D) Shortness of breath occurs.
Answer: B
Rationale: The client should notify their primary health care provider if the type of
cough changes, sputum changes color or increases, and shortness of breath
occurs. Clear sputum is normal.
Question Format: Multiple Choice
Chapter: 30
Learning Objective: 5
Cognitive Level: Analyze
Client Needs: Physiological Integrity: Reduction of Risk Potential
Integrated Process: Teaching/Learning
Reference: p. 23, Educating the Client and Family
2. A client with a nonproductive cough is prescribed codeine sulfate. The nurse will
recognize a contraindication in which client?
A) Head injury
B) COPD
C) Premature infant
D) Asthma
Answer: C
Rationale: Codeine sulfate is contraindicated in premature infants. Codeine
sulfate should be used cautiously in clients with head injury, COPD, and asthma.
Question Format: Multiple Choice
Chapter: 30
Learning Objective: 2
Cognitive Level: Apply
Client Needs: Physiological Integrity: Pharmacological Therapies
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Reference: p. 371, Antitussives, Expectorants, and Mucolytics
3. A nurse is preparing to administer diphenhydramine to a client with bronchial
irritation. Which activity should the nurse prioritize during the preadministration
assessment?
A) Document color and amount of any sputum present.
, B) Record the previous prescriptions.
C) Take vital signs every 4 hours.
D) Assess the client's cardiovascular status.
Answer: A
Rationale: Before drug administration, the nurse should document the color and
amount of any sputum present. The nurse need not record the previous
prescriptions; however, the nurse should determine if any drugs the client uses
would potentially interact with diphenhydramine. The nurse needs to take the
client's vital signs, but not every 4 hours. The nurse needs to assess the
respiratory status of the client before administering mucolytics and expectorants,
but not before administering diphenhydramine HCl. Assessing the client's
cardiovascular status is not necessary.
Question Format: Multiple Choice
Chapter: 30
Learning Objective: 3
Cognitive Level: Apply
Client Needs: Physiological Integrity: Pharmacological Therapies
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Reference: p. 373, Preadministration Assessment
4. A nurse is conducting an ongoing assessment and notes the client is experiencing
difficulty bringing up mucus. Which nursing diagnosis should the nurse prioritize
for this client?
A) Ineffective Airway Clearance
B) Acute Pain
C) Injury Risk
D) Impaired Oral Mucous Membranes
Answer: A
Rationale: Thick sputum interferes with moving air effectively in and out of the
respiratory tract. Therefore, the most likely nursing diagnosis would be
Ineffective Airway Clearance. There is no evidence of pain. Injury Risk would be
appropriate if the client was experiencing sedation or drowsiness from the
prescribed medication. Impaired Oral Mucous Membranes would be appropriate if
the client was experiencing dry mouth from the medication.
Question Format: Multiple Choice
Chapter: 30
Learning Objective: 4
Cognitive Level: Analyze
Client Needs: Physiological Integrity: Reduction of Risk Potential
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Reference: p. 374, Ineffective Airway Clearance
5. The nurse is preparing a teaching session for a client prescribed
dextromethorphan orally. Which instruction should the nurse prioritize?
A) Take the drug with a glass of milk.
