Chapter 30: Upper Respiratory System Drugs Introductory Clinical Pharmacology 12th Edition by Susan M Ford

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 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 activy 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. b. Swallow the whole tablet and do not chew it. c. Dissolve the tablet in water and take the drug. d. Take the drug on an empty stomach. Answer: B Rationale: The nurse should instruct the client to swallow the whole tablet and not to chew it to ensure that the drug is absorbed properly. The nurse need not instruct the client to take the drug with a glass of milk, dissolve the tablet in water and take the drug, or take the drug on an empty stomach. Question Format: Multiple Choice Chapter: 30 Learning Objective: 5 Cognitive Level: Apply Client Needs: Physiological Integrity: Pharmacological Therapies Integrated Process: Teaching/Learning Reference: p. 374, Educating the Client and Family 6. The nurse notes a client has a new prescription for an expectorant. The nurse will monitor this client closely if which disorder is noted in the client's history? a. Renal impairment b. Persistent headache c. Persistent cough d. Seizure disorder