MEDICAL SURGICAL (EAQ) PRACTICE FOR COPD + ASTHMA +
RESPIRATORY + GENERAL PHARM EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS GRADED A++
A client with asthma asks which of the prescribed medications should be used in
the event of
an acute episode of bronchospasm. The nurse will instruct the client to use:
a. albuterol, a beta agonist bronchodilator, by inhalation.
b. beclomethasone, a glucocorticoid anti-inflammatory drug, by inhalation.
c. ipratropium, an anticholinergic bronchodilator, by inhalation.
d. zafirlukast, a leukotriene modifier, by mouth.
A
Others would not cause bronchodilation fast enough
A client is prescribed beclomethasone (Beconase AQ, Qvar), a glucocorticoid
inhaler.
Education by the nurse will include:
a. "Check your heart rate because this may cause tachycardia."
b. "Limit your coffee intake while on this drug."
c. "Rinse your mouth out well after each use."
d. "You may feel shaky and nervous after using this drug."
,C (clean out any residue)
No need to limit caffeine intake when on this medication
Doesn't cause tachycardia or shaky/nervousness
The nurse should inform the client who is prescribed a nebulizer treatment with
albuterol
(Proventil) that a common adverse effect is:
a. an increased heart rate with palpitations.
b. a predisposition to infection.
c. sedation.
d. temporary dyspnea.
A
Adverse effect may be heart rate elevation and palpitations (dose-related)
The nurse should monitor the client who is taking beclomethasone (Qvar) for
evidence of:
(select all that apply)
a. Infection.
b. Hyperglycemia.
c. Urinary retention.
d. Tachycardia.
e. Photophobia.
A and B: reduces inflammatory and immune response (infection risk) and can increase
glucose level (hyperglycemia risk)
,A 4-year-old child with respiratory distress secondary to asthma has an order for
a nebulizer
treatment. The type of medication most likely to be given for asthma management
is a:
a. beta agonist.
b. beta antagonist.
c. corticosteroid.
d. leukotriene modifier
A
The others would not have rapid bronchodilation required to combat asthma attack;
Beta agonists given to children under 5 for asthma attacks!
Despite repeated demonstrations of proper use by the nurse, the client is unable
to return a
proper demonstration on the training inhaler. The client is becoming frustrated.
What is the best
action for the nurse to take?
a. Encourage the client to keep practicing just a little longer.
b. Notify the health care provider that the client is incompetent.
c. Provide a spacer for use with the inhaler
d. Switch to an oral form of a beta agonist
C
It is an immediate solution
Spacers are very helpful (hold cloud of medication)
, A 60-year-old man is prescribed ipratropium (Atrovent) for the treatment of COPD.
Which
statement is included in the teaching plan?
a. Tell the client to avoid caffeine in the diet.
b. Assess for liver pain.
c. Advise the client to report the inability to urinate.
d. Monitor for the development of diarrhea.
C
With ipratropium: may have risk of urinary retention which should be notified to the
doctor
A client was recently admitted for an exacerbation of COPD. The prescriber has
ordered
cromolyn (Intal). The client asks the nurse how the medication works. Which is
the nurse's best
response?
a. The drug is a methylxanthine, relaxing bronchial smooth muscle.
b. The drug is a corticosteroid, reducing inflammation and the immune response.
c. The drug is a mast cell stabilizer, preventing the inflammatory process in the
lungs.
d. The drug is a leukotriene modifier, by blocking inflammation by blocking
RESPIRATORY + GENERAL PHARM EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS GRADED A++
A client with asthma asks which of the prescribed medications should be used in
the event of
an acute episode of bronchospasm. The nurse will instruct the client to use:
a. albuterol, a beta agonist bronchodilator, by inhalation.
b. beclomethasone, a glucocorticoid anti-inflammatory drug, by inhalation.
c. ipratropium, an anticholinergic bronchodilator, by inhalation.
d. zafirlukast, a leukotriene modifier, by mouth.
A
Others would not cause bronchodilation fast enough
A client is prescribed beclomethasone (Beconase AQ, Qvar), a glucocorticoid
inhaler.
Education by the nurse will include:
a. "Check your heart rate because this may cause tachycardia."
b. "Limit your coffee intake while on this drug."
c. "Rinse your mouth out well after each use."
d. "You may feel shaky and nervous after using this drug."
,C (clean out any residue)
No need to limit caffeine intake when on this medication
Doesn't cause tachycardia or shaky/nervousness
The nurse should inform the client who is prescribed a nebulizer treatment with
albuterol
(Proventil) that a common adverse effect is:
a. an increased heart rate with palpitations.
b. a predisposition to infection.
c. sedation.
d. temporary dyspnea.
A
Adverse effect may be heart rate elevation and palpitations (dose-related)
The nurse should monitor the client who is taking beclomethasone (Qvar) for
evidence of:
(select all that apply)
a. Infection.
b. Hyperglycemia.
c. Urinary retention.
d. Tachycardia.
e. Photophobia.
A and B: reduces inflammatory and immune response (infection risk) and can increase
glucose level (hyperglycemia risk)
,A 4-year-old child with respiratory distress secondary to asthma has an order for
a nebulizer
treatment. The type of medication most likely to be given for asthma management
is a:
a. beta agonist.
b. beta antagonist.
c. corticosteroid.
d. leukotriene modifier
A
The others would not have rapid bronchodilation required to combat asthma attack;
Beta agonists given to children under 5 for asthma attacks!
Despite repeated demonstrations of proper use by the nurse, the client is unable
to return a
proper demonstration on the training inhaler. The client is becoming frustrated.
What is the best
action for the nurse to take?
a. Encourage the client to keep practicing just a little longer.
b. Notify the health care provider that the client is incompetent.
c. Provide a spacer for use with the inhaler
d. Switch to an oral form of a beta agonist
C
It is an immediate solution
Spacers are very helpful (hold cloud of medication)
, A 60-year-old man is prescribed ipratropium (Atrovent) for the treatment of COPD.
Which
statement is included in the teaching plan?
a. Tell the client to avoid caffeine in the diet.
b. Assess for liver pain.
c. Advise the client to report the inability to urinate.
d. Monitor for the development of diarrhea.
C
With ipratropium: may have risk of urinary retention which should be notified to the
doctor
A client was recently admitted for an exacerbation of COPD. The prescriber has
ordered
cromolyn (Intal). The client asks the nurse how the medication works. Which is
the nurse's best
response?
a. The drug is a methylxanthine, relaxing bronchial smooth muscle.
b. The drug is a corticosteroid, reducing inflammation and the immune response.
c. The drug is a mast cell stabilizer, preventing the inflammatory process in the
lungs.
d. The drug is a leukotriene modifier, by blocking inflammation by blocking
