C HAPTER 30: D RUGS U SED TO T REAT L OWER
R ESPIRATORY D ISEASE
Willihnganz: Clayton’s Basic P harmacology for Nurses, 19th Edition
MULTIPLE CHOICE
1. Which structures in the respiratory tract assist in removing foreign bodies
such as smoke and bacteria?
a. Villi
b. Golgi bodies
c. Ciliary hairs
d. Erector pili
ANS: C
Normall y, respiratory tract fluid forms a protective layer over the trachea,
bronchi, and bronchioles. Foreign bodies, such as smoke particles and
bacteria, are caught in the respiratory tract fluid and are swept upward by
ciliary hairs that line the bronchi and trachea to the larynx, where they are
removed by the cough reflex. the villi are hair-like protrusions into the
intestine emanating from the wall of the intestine. the purpose of the villi is
to slow the passage of food and allow food particles to be captured among
these finger-like villi so that the blood inside the villi can absorb the
nutrients in the food. the primary function of the Golgi apparatus, an
organelle found in most eukaryotic cells, is to process proteins targeted to
the plasma membrane, l ysosomes, or endosomes and those that will be formed
from the cell and to sort them within vesicles. Thus, it functions as a central
delivery system for the cell. Erector pili are small muscles that cause hairs on
the skin to rise when contracted.
, DIF: Cognitive Level: Knowledge REF: p. 483 OBJ: N/A
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Assessment CON: Clinical Judgment
2. The nurse is providing instruction about ipratropium (Atrovent) to a patient
with chronic obstructive pulmonary disease (COPD). Which common
adverse effect tends to resolve with therapy?
a. Anxiet y
b. Dry mouth
c. Tachycardia
d. Urine retention
ANS: B
Dry mouth is usuall y mild and tends to resolve with continued therapy.
Anxiet y, tachycardia, and urine retention are not common adverse effects.
DIF: Cognitive Level: Knowledge REF: p. 499 OBJ: 4 | 5
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Implementation
CON: Clinical Judgment | Patient Education | Safet y
3. An adult patient is admitted for an asthma attack. Which assessment
obtained by the nurse would support that albuterol (Proventil) was
effective?
a. Decrease in wheezin g present on auscultation
b. Less dyspnea while positioned in a high Fowler‘s position
c. Sputum production is clear and watery
d. Respiratory rate decreased to 38 breaths/min
ANS: A
, A bronchodilator would open the airways and result in a reduction of
wheezing. Less dyspnea while positioned in a high Fowler‘s position, clear
and watery sputum, and a respiratory rate decreased to 38 breaths/min would
not indicate that the medication was effective.
DIF: Cognitive Level: Application REF: p. 499 OBJ: 4
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Assessment
CON: Clinical Judgment | Gas Exchange
4. Which statement by a mother whose child has been diagnosed with asthma
indicates a need for further teaching?
a. “I will place the stuffed animals in the freezer overnight. ”
b. “We will confine our dog to the kitchen area.”
c. “I should wash bedding in hot water. ”
d. “A damp cloth should be used when I dust. ”
ANS: B
Pets should be removed from the home or kept outside if at all possible.
DIF: Cognitive Level: Application REF: p. 492 OBJ: 1
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Evaluation
CON: Clinical Judgment | Patient Education | Communication | Safet y |
Health Promotion
5. The nurse is providing nutrition information to a patient diagnosed with a
lower respiratory tract disease. Which rationale is correct for limiting
caffeine?
a. Caffeine increases the respiratory rate.
R ESPIRATORY D ISEASE
Willihnganz: Clayton’s Basic P harmacology for Nurses, 19th Edition
MULTIPLE CHOICE
1. Which structures in the respiratory tract assist in removing foreign bodies
such as smoke and bacteria?
a. Villi
b. Golgi bodies
c. Ciliary hairs
d. Erector pili
ANS: C
Normall y, respiratory tract fluid forms a protective layer over the trachea,
bronchi, and bronchioles. Foreign bodies, such as smoke particles and
bacteria, are caught in the respiratory tract fluid and are swept upward by
ciliary hairs that line the bronchi and trachea to the larynx, where they are
removed by the cough reflex. the villi are hair-like protrusions into the
intestine emanating from the wall of the intestine. the purpose of the villi is
to slow the passage of food and allow food particles to be captured among
these finger-like villi so that the blood inside the villi can absorb the
nutrients in the food. the primary function of the Golgi apparatus, an
organelle found in most eukaryotic cells, is to process proteins targeted to
the plasma membrane, l ysosomes, or endosomes and those that will be formed
from the cell and to sort them within vesicles. Thus, it functions as a central
delivery system for the cell. Erector pili are small muscles that cause hairs on
the skin to rise when contracted.
, DIF: Cognitive Level: Knowledge REF: p. 483 OBJ: N/A
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Assessment CON: Clinical Judgment
2. The nurse is providing instruction about ipratropium (Atrovent) to a patient
with chronic obstructive pulmonary disease (COPD). Which common
adverse effect tends to resolve with therapy?
a. Anxiet y
b. Dry mouth
c. Tachycardia
d. Urine retention
ANS: B
Dry mouth is usuall y mild and tends to resolve with continued therapy.
Anxiet y, tachycardia, and urine retention are not common adverse effects.
DIF: Cognitive Level: Knowledge REF: p. 499 OBJ: 4 | 5
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Implementation
CON: Clinical Judgment | Patient Education | Safet y
3. An adult patient is admitted for an asthma attack. Which assessment
obtained by the nurse would support that albuterol (Proventil) was
effective?
a. Decrease in wheezin g present on auscultation
b. Less dyspnea while positioned in a high Fowler‘s position
c. Sputum production is clear and watery
d. Respiratory rate decreased to 38 breaths/min
ANS: A
, A bronchodilator would open the airways and result in a reduction of
wheezing. Less dyspnea while positioned in a high Fowler‘s position, clear
and watery sputum, and a respiratory rate decreased to 38 breaths/min would
not indicate that the medication was effective.
DIF: Cognitive Level: Application REF: p. 499 OBJ: 4
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Assessment
CON: Clinical Judgment | Gas Exchange
4. Which statement by a mother whose child has been diagnosed with asthma
indicates a need for further teaching?
a. “I will place the stuffed animals in the freezer overnight. ”
b. “We will confine our dog to the kitchen area.”
c. “I should wash bedding in hot water. ”
d. “A damp cloth should be used when I dust. ”
ANS: B
Pets should be removed from the home or kept outside if at all possible.
DIF: Cognitive Level: Application REF: p. 492 OBJ: 1
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Evaluation
CON: Clinical Judgment | Patient Education | Communication | Safet y |
Health Promotion
5. The nurse is providing nutrition information to a patient diagnosed with a
lower respiratory tract disease. Which rationale is correct for limiting
caffeine?
a. Caffeine increases the respiratory rate.
