Test Bank for Introductory
Clinical Pharmacology 12th
Edition by Susan M Ford
Chapter 31-35
C HAPTER 31: L OWER R ESPIRATORY S YSTEM
D RUGS
Ford: Introductory Clinical Pharmacology 12th Edition
Multiple Choice
1. The nursing instructor is teaching a session explaining mast cell stabilizers. The
instructor determines the session is successful when the students correctl y
choose which drug as an example?
A) Beclomethasone
B) Cromol yn
C) Albuterol
D) Montelukast
Answer: B
Rationale: Cromol yn is an example of a mast cell stabilizer. Beclomethasone
is an inhaled corticosteroid. Albuterol is a short -acting beta2 agonist.
Montelukast is an example of a leukotriene modifier.
Question format: Multiple Choice
, Chapter: 31
Learning Objective: 1
Cognitive Level: Remember
Client Needs: Physiological Integrit y: Pharmacological Therapies
Integrated Process: Teaching/Learning
Reference: p. 395, Summary Drug Table
2. A nurse has administered albuterol to a client with asthma, who is now reporting
dizziness, especiall y when standing up. When anal yzing the client's record for
potential sources, which prescribed medications should the nurse question?
A) Warfarin
B) Theophylline
C) Atenolol
D) Methyldopa
Answer: D
Rationale: The nurse should consider methyldopa as a cause for the client's
concern of dizziness on standing, suggesting orthostatic hypotension.
Methyldopa and albuterol interact, leading to hypotension. Albuterol does not
interact with warfarin. The use of theophylline will increase the risk of
cardiotoxicit y. The use of beta -adrenergic blockers will inhibit cardiac,
bronchodilating, and vasodilating effects of the adrenergic medication.
Question format: Multiple Choice
Chapter: 31
Learning Objective: 1
Cognitive Level: Anal yze
Client Needs: Physiological Integrit y: Pharmacological Therapies
Integrated Process: Clinical Problem -solving Process (Nursing Process)
Reference: p. 383, Cardiovascular S ystem Reactions
3. A client with chronic asthma is pres cribed albuterol. The nurse will prioritize
which nursing diagnosis for this client?
A) Anxiet y
, B) Risk of impaired oral mucous membranes
C) Ineffective tissue perfusion
D) Risk of injury
Answer: A
Rationale: The nurse would most likel y identify a nursing diag nosis of
anxiet y related to the adverse reaction of albuterol. A nursing diagnosis of
risk of impaired mucous membranes may be seen with the use of
corticosteroids, whichincrease the risk of oral candidiasis. There is no
increased risk of injury or ineffec tive tissue perfusion with the use of
albuterol therapy.
Question format: Multiple Choice
Chapter: 31
Learning Objective: 3
Cognitive Level: Anal yze
Client Needs: Physiological Integrit y: Pharmacological Therapies
Integrated Process: Clinical Problem -solving Process (Nursing Process)
Reference: p. 392, Anxiet y
4. The health care provider has ordered epinephrine for a client admitted
emergentl y with bronchospasms. The nurse will prepare to administer this drug
via which route?
A) Intravenous
B) Intramuscular
C) Subcutaneous
D) Intradermal
Answer: C
Rationale: The nurse should use the subcutaneous route to administer
epinephrine for acute bronchospasm. The other routes are not appropriate for
this situation.
Question format: Multiple Choice
Chapter: 31
, Learning Objective: 4
Cognitive Level: Appl y
Client Needs: Physiological Integrit y: Pharmacological Therapies
Integrated Process: Clinical Problem -solving Process (Nursing Process)
Reference: p. 390, Quick Relief for Acute S ymptom Intervention
5. The nurse is preparing to teach a child with asthma and caregivers about the
prescribed corticosteroids. Which factor should the nurse point out will require
monitoring?
A) Blood pressure
B) Skin turgor
C) Urine output
D) Rate of growth
Answer: D
Rationale: The nurse should monitor the rate of growth of the child. Children
are at risk for a reduction in growth when oral corticosteroids or higher doses
of the inhalant form are used. Blood pressure, skin turgor, and urine output
are not altered with corticosteroid therapy.
Question format: Multiple Choice
Chapter: 31
Learning Objective: 4
Cognitive Level: Appl y
Client Needs: Physiological Integrit y: Pharmacological Therapies
Integrated Process: Teaching/Learning
Reference: p. 391, Long -Term Control of S ymptoms
6. A nurse is monitoring a client who is receiving theophylline 400 mg IV for
severe bronchospasms, shortness of breath, and SaO2 of 85%. Which assessment
finding should the nurse prioritize?
A) Constipation
B) Abdominal cramps
C) Bradycardia
D) Mental depression
Clinical Pharmacology 12th
Edition by Susan M Ford
Chapter 31-35
C HAPTER 31: L OWER R ESPIRATORY S YSTEM
D RUGS
Ford: Introductory Clinical Pharmacology 12th Edition
Multiple Choice
1. The nursing instructor is teaching a session explaining mast cell stabilizers. The
instructor determines the session is successful when the students correctl y
choose which drug as an example?
A) Beclomethasone
B) Cromol yn
C) Albuterol
D) Montelukast
Answer: B
Rationale: Cromol yn is an example of a mast cell stabilizer. Beclomethasone
is an inhaled corticosteroid. Albuterol is a short -acting beta2 agonist.
Montelukast is an example of a leukotriene modifier.
Question format: Multiple Choice
, Chapter: 31
Learning Objective: 1
Cognitive Level: Remember
Client Needs: Physiological Integrit y: Pharmacological Therapies
Integrated Process: Teaching/Learning
Reference: p. 395, Summary Drug Table
2. A nurse has administered albuterol to a client with asthma, who is now reporting
dizziness, especiall y when standing up. When anal yzing the client's record for
potential sources, which prescribed medications should the nurse question?
A) Warfarin
B) Theophylline
C) Atenolol
D) Methyldopa
Answer: D
Rationale: The nurse should consider methyldopa as a cause for the client's
concern of dizziness on standing, suggesting orthostatic hypotension.
Methyldopa and albuterol interact, leading to hypotension. Albuterol does not
interact with warfarin. The use of theophylline will increase the risk of
cardiotoxicit y. The use of beta -adrenergic blockers will inhibit cardiac,
bronchodilating, and vasodilating effects of the adrenergic medication.
Question format: Multiple Choice
Chapter: 31
Learning Objective: 1
Cognitive Level: Anal yze
Client Needs: Physiological Integrit y: Pharmacological Therapies
Integrated Process: Clinical Problem -solving Process (Nursing Process)
Reference: p. 383, Cardiovascular S ystem Reactions
3. A client with chronic asthma is pres cribed albuterol. The nurse will prioritize
which nursing diagnosis for this client?
A) Anxiet y
, B) Risk of impaired oral mucous membranes
C) Ineffective tissue perfusion
D) Risk of injury
Answer: A
Rationale: The nurse would most likel y identify a nursing diag nosis of
anxiet y related to the adverse reaction of albuterol. A nursing diagnosis of
risk of impaired mucous membranes may be seen with the use of
corticosteroids, whichincrease the risk of oral candidiasis. There is no
increased risk of injury or ineffec tive tissue perfusion with the use of
albuterol therapy.
Question format: Multiple Choice
Chapter: 31
Learning Objective: 3
Cognitive Level: Anal yze
Client Needs: Physiological Integrit y: Pharmacological Therapies
Integrated Process: Clinical Problem -solving Process (Nursing Process)
Reference: p. 392, Anxiet y
4. The health care provider has ordered epinephrine for a client admitted
emergentl y with bronchospasms. The nurse will prepare to administer this drug
via which route?
A) Intravenous
B) Intramuscular
C) Subcutaneous
D) Intradermal
Answer: C
Rationale: The nurse should use the subcutaneous route to administer
epinephrine for acute bronchospasm. The other routes are not appropriate for
this situation.
Question format: Multiple Choice
Chapter: 31
, Learning Objective: 4
Cognitive Level: Appl y
Client Needs: Physiological Integrit y: Pharmacological Therapies
Integrated Process: Clinical Problem -solving Process (Nursing Process)
Reference: p. 390, Quick Relief for Acute S ymptom Intervention
5. The nurse is preparing to teach a child with asthma and caregivers about the
prescribed corticosteroids. Which factor should the nurse point out will require
monitoring?
A) Blood pressure
B) Skin turgor
C) Urine output
D) Rate of growth
Answer: D
Rationale: The nurse should monitor the rate of growth of the child. Children
are at risk for a reduction in growth when oral corticosteroids or higher doses
of the inhalant form are used. Blood pressure, skin turgor, and urine output
are not altered with corticosteroid therapy.
Question format: Multiple Choice
Chapter: 31
Learning Objective: 4
Cognitive Level: Appl y
Client Needs: Physiological Integrit y: Pharmacological Therapies
Integrated Process: Teaching/Learning
Reference: p. 391, Long -Term Control of S ymptoms
6. A nurse is monitoring a client who is receiving theophylline 400 mg IV for
severe bronchospasms, shortness of breath, and SaO2 of 85%. Which assessment
finding should the nurse prioritize?
A) Constipation
B) Abdominal cramps
C) Bradycardia
D) Mental depression
