Pharm Exam 3 Questions With New
Update Solutions
/. A nurse is teaching a client about taking diphenhydramine. The nurse should explain
to the client that which of the following is an adverse effect of this medication?
Select one:
a.
sedation
b.
constipation
c.
hypertension
d.
bradycardia - Answer-✅A
Diphenhydramine can cause sedation, hypotension, diarrhea, and palpitations. It is
used to treat rhinitis, allergies, and insomnia
/.A nurse is preparing to administer diphenhydramine 30 mg IM stat to a client who is
having an allergic reaction. Available is diphenhydramine 50 mg/1 mL. How many mL
should the nurse administer? - Answer-✅0.6mL
/.Mast cell stabilizer - Answer-✅→ cromolyn,
/.Intranasal corticosteroid - Answer-✅→ fluticasone
/.Expectorant - Answer-✅→ guaifenesin
/.Antitussive - Answer-✅→ dextromethorphan,
/.Mucolytic - Answer-✅→ acetylcysteine
/.Nasal decongestant - Answer-✅→ oxymetazoline
/.A nurse is caring for a client who asks how albuterol helps his breathing. Which of the
following responses should the nurse make? (Select all that apply.)
a.
The medication will stimulate the flow of mucus.
b.
The medication will prevent wheezing.
c.
,The medication will open the airways.
d.
The medication will reduce inflammation.
e.
The medication will decrease coughing episodes. - Answer-✅B, C, E
/.A nurse is teaching a client who has asthma about how to use an albuterol inhaler.
Which of the following actions by the client indicates an understanding of the teaching?
a.
The client holds his breath for 10 seconds after inhaling the medication.
b.
The client exhales as the medication is released from the inhaler.
c.
The client takes a quick inhalation while releasing the medication from the inhaler.
d.
The client waits 10 min between inhalations. - Answer-✅A
The medication should be retained in the lungs for a minimum of 10 seconds so the
maximum amount of the dosage can be delivered properly to the airways. To use the
inhaler, the client exhales normally just prior to releasing the medication, inhales deeply
as the medication is released, then holds the medication in the lungs for approximately
10 seconds prior to exhaling.
/.A nurse is providing discharge teaching to a client who has asthma and new
prescriptions for cromolyn and albuterol, both by nebulizer. Which of the following
statements by the client indicates an understanding of the teaching?
a. "If my breathing begins to feel tight, I will use the cromolyn immediately."
b.
"I will be sure to take the albuterol before taking the cromolyn."
c.
"I will use both medications immediately after exercising."
d.
"I will administer the medications 10 minutes apart." - Answer-✅B
CORRECT:
2) "I will be sure to take the albuterol before taking the cromolyn."Answer Rationale:The
client should always use the bronchodilator (albuterol) prior to using the leukotriene
modifier (cromolyn). Using the bronchodilator first allows the airways to be opened,
ensuring that the maximum dose of medication will get to the client's lungs.
/.A nurse is providing teaching to a client who has emphysema and a new prescription
for theophylline. Which of the following instructions should the nurse provide?
Select one:
a.
Administer the medication with food.
, b.
Consume a high-protein diet.
c.
Increase fluids to 1L/per day.
d.
Avoid caffeine while taking this medication. - Answer-✅C
CORRECT:
3) Avoid caffeine while taking this medication. Answer Rationale:The nurse should
instruct the client that caffeine should be avoided while taking theophylline, as it can
increase central nervous system stimulation.
/.A home health nurse visits a client who has COPD and receives oxygen at 2 L/min via
nasal cannula. The client reports difficulty breathing. Which of the following actions is
the nurse's priority?
Select one:
a.
Increase the oxygen flow to 3 L/min.
b.
Assess the client's respiratory status.
c.
Call emergency services for the client.
d.
Have the client cough and expectorate secretions. - Answer-✅B
2) Assess the client's respiratory status.
Answer Rationale:
The first action the nurse should take using the nursing process is to collect data from
the client. The nurse should immediately assess the client's respiratory status before
determining the appropriate interventions.
/.A nurse on a medical-surgical unit is performing an admission assessment of a client
who has COPD with emphysema. The client reports that he has a frequent productive
cough and is short of breath. The nurse should anticipate which of the following
assessment findings for this client?
Select one:
a.
Respiratory alkalosis
b.
Petechiae on chest
c.
Oxygen saturation level 96%
d.
Increased anteroposterior diameter of the chest - Answer-✅D
CORRECT
Update Solutions
/. A nurse is teaching a client about taking diphenhydramine. The nurse should explain
to the client that which of the following is an adverse effect of this medication?
Select one:
a.
sedation
b.
constipation
c.
hypertension
d.
bradycardia - Answer-✅A
Diphenhydramine can cause sedation, hypotension, diarrhea, and palpitations. It is
used to treat rhinitis, allergies, and insomnia
/.A nurse is preparing to administer diphenhydramine 30 mg IM stat to a client who is
having an allergic reaction. Available is diphenhydramine 50 mg/1 mL. How many mL
should the nurse administer? - Answer-✅0.6mL
/.Mast cell stabilizer - Answer-✅→ cromolyn,
/.Intranasal corticosteroid - Answer-✅→ fluticasone
/.Expectorant - Answer-✅→ guaifenesin
/.Antitussive - Answer-✅→ dextromethorphan,
/.Mucolytic - Answer-✅→ acetylcysteine
/.Nasal decongestant - Answer-✅→ oxymetazoline
/.A nurse is caring for a client who asks how albuterol helps his breathing. Which of the
following responses should the nurse make? (Select all that apply.)
a.
The medication will stimulate the flow of mucus.
b.
The medication will prevent wheezing.
c.
,The medication will open the airways.
d.
The medication will reduce inflammation.
e.
The medication will decrease coughing episodes. - Answer-✅B, C, E
/.A nurse is teaching a client who has asthma about how to use an albuterol inhaler.
Which of the following actions by the client indicates an understanding of the teaching?
a.
The client holds his breath for 10 seconds after inhaling the medication.
b.
The client exhales as the medication is released from the inhaler.
c.
The client takes a quick inhalation while releasing the medication from the inhaler.
d.
The client waits 10 min between inhalations. - Answer-✅A
The medication should be retained in the lungs for a minimum of 10 seconds so the
maximum amount of the dosage can be delivered properly to the airways. To use the
inhaler, the client exhales normally just prior to releasing the medication, inhales deeply
as the medication is released, then holds the medication in the lungs for approximately
10 seconds prior to exhaling.
/.A nurse is providing discharge teaching to a client who has asthma and new
prescriptions for cromolyn and albuterol, both by nebulizer. Which of the following
statements by the client indicates an understanding of the teaching?
a. "If my breathing begins to feel tight, I will use the cromolyn immediately."
b.
"I will be sure to take the albuterol before taking the cromolyn."
c.
"I will use both medications immediately after exercising."
d.
"I will administer the medications 10 minutes apart." - Answer-✅B
CORRECT:
2) "I will be sure to take the albuterol before taking the cromolyn."Answer Rationale:The
client should always use the bronchodilator (albuterol) prior to using the leukotriene
modifier (cromolyn). Using the bronchodilator first allows the airways to be opened,
ensuring that the maximum dose of medication will get to the client's lungs.
/.A nurse is providing teaching to a client who has emphysema and a new prescription
for theophylline. Which of the following instructions should the nurse provide?
Select one:
a.
Administer the medication with food.
, b.
Consume a high-protein diet.
c.
Increase fluids to 1L/per day.
d.
Avoid caffeine while taking this medication. - Answer-✅C
CORRECT:
3) Avoid caffeine while taking this medication. Answer Rationale:The nurse should
instruct the client that caffeine should be avoided while taking theophylline, as it can
increase central nervous system stimulation.
/.A home health nurse visits a client who has COPD and receives oxygen at 2 L/min via
nasal cannula. The client reports difficulty breathing. Which of the following actions is
the nurse's priority?
Select one:
a.
Increase the oxygen flow to 3 L/min.
b.
Assess the client's respiratory status.
c.
Call emergency services for the client.
d.
Have the client cough and expectorate secretions. - Answer-✅B
2) Assess the client's respiratory status.
Answer Rationale:
The first action the nurse should take using the nursing process is to collect data from
the client. The nurse should immediately assess the client's respiratory status before
determining the appropriate interventions.
/.A nurse on a medical-surgical unit is performing an admission assessment of a client
who has COPD with emphysema. The client reports that he has a frequent productive
cough and is short of breath. The nurse should anticipate which of the following
assessment findings for this client?
Select one:
a.
Respiratory alkalosis
b.
Petechiae on chest
c.
Oxygen saturation level 96%
d.
Increased anteroposterior diameter of the chest - Answer-✅D
CORRECT
