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1. A nurse is teaching a client

1. A nurse is teaching a client who has a prescription for long-term use of oral prednisone for treatment of chronic asthma. The client is also diagnosed with Type 1 diabetes mellitus. Which of the following is a priority adverse effect to teach the client about? A. Anaphylaxis B. Hyperglycemia C. Hypertension D. Pruritis 2. The pharmacological classification of albuterol is: A. Beta2 adrenergic agonist B. Beta 1 adrenergic antagonist C. Anti-cholinergic D. angiotensin Converting Enzyme 3. A client asks a nurse, “How will I feel after I take the albuterol?” Which of the following is the nurse’s best response? A. “You may experience increased salivation.” B. “You may feel your heartbeat faster.” C. “You may feel the urge to urinate.” D. “Numbness and tingling is very common.” 4. A nurse is planning to provide education for a client who will be discharged with a metered dose inhaler (MDI). Which instruction should the nurse include in her teaching on the proper use of an MDI? A. Rinse the mouth after each use of the inhaler. B. Put the spacer into the dishwasher at night. C. Do not shake the inhaler prior to use. D. Use an extra puff of the inhaler each time at night. 5. A client has been prescribed montelukast for asthma. Which of the following side effects should the nurse include in his teaching? A. Weight gain B. Hyperglycemia C. Sedation D. Headache 6. A nurse is teaching a client about theophylline. The nurse knows that the teaching is effective when the client makes the following statement: A. I should avoid kale based salads.” B. I can’t have my nightly milkshake.” C. “I will have to switch to decaf coffee.” D. “I should avoid direct sunlight.” 7. A nurse is reviewing a patient’s prescription for diphenhydramine. Which condition would the nurse expect diphenhydramine to be prescribed for? A. Vomiting B. Chest pain C. Anxiety D. Allergy 8. During a nursing admission history, a client tells the nurse that he has benign prostatic hypertrophy. The client states that he frequently uses over the counter cold medications that contain diphenhydramine. What are the nurse concerns regarding this medication? Select all that apply A. Document the client’s statements in the record B. Educate the client about OTC medications containing diphenhydramine C. Collect a urine specimen and culture D. Ask the client if he has a history of glaucoma 9. The patient tells the nurse she plans to discontinue her asthma medications because she has not had an asthma attack in several months. What is the best response by the nurse? A. The medication needs to be taken or your lungs will be severely damaged and we will not be able to stop an attack.” B. You need to take the medicine for at least a year, then, if you have not had an attack you can stop taking the medication.” C.According to your doctor you need to take this medication indefinitely. You should discuss this with him.” D. The medications are still needed to decrease the inflammation in your airways and help prevent an attack.” 10. A nurse is caring for a child who is experiencing status asthmaticus. Which of the following interventions is the priority for the nurse to take? A. Determine the cause of the acute exacerbation. B. Obtain a peak flow reading. C. Administer prednisone as ordered. D. Administer a short acting beta-2 adrenergic agonist. 11. A nurse is preparing to administer albuterol to a client who was admitted with asthma exacerbation. Which of the following side effects should the nurse monitor? A. Bradycardia B. Uterine contractions C. Palpitations D. Sedation 12. The patient receives montelukast (Singulair) as treatment for asthma. The nurse has completed medication education and evaluates learning has occurred when the patient makes which statement? A. “This medication inhibits leukotriene action to decrease inflammation.” B. This medication activates my fight-or-flight response.” C.This medication is an expectorant so I can breathe better.” D. This medication is good when I have an acute asthma attack.” 13. A nurse is instructing a client about asthma management with a patient who is newly diagnosed with asthma. Which of the following discharge instructions should the nurse include in the client’s discharge plan? Select all that apply A. Take your inhaler before you do your mile runs B. Avoid smoke, pollen, and cold air. C. Take your oral steroid when your wheezing worsens D. Take one extra diphenhydramine during allergy season E.A rescue inhaler should be with you at all times. 14. A nurse administered a dose of Albuterol nebulizer to a client. The nurse returns after 30 minutes and auscultates the client’s lungs. Which part of the nursing process is the nurse using? A. Assessment B. Planning C. Implementation D. Evaluation 15. A client arrives to the emergency room and states that he can’t breathe because of his asthma. Upon auscultation, the nurse hears wheezing in posterior lobes bilaterally. Which of the following route is the most effective to administer albuterol to the client? A. Administer Albuterol intramuscularly B. Administer Albuterol intravenously C. Administer Albuterol nebulizer D. Administer Albuterol tablet 16. A client has had a persistent, nonproductive cough after successful treatment for community acquired pneumonia. Which of the following medications will be most effective at relieving cough? A. diphenhydramine B. albuterol C. codeine D. cromolyn 17. The nurse is discussing with the client regarding the management of upper respiratory tract symptoms. Which drug class is often used in the treatment of upper respiratory tract symptoms? A. Beta-2 adrenergic agonist B. Anti-cholinergic C. Decongestants D. NSAID 18. A client marks on his health history that he has narrow-angle glaucoma. Which of the following drug should the nurse ? A. Albuterol B. Cromolyn C. Diphenhydramine D. Montelukast 19. Theophylline is the prototype for which classification? A. Adrenergic Agonist B. Anti-cholinergic C. Methylxanthine D. Coricosteroid 20. A nurse is caring for a 70 year old male client. The nurse notices on the client’s medication reconciliation record that he takes diphenhydramine for sleep. Which condition should the nurse assess the client for? A. Diabetes mellitus Type 2 B. Benign Prostatic Hypertrophy C. Peptic Ulcer Disease D. Multiple Sclerosis SCIENCE HEALTH SCIENCE NURSING PHYSIOLOGY 1012

 
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