21. Ipratropium belongs to which classification? A.

21. Ipratropium belongs to which classification? A. Adrenergic antagonist B. Anti-cholinergic C. Mast Cell Stabilizer D. Corticosteroid 22. A nurse is caring for a client who has been admitted to the hospital with cardiac dysrhythmias. The client has a past medical history of asthma and was ordered albuterol. Which of the following should the nurse recommend to the provider? A. “The client needs an order of inhaled steroid.” B. “The client cannot have any bronchodilators.” C. “Could you order a drug with fewer cardiac adverse effects?” D. “The client is not wheezing so medication won’t be needed.” 23. A client who has been hospitalized for 10 days is set for discharge on the afternoon of the 10th day. The client had four days of oral prednisone therapy while hospitalized. The provider wrote to discontinue the prednisone prior to discharge. What is the nurse’s best response? A. Discontinue the prednisone and discharge the client. B. Advise the client to follow up with a primary care provider in 2 days. C. Notify the discharging physician that prednisone should be tapered. D. Check a blood glucose prior to discharging the client. 24. The average length of treatment for a patient diagnosed with a tuberculosis in the lungs is ____: A. 6 to 12 months B. 6 to 12 weeks C. 6 to 12 days D. 6 to 12 hours 25. The nurse is caring for a client taking theophylline. The nurse should monitor for which of the following symptoms suggesting toxicity? A. Difficulty urinating B. Shortness of breath C. Seizures D. Hyperglycemia 26. The client should discontinue which medication 4 days prior to allergy testing to prevent false negative results? A. Diphenhydramine B. Oxymetazoline C. Dextromethorphan D. Fluticasone 27. The nurse is caring for a client with asthma who has been prescribed beclomethasone and albuterol inhalers. Which of the following should the nurse include in the client education? A. Avoid shaking the beclomethasone inhaler before use. B. Administer beclomethasone inhaler prior to albuterol inhaler. C. Do not use beclomethasone for longer than 10 days. D. Rinse your mouth after each use of beclomethasone. 28. The nurse is caring for a client who was prescribed 6 days of oral prednisone for an acute asthma exacerbation. Which of the following conditions should be monitored closely. A. Diabetes mellitus B. Liver disease C. Gallbladder disease D. Kidney disease 29. A nurse is caring for a client with cystic fibrosis. The client is concerned of the unpleasant odor of acetylcysteine prescribed by the doctor. What should the nurse teach the client? A. The medication is likely expired and should be thrown away immediately. B. This is a normal smell with the use of acetylcysteine. Continue as prescribed. C. The patient must be developing acute rhinitis and needs to be evaluated. D. Fluticasone may cause nasal dryness, resulting in an unpleasant odor. 30. An asthmatic patient is admitted to the hospital with an acute asthmatic attack. The nurse is teaching the patient about a new prescription, montelukast. Which statement indicates the patient understands how to take this medication properly? A. “I will take this before I go to bed” B. “I will take this when I have another attack” C. “I will take this 15 mins prior to exercising” D. “I will take diphenhydramine concurrently” 31. Which of the following inhaled medications can cause bronchodilation and can be used in combination with albuterol? A. Beclomethasone B. Cromolyn C. Montelukast D. Ipratropium 32. The nurse is educating a client on the side effects of ipratropium. Which statement would be an appropriate recommendation for managing the side effects of this medication? A. “You should eat big meals to prevent constipation.” B. “You should suck on sugar free hard candies if your mouth feels dry” C. “You should eat plenty of fiber to prevent diarrhea” D.”You might need to buy incontinence pads” 33. A nurse is teaching a patient who has been prescribed codeine to decrease their nonproductive cough. Which of the following statements made by the patient requires further teaching? A. “I will avoid driving while taking this medication”. B. “I will take this medication on an empty stomach”. C. “I may need a stool softener while taking this medication”. D. “Codeine is an opioid antitussive”. 34. Among the medications that are usually prescribed to treat a patient who tests positive for tuberculosis is: A. isoniazid B. interferon alfa-2b C. methotrexate D. metronidazole 35. A patient has been diagnosed with chronic obstructive pulmonary disease and the nurse understands this patient may be prescribed which of the following pulmonary drugs and therapies? Select all that apply A. Bronchodilators B. Mucolytics C. Oxygen D. Expectorants E. Cough Suppressant 36. Which statement by the client shows an understanding of oral versus inhaled therapies for asthma? A. Oral therapies can be used for acute asthma attacks. B. Oral therapies have shorter duration of action. C. Side effects are more frequent in inhaled therapies. D. Inhaled therapies are rapid and efficient. 37. A client shows the nurse the over-the-counter cold medication he purchased for cold symptoms. The preparation includes a decongestant, expectorant, and anti-tussive. What is the nurse’s best response? A. “Take the medication for up to two weeks.” B. “Buy single drug preparations to avoid double dosing.” C. “Over the counter drugs have fewer side effects than prescriptions.” D.”You will probably notice a sudden episodes of diarrhea.” 38. Describe how to properly use an MDI inhaler () for a patient with newly diagnosed asthma. (Please write your essay response on a separate piece of paper) 39. 0.9% sodium chloride is considered what tonicity of fluid? A. Hypotonic B. Isotonic C. Hypertonic D. Colloids 40. A nurse is caring for a client with hypovolemic hyponatremia experiencing a BP of 94/82. Which fluid does the nurse anticipate the client to be started on? A. 0.45% sodium chloride B. 0.9% sodium chloride C. 3% sodium chloride D. 5% dextrose in water 41. Which adverse effect should the nurse monitor for in the client receiving dextran 40 (Gentran 40)? Select all that apply A. Ototoxicity B. Tachycradia C. Distended neck veins D. Unexplained cough E. Elevated liver enzymes Laboratory Test Result SCIENCE HEALTH SCIENCE NURSING PHYSIOLOGY 1012

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