ATI Respiratory System 25 Questions and Answers 2023
ATI Respiratory System/25 Questions And Answers/A+ Graded
A nurse is teaching an adult client
... [Show More] about diphenhydramine. The nurse should inform the client to expect which of the following adverse effects while taking this drug?
Muscle tremors Drowsiness Excitation
Insomnia - Correct Answer -Drowsiness
A nurse is teaching a client about the use of cromolyn sodium to prevent bronchospasm. The nurse should explain that the drug has which of the following therapeutic effects?
Increases leukocyte activity Blocks muscarinic receptors Causes bronchodilation
Reduces inflammation - Correct Answer -Reduces inflammation
For which of the following reasons should a nurse instruct a client to avoid guaifenesin with combination over the counter products?
Over-the-counter cold products can also contain guaifenesin. Blood glucose levels are increased.
Rebound congestion is likely.
Drug tolerance is likely. - Correct Answer -Over-the-counter cold products can also contain guaifenesin.
The nurse is teaching a client who has a prescription for zileuton. Which of the following instructions should the nurse include?
Check apical pulse before taking the drug.
Take the drug only as needed before exercising.
Rinse mouth after using the drug.
Have laboratory tests performed at regular intervals. - Correct Answer -Have laboratory tests performed at regular intervals.
For which of the following reasons should a client attach a spacer to a metered dose inhaler?
To increase the amount of drug delivered to the lungs
To increase the amount of drug delivered to the oropharynx To increase the amount of drug delivered on exhalation
To increase the speed of drug delivery into the mouth - Correct Answer -To increase the amount of drug delivered to the lungs
A nurse is teaching a client who is taking prednisone for chronic asthma. Which of the following instructions should the nurse include?
"Avoid taking nonsteroidal anti-inflammatory drugs."
"Rinse your mouth after taking the medication to prevent a yeast infection." "Stop taking the medication if you become nauseous."
"Change position slowly when standing up." - Correct Answer -"Avoid taking nonsteroidal anti-inflammatory drugs."
Legal restrictions apply to the purchase of pseudoephedrine (Sudafed) because of which of the following risks?
Respiratory depression Drug abuse
Drug tolerance
Rebound congestion - Correct Answer -Drug abuse
A nurse is teaching a client about the use of antihistamines to treat allergic rhinitis. The nurse should explain that these drugs are effective because they perform which of the following actions?
Decrease viscosity of nasal secretions
Block H2 receptors
Prevent histamine from binding to receptors
Reduce nasal congestion - Correct Answer -Prevent histamine from binding to receptors
A nurse is teaching a client about albuterol. The nurse should instruct the client to monitor for and report which of the following as an adverse effect of this drug?
Fever Bruising Polyuria
Palpitations - Correct Answer -Palpitations
A nurse is teaching a client about ipratropium. Which of the following instructions should the nurse include?
Do not drink anything for 30 min after using the drug.
Wait 5 min between using the drug and another inhaled drug. This drug is used to thin respiratory secretions.
Check pulse rate after inhaling the drug. - Correct Answer -Wait 5 min between using the drug and another inhaled drug.
A nurse is monitoring plasma drug levels in a client who is taking theophylline. Which of the following findings should the nurse expect to see if the clients drug level indicates toxicity?
Seizures Constipation
Normal sinus rhythm
Somnolence - Correct Answer -Seizures
A nurse is teaching a client about the use of beclomethasone to treat asthma. The nurse should explain that the drug has which of the following therapeutic effects?
Thins mucus
Relaxes bronchial smooth muscle Decreases inflammation
Increases the cough threshold - Correct Answer -Decreases inflammation
A nurse is teaching a client about the adverse effects of pseudoephedrine. Which of the following should the nurse include (Select all)
Restlessness Bradycardia Insomnia Muscle pain
Anxiety - Correct Answer -Restlessness Insomnia
Anxiety
A nurse is teaching a client about the use of an expectorant to treat a cough. The nurse should include that an expectorant has which of the following therapeutic effects?
Suppresses the cough stimulus Reduces surface tension Reduces inflammation
Dries mucous membranes - Correct Answer -Reduces surface tension
A nurse is preparing to administer phenylephrine to a client. The nurse should identify that which of the following manifestations is an adverse effect of this drug?
Headache
Sleepiness Hypotension
Constipation - Correct Answer -Headache
A nurse is teaching a client who is beginning fluticasone propionate/salmeterol therapy. Which of the following instructions should the nurse include?
Take the drug as needed for acute asthma. Follow a low-sodium diet.
Use an alternate-day dosing schedule.
Increase weight-bearing activity. - Correct Answer -Increase weight-bearing activity.
A nurse is teaching a client about ipratropium. The nurse should include that this drug has which of the following adverse effects. Select all
Muscle tremors Urinary retention Dry mouth Insomnia
Tachycardia - Correct Answer -Urinary retention Dry mouth
A nurse is caring for a client who is having difficulty mobilizing thick respiratory secretions. Which of the following drugs should the nurse expect to administer to the client?
Ipratropium Beclomethasone Acetylcysteine
Azelastine - Correct Answer -Acetylcysteine
A nurse is teaching a client who has a prescription for albuterol via inhaler and fluticasone/salmeterol via inhaler for asthma management. For which of the following reasons should the nurse instruct the client to use the albuterol inhaler before using the fluticasone inhaler?
Albuterol will increase the absorption of fluticasone. Albuterol will decrease inflammation.
Albuterol will reduce nasal secretions.
Fluticasone will reduce the adverse effects of albuterol. - Correct Answer
-Albuterol will increase the absorption of fluticasone.
A nurse is teaching a client about montelukast. Which of the following instructions should the nurse include?
Use a spacer to improve inhalation.
Take the drug at the onset of bronchospasm. Rinse mouth to prevent an oral fungal infection.
Take the drug once a day in the evening. - Correct Answer -Take the drug once a day in the evening.
A nurse is caring for a client who is taking codeine. The nurse should identify that which of the following assessments is priority to make?
Blood pressure Apical heart rate Respirations
Level of consciousness - Correct Answer -Respirations
A nurse is teaching a client about the use of a mucolytic to treat a cough. The nurse should include that a mucolytic has which of the following therapeutic effects?
Suppresses the cough stimulus Reduces inflammation
Thins and loosens mucus
Dries secretions - Correct Answer -Thins and loosens mucus
A nurse should identify that dextromethorphan can have which of the following effects when combined with morphine?
Reduced antitussive effect of dextromethorphan Potentiation of depression of CNS actions
Increased renal reabsorption of the dextromethorphan
Delayed analgesic effect of the opioid - Correct Answer -Potentiation of depression of CNS actions
A nurse should recognize that using pseudoeephdrine to treat allergic rhinitis requires cautious use with clients who have. which of the following conditions?
Peptic ulcer disease A seizure disorder Anemia
Coronary artery disease - Correct Answer -Coronary artery disease
A nurse is teaching a client about using intranasal glucocorticoids. Which of the following instructions should the nurse give?
Start at a low dose and gradually increase it. Take the drug as needed for nasal congestion.
Allow at least 2 weeks for the full therapeutic effect.
Use the drug prior to exercise. - Correct Answer -Allow at least 2 weeks for the full therapeutic effect. [Show Less]