NURS 6521N Week 4 Quiz – Questions and Answers

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NURS 6521N Week 4 Quiz – Questions and Answers • Question 1 1 out of 1 points A 72-year-old female patient is prescribed ipratropium aerosol for pulmonary emphysema. The nurse will instruct... her to “test spray” the new metered-dose inhaler (MDI) three times before using it to prevent which of the following? Response Feedback: Ipratropium aerosols may produce paradoxic acute bronchospasm, which may be fatal. Although this is rare, the adverse effect is typically evident with the patient's first inhalation from a newly opened MDI. The patient should be advised to “test spray” the new MDI three times before using it. The anaphylactoid reaction occurs when a patient has an unknown allergy to soybeans, legumes, or soy lecithin. Severe adverse effects of asymptomatic elevated hepatic enzyme levels and symptomatic hepatitis with hyperbilirubinemia are normally associated with zafirlukast. • Question 2 1 out of 1 points A nurse is providing patient education to a 42-year-old man who has been prescribed dextromethorphan (Robitussin). The patient is a crane operator for a local construction company. The nurse's assessment reveals that the patient is a smoker and has diabetes. The most important safety consideration while the nurse is designing a plan of care for this patient would be the fact that he is Response Feedback: Dextromethorphan may cause sedation, drowsiness, and impaired orientation, so it may be dangerous for the patient to operate a crane during drug therapy. The patient's age, smoking habits, and diabetes would not present a significant or immediate safety risk to the patient or others. • Question 3 1 out of 1 points A 20-year-old woman calls the clinic at 5 PM and reports to the nurse that she forgot to take her morning dose of fexofenadine (Allegra). She usually takes her evening dose at 8 PM. She wants to know what she should do. The nurse will instruct her to Response Feedback: Since it is only 3 hours until her evening dose, the nurse will instruct her to forget about the morning dose and take the evening dose as scheduled. It is not advisable to take two doses at the same time, and there is no need to skip the evening dose as well. • Question 4 1 out of 1 points After a recent history of shortness of breath that has become increasingly severe, a woman has been prescribed ipratropium by MDI while she undergoes a diagnostic workup. What patient teaching should the nurse provide to this patient? Response Feedback: Ipratropium should be taken daily, despite the absence of symptoms. Breathing exercises are not necessarily required and the drug controls symptoms but does not cure lung diseases. • Question 5 1 out of 1 points A man who smokes one pack of cigarettes daily has been diagnosed with chronic bronchitis. He has been prescribed theophylline by his family doctor. What effect will the patient's smoking status have on the therapeutic use of theophylline? Response Feedback: Smoking cigarettes may decrease serum theophylline levels. In fact, some patients who smoke require an increase in theophylline dosage of up to 50%. Theophylline is not associated with a risk of anaphylactoid reaction. Theophylline doses do not need to be concurrent with the use of bronchodilators. • Question 6 1 out of 1 points A nurse is providing education to a 56-year-old man who is admitted to the emergency department with an acute asthma attack. The nurse's initial assessment reveals that the patient has a history of pneumonia, drinks large quantities of coffee, and eats a high-calorie diet. Albuterol is prescribed for him. The important consideration when the nurse is preparing a teaching plan will be that the patient Response Feedback: Caffeine has sympathomimetic effects that may increase the risk for adverse effects with albuterol. The nurse should assess the patient's intake of caffeine through coffee, tea, soda, cocoa, candy, and chocolate. The patient's age, history of pneumonia, and preference for high-calorie food would not have important implications for his albuterol drug therapy. .........CONTINUED [Show More]

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