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Chapter 18. Pulmonary System Medications

Pharmacology Clear And Simple A Guide to Drug 2nd Edition By Watkins

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Chapter 18. Pulmonary System Medications

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   The LPN is assisting in the admission process for a client with a history of asthma. In addition to a rescue inhaler, the LPN would expect the client may take which of the following medications?

A. Cromolyn sodium (Intal)
B. Phenylephrine (Dimetapp)
C. Theophylline
D. Bupropion (Wellbutrin)

 

 

____     2.   The LPN is talking to a client newly prescribed nedocromil (Tilade aerosol) who asks, “Why do I have to take this medication? Why can’t I just take my inhaler when I have an asthma attack?” Which of the following responses by the nurse is best?

A. “This medication helps block asthma triggers from entering your lungs.”
B. “By suppressing your immune system, this medication helps treat your asthma.”
C. “This medication helps decrease your body’s reaction to things that set off an asthma attack.”
D. “The nedocromil helps thin secretions so it is easier for you to clear your lungs.”

 

 

____     3.   The LPN is assisting a client newly diagnosed with influenza who has been given a prescription for oseltamivir (Tamiflu). The nurse recognizes the client is aware of potential side effects by which of the following statements?

A. “I might feel my heart racing when I take this medication.”
B. “Some people get really constipated when they take this.”
C. “The medication is likely to make me feel hungry often.”
D. “This medication may cause nervousness or difficulty sleeping.”

 

 

____     4.   The LPN is caring for a sick child at home who has a bad cough. The nurse would choose an over-the-counter cough syrup that contained which of the following active ingredients?

A. Albuterol
B. Dextromethorphan
C. Flunisolide
D. Phenylephrine

 

Answer Section

 

MULTIPLE CHOICE

 

  1. ANS:  A                    PTS:   1                    DIF:    Moderate

TOP:   Therapeutic Classification: Pulmonary System Medications

KEY:  Application    MSC:  NCLEX Category: Pharmacological Therapies

NOT:  See Master the Essential Table and Mast Cell Stabilizers (p. 332–334; 335): Cromolyn sodium is a mast cell stabilizer, which helps prevent asthma attacks. Phenylephrine is a decongestant; theophylline is a respiratory stimulant; bupropion is a smoking cessation agent.

 

  1. ANS:  C                    PTS:   1                    DIF:    Moderate

TOP:   Therapeutic Classification: Pulmonary System Medications

KEY:  Application    MSC:  NCLEX Category: Pharmacological Therapies

NOT:  See Master the Essential Table and Mast Cell Stabilizers (p. 332–334; 335): Nedocromil is a mast cell stabilizer. The medications decrease the body’s reaction to asthma triggers, thereby reducing the frequency of asthma attacks.

 

  1. ANS:  D                    PTS:   1                    DIF:    Hard

TOP:   Therapeutic Classification: Pulmonary System Medications

KEY:  Analysis         MSC:  NCLEX Category: Pharmacological Therapies

NOT:  See Master the Essential Table and Anti-influenza Agents (p. 332–334; 335): Oseltamivir is an anti-influenza medication. Side effects include: anorexia, bronchitis, diarrhea, dizziness, dry mouth, headache, insomnia, nervousness, and urinary retention.

 

  1. ANS:  B                    PTS:   1                    DIF:    Moderate

TOP:   Therapeutic Classification: Pulmonary System Medications

KEY:  Application    MSC:  NCLEX Category: Pharmacological Therapies

NOT:  See Master the Essential Table and Antitussives and Expectorants (p. 332–334; 335): Dextromethorphan is a cough suppressant (antitussive), which helps suppress the cough reflex. Albuterol is a bronchodilator and is not purchased over the counter or placed in cough syrups. Flunisolide is a glucocorticoid used to decrease inflammation; it is not included in cough syrups or purchased over the counter. Phenylephrine is a decongestant often included in cold remedies but does not aid in cough suppression.

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