CHAPTER 16 BRONCHODILATORS AND OTHER RESPIRATORY AGENTS

CHAPTER 16 BRONCHODILATORS AND OTHER RESPIRATORY AGENTS

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse is preparing to administer intravenous aminophylline drip. The nurse should:

a.	set the rate at 300 mg/hour.
b.	use an intravenous infusion pump for administration.
c.	be sure the IV solution has been cooled for at least an hour before administration.
d.	monitor the client closely for bradycardia and bradypnea.

 

 

ANS:  B

 

	Feedback
A	Incorrect: This would equal 50 mg/min., which is twice the safe rate.
B	Correct: Intravenous aminophylline should be administered using an IV infusion pump.
C	Incorrect: The solution should be warmed to room temperature.
D	Incorrect: Clients receiving IV aminophylline should be monitored for tachycardia.

 

 

PTS:   1                    REF:   p. 395            OBJ:   Cognitive Level: Application

 

2. The client is prescribed montelukast and asks the nurse what classification this medication is. The nurse’s best reply is:

a.	phosphodiesterase inhibitor.	c.	leukotrience receptor antagonist.
b.	adrenergic receptor stimulants.	d.	acetylcholine antagonist.

 

 

ANS:  C

 

	Feedback
A	Incorrect: Montelukast is not a xanthine bronchodilator.
B	Incorrect: Montelukast is not a sympathomimetic.
C	Correct: Montelukast is a leukotrience receptor antagonist.
D	Incorrect: Montelukast is not an anticholinergic.

 

 

PTS:   1                    REF:   p. 398            OBJ:   Cognitive Level: Application

 

3. When working with clients with respiratory conditions, the nurse:

a.	instructs the clients to exercise at least one hour per day.
b.	avoids using talc or bath powder around the clients.
c.	encourages the clients to limit oral fluids.
d.	instructs the clients to have their drug levels checked every three months.

 

 

ANS:  B

 

	Feedback
A	Incorrect: Clients should exercise according to their abilities.
B	Correct: The nurse should avoid the use of perfumes, talc, and bath powder, as this can exacerbate the respiratory conditions of these clients.
C	Incorrect: Fluids should be encouraged unless the client’s condition contraindicates it.
D	Incorrect: Not all respiratory agents require serum blood levels drawn.

 

 

PTS:   1                    REF:   p. 408, Safe Nursing Practice 16-1

OBJ:   Cognitive Level: Application

 

4. Clients should be advised that the overuse of bronchodilators may cause:

a.	pneumonia.	c.	nausea or vomiting.
b.	bronchoconstriction.	d.	headache.

 

 

ANS:  B

 

	Feedback
A	Incorrect: Overuse of bronchodilator drugs does not cause pneumonia.
B	Correct: Overdosing of bronchodilators stimulates a rebound bronchoconstriction.
C	Incorrect: Although adverse effects of some oral bronchodilators, these are not associated with overuse of bronchodilators.
D	Incorrect: Overuse of bronchodilator drugs does not cause headache.

 

 

PTS:   1                    REF:   p. 409            OBJ:   Cognitive Level: Knowledge

 

5. Successful resolution of the nursing diagnosis Gas exchange impaired related to disease process would be indicated by which of the following outcomes?

a.	Client experiences effective cough reflex.
b.	Client verbalizes understanding of disease process.
c.	Client’s oxygen saturation  90%.
d.	Client has no injury due to adverse effects of respiratory drugs.

 

 

ANS:  C

 

	Feedback
A	Incorrect: This would relate to airway clearance.
B	Incorrect: This would relate to deficient knowledge.
C	Correct: This is a measurable outcome criteria for impaired gas exchange.
D	Incorrect: This would relate to risk for injury.

 

 

PTS:     1          REF:    p. 403  OBJ:    Cognitive Level: Evaluation