C HAPTER 37: R ESPIRATORY D RUGS
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. A patient has prescriptions for two inhalers. One inhaler is a
bronchodilator, and the other is a corticosteroid. Whi ch instruction
regarding these inhalers will the nurse give to the patient?
a. “Take the corticosteroid inhaler first. ”
b. “Take the bronchodilator inhaler first. ”
c. “Take these two drugs at least 2 hours apart. ”
d. “It does not matter which inhaler you use first. ”
ANS: B
An inhaled bronchodilator is used before the inhaled corticosteroid to
provide bronchial relaxation/dilation before administration of the anti -
inflammatory drug.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
2. When educating a patient recentl y placed on inhaled corticosteroids, the
nurse will discuss which potential adverse effects?
a. Fatigue and depression
b. Anxiet y and palpitations
c. Headache and rapid heart rate
d. Oral candidiasis and dry mouth
, ANS: D
Oral candidiasis and dry mouth are two possible adverse effects of
inhaled corticosteroids. The other responses are incorrect.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Proc ess: Planning
MSC: NC LEX: Physiological Integrit y: Reduction of Risk
Potential
3. The nurse is monitoring drug levels for a patient who is receiving
theophylline. The most recent theophylline level was 22 mcg/mL, and the
nurse evaluates this level to be
a. below the therapeutic level.
b. at a therapeutic level.
c. above the therapeutic level.
d. at a toxic level.
ANS: C
Although the optimal level may vary from patient to patient, most
standard references have suggested that the therapeutic range for
theophylline blood l evel is 10 to 20 mcg/mL. However, most clinicians
now advise levels between 5 and 15 mcg/mL.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Evaluation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. A patient has prescriptions for two inhalers. One inhaler is a
bronchodilator, and the other is a corticosteroid. Whi ch instruction
regarding these inhalers will the nurse give to the patient?
a. “Take the corticosteroid inhaler first. ”
b. “Take the bronchodilator inhaler first. ”
c. “Take these two drugs at least 2 hours apart. ”
d. “It does not matter which inhaler you use first. ”
ANS: B
An inhaled bronchodilator is used before the inhaled corticosteroid to
provide bronchial relaxation/dilation before administration of the anti -
inflammatory drug.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
2. When educating a patient recentl y placed on inhaled corticosteroids, the
nurse will discuss which potential adverse effects?
a. Fatigue and depression
b. Anxiet y and palpitations
c. Headache and rapid heart rate
d. Oral candidiasis and dry mouth
, ANS: D
Oral candidiasis and dry mouth are two possible adverse effects of
inhaled corticosteroids. The other responses are incorrect.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Proc ess: Planning
MSC: NC LEX: Physiological Integrit y: Reduction of Risk
Potential
3. The nurse is monitoring drug levels for a patient who is receiving
theophylline. The most recent theophylline level was 22 mcg/mL, and the
nurse evaluates this level to be
a. below the therapeutic level.
b. at a therapeutic level.
c. above the therapeutic level.
d. at a toxic level.
ANS: C
Although the optimal level may vary from patient to patient, most
standard references have suggested that the therapeutic range for
theophylline blood l evel is 10 to 20 mcg/mL. However, most clinicians
now advise levels between 5 and 15 mcg/mL.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Evaluation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
