Saunders Pharmacology Respiratory-QUESTIONS
WITH COMPLETE SOLUTIONS
A postoperative client has received a dose of naloxone for respiratory depression. The nurse
anticipates that the client will have which additional effect from the administration of this
medication?
Sudden increase in pain
Naloxone is an antidote to opioids; it also may be given to the postoperative client to treat
respiratory depression. When given to the postoperative client for respiratory depression, it
may reverse the effects of analgesics. Therefore, the nurse must anticipate that the client may
experience a sudden increase in the level of pain.
Rifabutin is prescribed for a client with active Mycobacterium avium complex (MAC) disease
and tuberculosis. The nurse should monitor for which side/adverse effects of the
medication? Select all that apply.
1.Signs of hepatitis
2.Flu-like syndrome
3.Low neutrophil count
5.Ocular pain or blurred vision
Rifabutin may be prescribed for a client with active MAC disease and tuberculosis. It inhibits
mycobacterial DNA-dependent RNA polymerase and suppresses protein synthesis. Side effects
include rash, GI disturbances, neutropenia (low neutrophil count), red-orange body secretions,
uveitis (blurred vision and eye pain), myositis, arthralgia, hepatitis, chest pain with dyspnea,
and flu-like syndrome. Vitamin B6 deficiency and numbness and tingling in the extremities are
associated with the use of isoniazid. Ethambutol also causes peripheral neuritis.
,The nurse is providing instructions to a client taking ethambutol about the medication. The
nurse instructs the client to contact the primary health care provider immediately if which
occurs?
Visual disturbances
Ethambutol causes optic neuritis, which decreases visual acuity and the ability to discriminate
between the colors red and green. This poses a safety hazard when driving a motor vehicle. The
client is taught to report this symptom immediately. The client is also taught to take the
medication with food if GI upset occurs. Impaired hearing results from antitubercular therapy
with streptomycin. Orange-red discoloration of secretions occurs with rifampin.
A client has been taking isoniazid for 2 months. The client complains to the nurse about
numbness, paresthesia, and tingling in the extremities. The nurse interprets that the client is
experiencing which problem?
Peripheral neuritis
A common adverse effect of isoniazid is peripheral neuritis. This is manifested by numbness,
tingling, and paresthesias in the extremities. This adverse effect can be minimized by pyridoxine
intake.
A client with tuberculosis is being started on antitubercular therapy with isoniazid. The nurse
reviews the client's health care record to be sure that which baseline studies have been
completed before giving the client the first dose?
Liver enzymes
Isoniazid therapy can cause an elevation of hepatic enzymes and drug-induced hepatitis.
Therefore, liver enzymes are monitored when therapy is initiated and during the first 3 months
of therapy. They may be monitored longer in the client who is older than age 50 or abuses
alcohol.
, The nurse is monitoring a client who is receiving a dose of an adrenergic bronchodilator. The
nurse plans to monitor for which side effect of this medication?
Increased pulse and blood pressure
Side effects of an adrenergic bronchodilator can include tachycardia, hypertension, chest pain,
dysrhythmias, nervousness, restlessness, and headache, among others. The nurse monitors for
these effects during therapy.
The nurse has observed a client self-administer a dose of metaproterenol sulfate via metered-
dose inhaler. Within a short time, the client begins to wheeze loudly. Which interpretation
should the nurse make of this occurrence?
Bronchospasm, which must be reported to the primary health care provider
The client taking a bronchodilator may experience bronchospasm, which is evident by the
client's wheezing. This can occur with excessive use of inhalers. Further medication should be
withheld, and the primary health care provider should be notified.
A client is taking cetirizine hydrochloride. The nurse should check for which side effect of this
medication?
Drowsiness
A frequent side effect of cetirizine hydrochloride, an antihistamine, is drowsiness or sedation.
Others include blurred vision, hypertension (and sometimes hypotension), dry mouth,
constipation, urinary retention, and sweating.
The nurse is collecting data on a client admitted to the hospital with a diagnosis of a
respiratory infection unresponsive to oral antibiotics. The nurse discovers that the client has a
history of bronchial asthma and has been taking zafirlukast. The nurse assists in developing a
plan of care for the client and suggests monitoring of which data?
WITH COMPLETE SOLUTIONS
A postoperative client has received a dose of naloxone for respiratory depression. The nurse
anticipates that the client will have which additional effect from the administration of this
medication?
Sudden increase in pain
Naloxone is an antidote to opioids; it also may be given to the postoperative client to treat
respiratory depression. When given to the postoperative client for respiratory depression, it
may reverse the effects of analgesics. Therefore, the nurse must anticipate that the client may
experience a sudden increase in the level of pain.
Rifabutin is prescribed for a client with active Mycobacterium avium complex (MAC) disease
and tuberculosis. The nurse should monitor for which side/adverse effects of the
medication? Select all that apply.
1.Signs of hepatitis
2.Flu-like syndrome
3.Low neutrophil count
5.Ocular pain or blurred vision
Rifabutin may be prescribed for a client with active MAC disease and tuberculosis. It inhibits
mycobacterial DNA-dependent RNA polymerase and suppresses protein synthesis. Side effects
include rash, GI disturbances, neutropenia (low neutrophil count), red-orange body secretions,
uveitis (blurred vision and eye pain), myositis, arthralgia, hepatitis, chest pain with dyspnea,
and flu-like syndrome. Vitamin B6 deficiency and numbness and tingling in the extremities are
associated with the use of isoniazid. Ethambutol also causes peripheral neuritis.
,The nurse is providing instructions to a client taking ethambutol about the medication. The
nurse instructs the client to contact the primary health care provider immediately if which
occurs?
Visual disturbances
Ethambutol causes optic neuritis, which decreases visual acuity and the ability to discriminate
between the colors red and green. This poses a safety hazard when driving a motor vehicle. The
client is taught to report this symptom immediately. The client is also taught to take the
medication with food if GI upset occurs. Impaired hearing results from antitubercular therapy
with streptomycin. Orange-red discoloration of secretions occurs with rifampin.
A client has been taking isoniazid for 2 months. The client complains to the nurse about
numbness, paresthesia, and tingling in the extremities. The nurse interprets that the client is
experiencing which problem?
Peripheral neuritis
A common adverse effect of isoniazid is peripheral neuritis. This is manifested by numbness,
tingling, and paresthesias in the extremities. This adverse effect can be minimized by pyridoxine
intake.
A client with tuberculosis is being started on antitubercular therapy with isoniazid. The nurse
reviews the client's health care record to be sure that which baseline studies have been
completed before giving the client the first dose?
Liver enzymes
Isoniazid therapy can cause an elevation of hepatic enzymes and drug-induced hepatitis.
Therefore, liver enzymes are monitored when therapy is initiated and during the first 3 months
of therapy. They may be monitored longer in the client who is older than age 50 or abuses
alcohol.
, The nurse is monitoring a client who is receiving a dose of an adrenergic bronchodilator. The
nurse plans to monitor for which side effect of this medication?
Increased pulse and blood pressure
Side effects of an adrenergic bronchodilator can include tachycardia, hypertension, chest pain,
dysrhythmias, nervousness, restlessness, and headache, among others. The nurse monitors for
these effects during therapy.
The nurse has observed a client self-administer a dose of metaproterenol sulfate via metered-
dose inhaler. Within a short time, the client begins to wheeze loudly. Which interpretation
should the nurse make of this occurrence?
Bronchospasm, which must be reported to the primary health care provider
The client taking a bronchodilator may experience bronchospasm, which is evident by the
client's wheezing. This can occur with excessive use of inhalers. Further medication should be
withheld, and the primary health care provider should be notified.
A client is taking cetirizine hydrochloride. The nurse should check for which side effect of this
medication?
Drowsiness
A frequent side effect of cetirizine hydrochloride, an antihistamine, is drowsiness or sedation.
Others include blurred vision, hypertension (and sometimes hypotension), dry mouth,
constipation, urinary retention, and sweating.
The nurse is collecting data on a client admitted to the hospital with a diagnosis of a
respiratory infection unresponsive to oral antibiotics. The nurse discovers that the client has a
history of bronchial asthma and has been taking zafirlukast. The nurse assists in developing a
plan of care for the client and suggests monitoring of which data?
