TEST BANK FOR PHARMACOLOGY 10TH EDITION
REVIFIED ANSWERS BY MCCUISTION
The nurse is caring for a patient recently diagnosed with mild emphysema and provides
teaching about the disease and medications for treatment. Which statement by the
patient
indicates understanding of the medication regimen?
a. "I should use albuterol when my symptoms worsen."
b. "I will need to take oral prednisone on a daily basis."
c. "My provider will frequently prescribe prophylactic antibiotics."
d. "My symptoms are reversible with proper medications."ANSWERS-: A
Albuterol is used to treat bronchospasm during symptom flares. Oral prednisone is
given for
acute flares but not generally on a daily basis until symptoms are chronic and severe
because
of the risk of adrenal suppression. Prophylactic antibiotics are not given regularly
because of
the risk of antibiotic resistance. Symptoms of emphysema are not reversible.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Nursing Intervention: Patient Teaching
: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
2. The nurse is preparing to administer epinephrine to a patient who is experiencing an
acute
bronchospasm. The nurse understands that because epinephrine is a nonselective
alpha- and
beta-adrenergic agonist, the patient will experience which effects?
a. Decreased blood pressure
b. Anticholinergic effects
c. A shorter duration of therapeutic effects
d. Cardiac and pulmonary effectsANSWERS-: D
Nonselective sympathomimetic epinephrine is an alpha1, beta1, and beta2 agonist that
is
given to promote bronchodilation and elevate blood pressure. It does not have
anticholinergic
effects.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Nursing Intervention
: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
3. A patient will be discharged home with albuterol (Proventil) to use for asthma
symptoms.
What information will the nurse include when teaching this patient about this
medication?
a. Failure to respond to the medication indicates a need for a higher dose.
, b. Monitor for hypoglycemia symptoms when using this medication.
c. Palpitations are common with this drug even at normal, therapeutic doses.
d. Overuse of this medication can result in airway narrowing and
bronchospasm.ANSWERS-: D
TEST BANK FOR PHARMACOLOGY 10TH EDITION BY MCCUISTION
TESTBANKWORLD.ORG
N
Excessive use of an aerosol drug can occasionally cause severe paradoxical airway
resistance,
so patients should be cautioned against overuse. Excessive use can also lead to
tolerance and
loss of drug effectiveness, but patients should not increase the dose because of the risk
of
bronchospasm and the increased incidence of adverse effects such as tremors and
tachycardia.
Hyperglycemia can occur. Palpitations are common with increased doses but not at
therapeutic doses.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Nursing Intervention: Patient Teaching
: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
4. A patient will begin using ipratropium bromide (Atrovent), albuterol (Proventil), and an
inhaled glucocorticoid medication (steroid) to treat chronic bronchitis. When teaching
this
patient about disease and medication management, the nurse will instruct the patient to
administer these medications in which order?
a. Albuterol, ipratropium bromide, steroid
b. Albuterol, steroid, ipratropium bromide
c. Ipratropium bromide, albuterol, steroid
d. Steroid, ipratropium bromide, albuterolANSWERS-: A
Patients who use a beta agonist should be taught to use it 5 minutes before
administering
ipratropium bromide, and ipratropium bromide should be given 5 minutes prior to an
inhaled
glucocorticoid. This helps the bronchioles to dilate so the subsequent medication can be
deposited in the bronchioles for improved effect.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Nursing Intervention: Patient Teaching
: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
5. A provider has prescribed ipratropium bromide/albuterol sulfate (Combivent) for a
patient
who has chronic obstructive pulmonary disease (COPD). The nurse explains that this
REVIFIED ANSWERS BY MCCUISTION
The nurse is caring for a patient recently diagnosed with mild emphysema and provides
teaching about the disease and medications for treatment. Which statement by the
patient
indicates understanding of the medication regimen?
a. "I should use albuterol when my symptoms worsen."
b. "I will need to take oral prednisone on a daily basis."
c. "My provider will frequently prescribe prophylactic antibiotics."
d. "My symptoms are reversible with proper medications."ANSWERS-: A
Albuterol is used to treat bronchospasm during symptom flares. Oral prednisone is
given for
acute flares but not generally on a daily basis until symptoms are chronic and severe
because
of the risk of adrenal suppression. Prophylactic antibiotics are not given regularly
because of
the risk of antibiotic resistance. Symptoms of emphysema are not reversible.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Nursing Intervention: Patient Teaching
: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
2. The nurse is preparing to administer epinephrine to a patient who is experiencing an
acute
bronchospasm. The nurse understands that because epinephrine is a nonselective
alpha- and
beta-adrenergic agonist, the patient will experience which effects?
a. Decreased blood pressure
b. Anticholinergic effects
c. A shorter duration of therapeutic effects
d. Cardiac and pulmonary effectsANSWERS-: D
Nonselective sympathomimetic epinephrine is an alpha1, beta1, and beta2 agonist that
is
given to promote bronchodilation and elevate blood pressure. It does not have
anticholinergic
effects.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Nursing Intervention
: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
3. A patient will be discharged home with albuterol (Proventil) to use for asthma
symptoms.
What information will the nurse include when teaching this patient about this
medication?
a. Failure to respond to the medication indicates a need for a higher dose.
, b. Monitor for hypoglycemia symptoms when using this medication.
c. Palpitations are common with this drug even at normal, therapeutic doses.
d. Overuse of this medication can result in airway narrowing and
bronchospasm.ANSWERS-: D
TEST BANK FOR PHARMACOLOGY 10TH EDITION BY MCCUISTION
TESTBANKWORLD.ORG
N
Excessive use of an aerosol drug can occasionally cause severe paradoxical airway
resistance,
so patients should be cautioned against overuse. Excessive use can also lead to
tolerance and
loss of drug effectiveness, but patients should not increase the dose because of the risk
of
bronchospasm and the increased incidence of adverse effects such as tremors and
tachycardia.
Hyperglycemia can occur. Palpitations are common with increased doses but not at
therapeutic doses.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Nursing Intervention: Patient Teaching
: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
4. A patient will begin using ipratropium bromide (Atrovent), albuterol (Proventil), and an
inhaled glucocorticoid medication (steroid) to treat chronic bronchitis. When teaching
this
patient about disease and medication management, the nurse will instruct the patient to
administer these medications in which order?
a. Albuterol, ipratropium bromide, steroid
b. Albuterol, steroid, ipratropium bromide
c. Ipratropium bromide, albuterol, steroid
d. Steroid, ipratropium bromide, albuterolANSWERS-: A
Patients who use a beta agonist should be taught to use it 5 minutes before
administering
ipratropium bromide, and ipratropium bromide should be given 5 minutes prior to an
inhaled
glucocorticoid. This helps the bronchioles to dilate so the subsequent medication can be
deposited in the bronchioles for improved effect.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Nursing Intervention: Patient Teaching
: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
5. A provider has prescribed ipratropium bromide/albuterol sulfate (Combivent) for a
patient
who has chronic obstructive pulmonary disease (COPD). The nurse explains that this
