ATI Pharmacology Made Easy 5.0 ~ The Respiratory System Test
Study online at https://quizlet.com/_goscfe
1. For which of the following reasons should A. To increase the amount of medication de-
a client attach a spacer to a metered dose livered to the lungs
inhaler?
Rationale:
A. To increase the amount of drug deliv- A. A spacer increases the amount of drug that
ered to the lungs reaches the lungs.
B. To increase the amount of drug deliv- B. A spacer reduces the amount of drug that
ered to the oropharynx reaches the mouth and oropharynx.
C. To increase the amount of drug deliv- C. A spacer ensures that the drug enters the
ered on exhalation oropharynx at the beginning of inhalation.
D. To increase the speed of drug delivery D. A spacer slows the delivery of the drug into
into the mouth the mouth.
2. A nurse in an outpatient clinic is caring for The client is at risk for developing Bone Loss,
a client. Oral Candidiasis, and Hyperglycemia.
Today A client presents to the clinic today
with reports of shortness of breath while
walking and a cough for the past 3 months.
Current smoker, reports smoking 1 pack
per day for the past 55 years. History of
hypertension, hyperlipidemia, and depres-
sion.
Drag words from the choices below to fill
in each blank in the following sentence.
3. The client presents to the clinic with re- Neurological Adverse Effects: Drowsiness,
ports of runny nose, sneezing itchy eyes, Headaches
congestion, and sinus pressure. Reports
having difficulty breathing through nose, Respiratory Adverse Effects:
coughing while lying down, and fatigue. Nose Bleeds
Manifestations started during the spring
, ATI Pharmacology Made Easy 5.0 ~ The Respiratory System Test
Study online at https://quizlet.com/_goscfe
while outside gardening. Denies fever and Gastrointestinal Adverse Effects:
chills. Dry Mouth, Sore Throat
4. A nurse is caring for client who presents headaches, nosebleeds, dry mouth, sour
to the clinic with reports of runny nose, throat, drowsiness
sneezing, itchy eyes, congestion, and sinus
pressure. Reports having difficulty breath- The nurse should educate the client about
ing through nose, coughing while lying the potential adverse effects of budes-
down, and fatigue. Manifestations start- onide nasal spray and cetirizine. Budesonide
ed during the spring while outside gar- is a nasal corticosteroid with adverse ef-
dening. Denies fever and chills. Bilater- fects of headaches, epistaxis (nose bleeds),
al swelling and erythema of the nasal dry mouth, and sore throat. Cetirizine is
turbinates. Clear drainage post orophar- a 2nd generation antihistamine with ad-
ynx. Retracted tympanic membranes bilat- verse effects of drowsiness and dry mouth.
erally. Lungs clear to auscultation bilater- Methylamines, such as theophylline, can
ally. Prescritpion: Budesonide nasal spray cause seizures. Sympathomimetics, such as
1 spray once a day Cetirizine 10 mg by phenylephrine, can cause rebound conges-
mouth once a day. For each body sys- tion. Opioid antitussives, such as codeine,
tem below, click to specify the adverse ef- can cause respiratory depression. Mucolyt-
fect that the nurse should include in client ics, such as acetylcysteine, can cause bron-
instructions about the newly prescribed chospasm. Oral corticosteroids, such as
medication. Each body system may sup- prednisone, can cause peptic ulcer disease.
port more than 1 potential adverse effect. Leukotriene inhibitors, such as zileuton, can
cause liver damage and suicidal thinking.
5. A client presents to the clinic today with oral candidiasis, hyperglycemia, and bone
reports of SOB while walking and a cough loss
for the past 3 months. Current smoker, 1
pack per day for the past 55 years. His- The nurse should identify that the client is at
tory of hypertension, hyperlipidemia, and risk for developing bone loss, oral candidi-
depression. Dyspneic while walking in clin- asis, and hyperglycemia due to use of glu-
ic. Shallow, rapid breaths. Bilateral expira- cocorticoids. The nurse's findings indicate
, ATI Pharmacology Made Easy 5.0 ~ The Respiratory System Test
Study online at https://quizlet.com/_goscfe
tory wheezing. Nonproductive, dry cough. that the client has chronic obstructive pul-
Sinus tachycardia rhythm, S1 S2, no mur- monary disease and should be prescribed
murs or extra heart sounds. Radial and glucocorticoids to decrease the inflamma-
pedal pulses +1 bilaterally. Pedal edema tion and bronchial hyperactivity. Oral glu-
of lower extremities +1. RR 30, BP 144/88, cocorticoids are prescribed for short-term
94% O2 use to relieve dyspnea. Inhaled glucocorti-
coids, such as fluticasone, are prescribed for
Prednisone 60 mg once a day by mouth for long-term management to prevent exacer-
14 days bations of dyspnea. With long-term use of
Fluticasone/salmeterol 250 mcg/50 mcg 1 oral or inhaled glucocorticoids greater than
inhalation twice a day 10 days, a client is at risk for developing oral
Albuterol MDI 2 inhalation every 4 to 6 hr candidiasis, bone loss, and hyperglycemia.
as needed for shortness of breath To prevent oral candidiasis, the client should
Chest x-ray: Hyperinflation of bilateral rinse their mouth with water and gargle after
lungs and flattened diaphragm present. each inhalation of the glucocorticoid. The
Pulmonary Function Test: 49% FVC1 client should take supplemental calcium and
(Forced Expiratory Volume in 1 second) vitamin D, as well as perform weight bearing
The client is at risk for developing ________ exercises to prevent bone loss. The nurse
, _________ , and _________. should also instruct the client to monitor
their blood glucose.
6. A nurse is caring for a client who is hav- C. Acetylcysteine
ing difficulty mobilizing thick respiratory
secretions. Which of the following drugs Rationale:
should the nurse expect to administer to A. Ipratropium reduces nasal secretions and
the client? is used to treat allergic and nonallergic rhi-
norrhea.
A. Ipratropium B. Beclomethasone is a glucocorticoid that
B. Beclomethasone reduces inflammation.
C. Acetylcysteine C. Acetylcysteine is a mucolytic that loosens
D. Azelastine thick respiratory secretions.
Study online at https://quizlet.com/_goscfe
1. For which of the following reasons should A. To increase the amount of medication de-
a client attach a spacer to a metered dose livered to the lungs
inhaler?
Rationale:
A. To increase the amount of drug deliv- A. A spacer increases the amount of drug that
ered to the lungs reaches the lungs.
B. To increase the amount of drug deliv- B. A spacer reduces the amount of drug that
ered to the oropharynx reaches the mouth and oropharynx.
C. To increase the amount of drug deliv- C. A spacer ensures that the drug enters the
ered on exhalation oropharynx at the beginning of inhalation.
D. To increase the speed of drug delivery D. A spacer slows the delivery of the drug into
into the mouth the mouth.
2. A nurse in an outpatient clinic is caring for The client is at risk for developing Bone Loss,
a client. Oral Candidiasis, and Hyperglycemia.
Today A client presents to the clinic today
with reports of shortness of breath while
walking and a cough for the past 3 months.
Current smoker, reports smoking 1 pack
per day for the past 55 years. History of
hypertension, hyperlipidemia, and depres-
sion.
Drag words from the choices below to fill
in each blank in the following sentence.
3. The client presents to the clinic with re- Neurological Adverse Effects: Drowsiness,
ports of runny nose, sneezing itchy eyes, Headaches
congestion, and sinus pressure. Reports
having difficulty breathing through nose, Respiratory Adverse Effects:
coughing while lying down, and fatigue. Nose Bleeds
Manifestations started during the spring
, ATI Pharmacology Made Easy 5.0 ~ The Respiratory System Test
Study online at https://quizlet.com/_goscfe
while outside gardening. Denies fever and Gastrointestinal Adverse Effects:
chills. Dry Mouth, Sore Throat
4. A nurse is caring for client who presents headaches, nosebleeds, dry mouth, sour
to the clinic with reports of runny nose, throat, drowsiness
sneezing, itchy eyes, congestion, and sinus
pressure. Reports having difficulty breath- The nurse should educate the client about
ing through nose, coughing while lying the potential adverse effects of budes-
down, and fatigue. Manifestations start- onide nasal spray and cetirizine. Budesonide
ed during the spring while outside gar- is a nasal corticosteroid with adverse ef-
dening. Denies fever and chills. Bilater- fects of headaches, epistaxis (nose bleeds),
al swelling and erythema of the nasal dry mouth, and sore throat. Cetirizine is
turbinates. Clear drainage post orophar- a 2nd generation antihistamine with ad-
ynx. Retracted tympanic membranes bilat- verse effects of drowsiness and dry mouth.
erally. Lungs clear to auscultation bilater- Methylamines, such as theophylline, can
ally. Prescritpion: Budesonide nasal spray cause seizures. Sympathomimetics, such as
1 spray once a day Cetirizine 10 mg by phenylephrine, can cause rebound conges-
mouth once a day. For each body sys- tion. Opioid antitussives, such as codeine,
tem below, click to specify the adverse ef- can cause respiratory depression. Mucolyt-
fect that the nurse should include in client ics, such as acetylcysteine, can cause bron-
instructions about the newly prescribed chospasm. Oral corticosteroids, such as
medication. Each body system may sup- prednisone, can cause peptic ulcer disease.
port more than 1 potential adverse effect. Leukotriene inhibitors, such as zileuton, can
cause liver damage and suicidal thinking.
5. A client presents to the clinic today with oral candidiasis, hyperglycemia, and bone
reports of SOB while walking and a cough loss
for the past 3 months. Current smoker, 1
pack per day for the past 55 years. His- The nurse should identify that the client is at
tory of hypertension, hyperlipidemia, and risk for developing bone loss, oral candidi-
depression. Dyspneic while walking in clin- asis, and hyperglycemia due to use of glu-
ic. Shallow, rapid breaths. Bilateral expira- cocorticoids. The nurse's findings indicate
, ATI Pharmacology Made Easy 5.0 ~ The Respiratory System Test
Study online at https://quizlet.com/_goscfe
tory wheezing. Nonproductive, dry cough. that the client has chronic obstructive pul-
Sinus tachycardia rhythm, S1 S2, no mur- monary disease and should be prescribed
murs or extra heart sounds. Radial and glucocorticoids to decrease the inflamma-
pedal pulses +1 bilaterally. Pedal edema tion and bronchial hyperactivity. Oral glu-
of lower extremities +1. RR 30, BP 144/88, cocorticoids are prescribed for short-term
94% O2 use to relieve dyspnea. Inhaled glucocorti-
coids, such as fluticasone, are prescribed for
Prednisone 60 mg once a day by mouth for long-term management to prevent exacer-
14 days bations of dyspnea. With long-term use of
Fluticasone/salmeterol 250 mcg/50 mcg 1 oral or inhaled glucocorticoids greater than
inhalation twice a day 10 days, a client is at risk for developing oral
Albuterol MDI 2 inhalation every 4 to 6 hr candidiasis, bone loss, and hyperglycemia.
as needed for shortness of breath To prevent oral candidiasis, the client should
Chest x-ray: Hyperinflation of bilateral rinse their mouth with water and gargle after
lungs and flattened diaphragm present. each inhalation of the glucocorticoid. The
Pulmonary Function Test: 49% FVC1 client should take supplemental calcium and
(Forced Expiratory Volume in 1 second) vitamin D, as well as perform weight bearing
The client is at risk for developing ________ exercises to prevent bone loss. The nurse
, _________ , and _________. should also instruct the client to monitor
their blood glucose.
6. A nurse is caring for a client who is hav- C. Acetylcysteine
ing difficulty mobilizing thick respiratory
secretions. Which of the following drugs Rationale:
should the nurse expect to administer to A. Ipratropium reduces nasal secretions and
the client? is used to treat allergic and nonallergic rhi-
norrhea.
A. Ipratropium B. Beclomethasone is a glucocorticoid that
B. Beclomethasone reduces inflammation.
C. Acetylcysteine C. Acetylcysteine is a mucolytic that loosens
D. Azelastine thick respiratory secretions.
