Exam 36: Lower Respiratory Disorders

A provider has prescribed ipratropium bromide/albuterol sulfate (Combivent)for a patient who has chronic obstructive pulmonary disease (COPD).The nurse explains that this combination product is prescribed primarily for which reason?

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?

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 patient will begin using an albuterol metered-dose inhaler to treat asthma symptoms.The patient asks the nurse about the difference between using an oral form of albuterol and the inhaled form.The nurse will explain that the inhaled form of albuterol

The nurse is caring for a patient who is receiving intravenous theophylline.The patient complains of headache and nausea.The nurse will contact the provider to

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 patient who is using inhaled cromolyn sodium (Intal)daily calls the clinic to report experiencing cough and a bad taste.The nurse will instruct the patient to perform which action?

The nurse is caring for a patient who will begin taking theophylline at home.During the assessment,the nurse learns that the patient smokes.The nurse reports this to the provider and will expect the provider to

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?

The nurse is teaching a patient who will begin taking oral theophylline (Theo-Dur)when discharged home from the hospital.What information will the nurse include when teaching the patient about this drug?

A patient who has been taking theophylline at home reports having palpitations and jitteriness.What action will the nurse take?

The nurse is performing a medication history on a patient who reports long-term use of montelukast (Singulair)and an albuterol metered-dose inhaler (Proventil).The nurse will contact the provider to discuss an order for which laboratory tests?

The nurse is caring for a patient diagnosed with COPD who has been prescribed tiotropium.Which statement will the nurse include in the education?

The nurse provides teaching for patient who will begin taking montelukast sodium (Singulair).The patient reports sensitivity to aspirin.Which statement by the patient indicates a need for further teaching?

A patient who uses an inhaled glucocorticoid medication reports having a sore tongue.The nurse notes white spots on the patient's tongue and oral mucous membranes.After notifying the provider,the nurse will remind the patient to perform which action?