Exam 31: Drugs Used to Treat Lower Respiratory Disease

Within minutes of the initiation of a nebulizer treatment with a sympathomimetic bronchodilator, the patient turns on his call light and states that he feels "panicky" and his heart is racing.Which action will the nurse take?

What is the action of zafirlukast (Accolate), a leukotriene receptor antagonist?

What structures in the respiratory tract assist in removing foreign bodies such as smoke and bacteria?

The nurse is completing the admission of an older adult patient with a history of COPD whose diagnosis is pneumonia.Which assessments would be most important to include in obtaining the history? (Select all that apply.)

The nurse is teaching a patient with a history of COPD to self administer tiotropium (Spiriva) by dry powder inhalation.Which information provided by the nurse is accurate?

The nurse is providing instruction about ipratropium (Atrovent) to a patient with chronic obstructive pulmonary disease (COPD).Which is a common adverse effect that tends to resolve with therapy?

The nurse is preparing to administer two inhalations of ipratropium bromide (Atrovent).When providing this medication, the nurse will instruct the patient to: (Select all that apply.)

An adult patient is admitted for an asthma attack.Which assessment obtained by the nurse would support that albuterol (Proventil) was effective?

Which physical assessment(s) would be pertinent to the patient with asthma? (Select all that apply.)

Which statement(s) about acetylcysteine is/are true? (Select all that apply.)

A patient is seen in the emergency department.The patient had been maintained on theophylline (Theo Dur), and a blood sample reveals the serum theophylline level is subtherapeutic.Which may cause a subtherapeutic serum level?

A resident in a long term care facility diagnosed with COPD has a new medication order for indacaterol.When the nurse is providing education to the resident regarding this medication, information will include that:

From where do the fluids of the respiratory tract originate?

What is the reason for administering potassium iodide to a patient with emphysema?

Which statement(s) about ipratropium bromide (Atrovent) is/are true? (Select all that apply.)

The nurse is providing nutrition information to a patient diagnosed with a lower respiratory tract disease.What is the rationale for limiting caffeine?

The nurse is obtaining a history of respiratory symptoms on a patient with the diagnosis of COPD.The patient reports smoking one pack of cigarettes per day for the past 20 years.The nurse calculates the pack years as:

Which statement(s) is/are true regarding the nursing assessment of a patient with a respiratory disorder? (Select all that apply.)

The health care provider in an outpatient clinic has prescribed omalizumab (Xolair) to a patient.Which primary outcome will the nurse teach the patient to expect?

Premedication assessments before the use of anticholinergic bronchodilating agents should verify that the patient has no history of which condition?