Question 1

The client complains of numbness of the throat and tongue after taking benzonatate (Tessalon).What instruction should the nurse provide for the client?

Accepted Answer

Benzonatate capsules should be swallowed whole to avoid the numbing effect on the mouth and throat, which can occur if the capsule is chewed or dissolved.

Question 2

What is the correct term for blood flow through the lung?

Accepted Answer

Perfusion refers to the process of blood flowing through the vascular bed of a tissue or organ, and in the context of the lung, it specifically refers to the blood flow through the pulmonary circulation where gas exchange occurs.

Question 3

A client has been prescribed fexofenadine (Allegra)for allergic rhinitis.Which statement made by the client indicates the need for further teaching?

Accepted Answer

The client should take fexofenadine every day to prevent symptoms of allergies, not only when they have symptoms.

Question 4

A client has prescriptions for albuterol (Proventil HFA)and salmeterol (Serevent).Which instruction should the nurse provide for this client?

Accepted Answer

Albuterol, a short-acting beta agonist, should be taken first to open the airways, allowing the salmeterol, a long-acting beta agonist, to work more effectively afterwards.

Question 5

The client asks the nurse to identify possible causes of allergic rhinitis.Which causes should the nurse include in the client education? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

Allergic rhinitis can be triggered by various allergens and irritants. Dust mites, mold, pollen, and tobacco smoke are common triggers. Asthma is a related respiratory condition that can be exacerbated by the same triggers but is not a cause of allergic rhinitis.

Question 6

Decongestants should be used with caution in patients with which diagnoses? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

Decongestants can cause an increase in blood pressure and may also affect blood sugar levels, making them potentially risky for patients with hyperthyroidism, diabetes, hypertension, and heart disease. They are not contraindicated in allergic rhinitis, which is often a condition they are used to treat.

Question 7

The nurse explains to the client why inhalation medications work rapidly.What should the nurse include in the teaching? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

A) The lungs have a rich blood supply, which allows for rapid absorption of inhaled medications into the bloodstream. C) The lungs have a large surface area due to the alveoli, which increases the area over which the medication can be absorbed, thus facilitating rapid action.

Question 8

A client asks the nurse what the most commonly used OTC antitussive is.Which response by the nurse is most appropriate?

Accepted Answer

Dextromethorphan is the most commonly used over-the-counter (OTC) antitussive, which is used to suppress coughs.

Question 9

The nurse explains to the client the different ways to administer inhalation medications.Which administration technique should not be included in the teaching session?

Accepted Answer

Hypodermic syringes are used for injections and are not a method for administering inhalation medications. Dry powder inhalers, nebulizers, and metered-dose inhalers are all devices specifically designed for delivering medication directly to the lungs.

Question 10

A client asks the nurse what ventilation is.What is the most appropriate response by the nurse?

Accepted Answer

Ventilation refers specifically to the mechanical process of moving air into and out of the lungs, which is essential for gas exchange to occur.

Question 11

The nurse is caring for a client with asthma.The client asks the nurse what structures make up the upper respiratory tract.Which response by the nurse is the most appropriate?

Accepted Answer

The upper respiratory tract consists of the nose, nasal cavity, pharynx, and paranasal sinuses. These structures are involved in the intake, warming, humidifying, and filtering of air before it reaches the lower respiratory tract.

Question 12

The client asks the nurse which antihistamines are available as intranasal sprays.Which response by the nurse is most appropriate? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

C) Olopatadine (Patanase) and D) Azelastine (Astelin) are antihistamines available as intranasal sprays. Loratadine and Diphenhydramine are typically oral antihistamines, and Neo-synephrine is a decongestant, not an antihistamine.

Question 13

The nurse explains common triggers for asthma attacks to a client who was recently diagnosed.Which triggers should the nurse include in the teaching session? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

Household dust, aspirin (ASA), and tobacco smoke are common triggers for asthma attacks. Dust can contain allergens that irritate the airways, aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs) can trigger asthma in some individuals, and tobacco smoke is a well-known irritant to the respiratory system. Exercise can trigger asthma, but it is more commonly associated with cold or humid environments, not specifically dry, warm climates. Acetaminophen (Tylenol) is generally considered safe for individuals with asthma and is not a common trigger.

Question 14

Classmates of a hospitalized child want to bring a gift for their friend.Which gift is the most appropriate for this child based on the known causes of asthma?

Accepted Answer

A book is the most appropriate gift because it does not pose any risk of triggering asthma symptoms. Flowers and plants can trigger asthma due to pollen, and stuffed animals can collect dust mites, which are common asthma triggers.

Question 15

A client has been diagnosed with allergic rhinitis.Which symptoms would the nurse expect to observe? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

Allergic rhinitis typically presents with symptoms related to the nose and eyes, such as nasal congestion, watery eyes, and sneezing. Urticaria (hives) and wheezing are not typical symptoms of allergic rhinitis; wheezing is more associated with asthma, and urticaria is a skin reaction.

Question 16

After taking the medication guaifenesin (Mucinex),the client complains of coughing up phlegm.What is the best response by the nurse?

Accepted Answer

Guaifenesin (Mucinex) is an expectorant, which works by thinning and loosening mucus in the airways, clearing congestion, and making breathing easier. Coughing up phlegm after taking it indicates that the medication is working as intended, helping the body to expel mucus. This is a normal and desired effect of the medication.

Question 17

During an asthma attack,the bronchioles become swollen and contracted with excessive mucous secretion.How is this manifested in the client?

Accepted Answer

The answer of During an asthma attack,the bronchioles become swollen...

Question 18

The client wants to know why the physician prescribed an inhaled form of a beta-adrenergic stimulator instead of an oral form.What is the best response by the nurse?

Accepted Answer

Inhaled beta-adrenergic stimulators produce little systemic toxicity because they are delivered directly to the lungs, minimizing absorption into the bloodstream.

Question 19

A healthy client asks the nurse what types of medications can be taken for the common cold.Which drug classes should the nurse include in client education? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

Antitussives help suppress coughing, expectorants aid in clearing mucus from the airways, decongestants reduce nasal congestion, antihistamines can alleviate sneezing and runny nose, and antipyretics are used to reduce fever, all of which are symptoms associated with the common cold.

Question 20

A client asks the nurse what the goal of treatment for allergic rhinitis is.Which response by the nurse is the most appropriate?

Accepted Answer

The goal of treatment for allergic rhinitis is to prevent the occurrence of symptoms and to relieve the symptoms when they do occur. This approach helps manage the condition effectively without necessarily suppressing the immune system.

Quiz 30: Drugs for Respiratory Disorders

The client complains of numbness of the throat and tongue after taking benzonatate (Tessalon) .What instruction should the nurse provide for the client?

What is the correct term for blood flow through the lung?

A client has been prescribed fexofenadine (Allegra) for allergic rhinitis.Which statement made by the client indicates the need for further teaching?

A client has prescriptions for albuterol (Proventil HFA) and salmeterol (Serevent) .Which instruction should the nurse provide for this client?

The client asks the nurse to identify possible causes of allergic rhinitis.Which causes should the nurse include in the client education? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Decongestants should be used with caution in patients with which diagnoses? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

The nurse explains to the client why inhalation medications work rapidly.What should the nurse include in the teaching? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A client asks the nurse what the most commonly used OTC antitussive is.Which response by the nurse is most appropriate?

The nurse explains to the client the different ways to administer inhalation medications.Which administration technique should not be included in the teaching session?

A client asks the nurse what ventilation is.What is the most appropriate response by the nurse?

The nurse is caring for a client with asthma.The client asks the nurse what structures make up the upper respiratory tract.Which response by the nurse is the most appropriate?

The client asks the nurse which antihistamines are available as intranasal sprays.Which response by the nurse is most appropriate? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

The nurse explains common triggers for asthma attacks to a client who was recently diagnosed.Which triggers should the nurse include in the teaching session? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Classmates of a hospitalized child want to bring a gift for their friend.Which gift is the most appropriate for this child based on the known causes of asthma?

A client has been diagnosed with allergic rhinitis.Which symptoms would the nurse expect to observe? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

After taking the medication guaifenesin (Mucinex) ,the client complains of coughing up phlegm.What is the best response by the nurse?

During an asthma attack,the bronchioles become swollen and contracted with excessive mucous secretion.How is this manifested in the client?

The client wants to know why the physician prescribed an inhaled form of a beta-adrenergic stimulator instead of an oral form.What is the best response by the nurse?

A healthy client asks the nurse what types of medications can be taken for the common cold.Which drug classes should the nurse include in client education? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A client asks the nurse what the goal of treatment for allergic rhinitis is.Which response by the nurse is the most appropriate?