NCLEX-RN® Review

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Chapter 39

NCLEX-RN® Review

This activity contains 10 questions.

The client receives treatment for a respiratory condition through aerosol therapy. The nurse explains that the major advantage of this type if therapy is that:

	It has no systemic side effects.
	It delivers the medication to the site of action.
	The client requires no skill to use it.
	It is safe for all clients.

The nurse teaches the client that the major disadvantage of aerosol therapy is that:

	The medication is irritating to the bronchial tree.
	The medication is very expensive.
	The precise dose of the medication the client receives cannot be measured.
	The client cannot use the equipment unless supervised by medical personnel.

The client is using a beta-adrenergic agonist for treatment of asthma. The nurse teaches that the action of this drug is:

	Reducing mucus production.
	Relaxing smooth muscle, causing bronchodilation.
	Liquefying mucus.
	Reducing cough.

Client teaching for clients on long-term therapy with beta-adrenergic agonists for treatment of asthma should include:

	Discontinuing the drug if the heart rate increases.
	Monitoring intake and output.
	Reducing the dosage of the drug if insomnia occurs.
	Notifying the physician if the drug no longer seems effective.

The client is receiving theophylline (Theo-Dur) for treatment of asthma. Nursing intervention is required if the client makes which of the following statements?

	"I will check my heart rate each day."
	"I will take my medicine with my coffee each morning."
	"I will notify my doctor if my vision changes."
	"I will use my inhaler if I am wheezing."

An elderly male client is prescribed ipratropium (Atrovent) for the treatment of asthma. Appropriate nursing intervention includes:

	Teaching the client to avoid caffeine in the diet.
	Assessing for enlarged liver.
	Teaching the client to report inability to urinate.
	Monitoring for development of diarrhea.

The client is using beclomethasone (Beclovent) for treatment of chronic asthma. Which of the following statements indicates that the client understands drug therapy?

	"I will use my bronchodilator if my wheezing increases."
	"I will not need a flu shot now that I'm taking this medicine."
	"This is the only drug I will need to treat my asthma attacks."
	"I will use this drug only when I feel an attack coming on."

Nursing intervention for a client on long-term oral glucocorticoids includes:

	Assessing liver function tests.
	Assessing cardiac dysrhythmias.
	Assessing for signs of GI bleeding.
	Monitoring blood glucose for hypoglycemia.

The nurse teaches the client that the primary purpose of inhaled glucocorticoids is to:

	Achieve bronchodilation.
	Prevent respiratory distress.
	Relax bronchial smooth muscles.
	Aid in the ability to cough up mucus.

The client is prescribed cromolyn (Intal) for treatment of asthma. The nurse teaches the action of this drug is _________________.

	Mucolytic.
	Anti-infective.
	Anti-inflammatory.
	Bronchodilation.

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