25.6: Review Questions
A nurse is caring for a client with acute bronchospasm. The health care provider orders albuterol, a short-acting beta-2 adrenergic agonist. What is the most appropriate rationale for administering albuterol to the client?
- Answer
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To induce bronchodilation
A client is ordered 60 mg of prednisone daily to be taken in three divided doses. How much will the client take for each dose?
- Answer
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20 mg
A nurse is reviewing the medication regimen of a client with asthma. The client is prescribed theophylline, a xanthine derivative. The nurse understands that theophylline is primarily used for what particular purpose?
- Answer
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Long-term control of asthma symptoms
A nurse is caring for a client with COPD who is prescribed ipratropium bromide, a respiratory anticholinergic medication. What is the most appropriate rationale for administering ipratropium bromide to the client?
- Answer
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To induce bronchodilation
The loading dose of theophylline is 4.6 mg/kg. The client for whom it is prescribed weighs 121 pounds. How much will the nurse give for the loading dose?
- Answer
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253 mg
A nurse is providing education to a client prescribed montelukast, a leukotriene modifier, for the management of asthma. The nurse informs the client about potential side effects of this medication. Which side effect should the nurse include in the client education?
- Answer
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Headache and dizziness
A nurse is assessing a client who has been prescribed a respiratory anticholinergic medication. What medical history would be a concern for this nurse when administering the anticholinergic medication?
- Answer
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History of urinary retention
A nurse is educating a client who has been taking methylprednisolone for an extended period. The nurse emphasizes the importance of gradually tapering the medication instead of abruptly stopping it. Which risk is the nurse concerned about?
- Answer
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Adrenal insufficiency
A nurse is providing education to a client who has been prescribed salmeterol, a long-acting beta-2 adrenergic agonist. The nurse instructs the client on the proper use of the medication. Which of the following statements by the client indicates a need for further education?
- Answer
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“I should use salmeterol for quick relief during an asthma attack.”
A nurse is caring for a client who has been prescribed tiotropium, an anticholinergic medication used to manage COPD. The nurse provides education to the client regarding the medication. Which of the following statements made by the client indicates an understanding of tiotropium?
- Answer
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“Tiotropium works by relaxing the muscles in my airways.”