d. Chronic bronchitis
a. zafirlukast (Accolate)
b. epinephrine (Adrenalin)
c. dexamethasone (Decadron)
d. oxtriphylline-theophyllinate (Choledyl)
c. Increased heart rate
d. Decreased white blood cell count
a. 1 to 10 mcg/mL
b. 10 to 20 mcg/mL
c. 20 to 30 mcg/mL
d. 30 to 40 mcg/mL
a. Maintenance treatment of asthma
b. Treatment of an acute asthma attack
c. Reversing bronchospasm associated with COPD
d. Treatment of inflammation in chronic bronchitis
a. Increase the IV drip rate.
b. Monitor the client for toxicity.
c. Continue to assess the client’s oxygenation.
d. Stop the IV for an hour then restart at lower rate.
b. Nonproductive cough
a. acetaminophen (Tylenol)
c. diphenhydramine (Benadryl)
d. St. John’s wort
a. Monitor client for potential chest pain.
b. Monitor blood pressure continuously.
c. Assess daily for hyperkalemia.
d. Assess 12-lead ECG each shift.
a. Salmeterol has a shorter onset of action.
b. Salmeterol does not have any side effects.
c. Albuterol has a longer onset of action.
d. Salmeterol has a longer duration of action.
a. “Take the medication as soon as you begin wheezing.”
b. “It will take about 3 weeks before you notice a therapeutic effect.”
c. “This medication will prevent the inflammation that causes your asthma attack.”
d. “Increase fiber and fluid in your diet to prevent the side effect of constipation.”
a. Call a code.
b. Ask the client to describe the symptoms.
c. Administer a beta2 adrenergic agonist.
d. Administer a long-acting glucocorticoid.
a. Monitor for heart rate >100 beats/min.
b. Tell the client not to drive for 2 hours.
c. Monitor for sedation.
d. Assess for elevated blood pressure.
a. Take two puffs to treat an acute asthma attack.
b. Rinse his mouth with water after each use.
c. Immediately stop taking his oral prednisone when he starts using AeroBid.
d. Not use his albuterol inhaler while he is taking AeroBid.
a. Tell the parent to hold the inhaler for the child.
b. Ask the health care provider to switch to oral medications.
c. Tell the parent that young children should not use inhalers.
d. Teach the child to use a spacer.
a. The client with a history of emphysema
b. The client with a history of type 2 diabetes
c. The client who is 16 years old
d. The client with atrial fibrillation with a rate of 100
a. Question the order; three inhalers should not be given at one time.
b. Administer the albuterol first, wait 5 minutes, and administer ipratropium bromide, followed by beclomethasone several minutes later.
c. Administer each inhaler at 30-minute intervals.
d. Administer beclomethasone first, wait 2 minutes, and administer ipratropium bromide, followed by the albuterol several minutes later.
a. “After you inhale the medication once, repeat until you obtain relief.”
b. “Make sure that you puff out air repeatedly after you inhale the medication.”
c. “Hold your breath for 10 seconds if you can after you inhale the medication.”
d. “Hold the inhaler in your mouth, take a deep breath, and then compress the inhaler.”
a. Decreased cough reflex
b. Decreased nasal secretions
c. Liquefying and loosening of bronchial secretions
d. Relief of bronchospasms
a. Take Tylenol for headaches when taking albuterol.
b. Monitor for orthostatic hypotension every 2 hours when taking albuterol.
c. Monitor blood glucose levels every 4 hours when taking albuterol.
d. An antianxiety agent may be prescribed to help with nervousness.
a. “Do not take these medications within 4 hours of each other.”
b. “Take the ipratropium at least 5 minutes before the cromolyn.”
c. “Administer both medications together in a metered-dose inhaler.”
d. “Take the ipratropium only in the mornings.”