Question 1
1 out of 1 points
A nurse is providing discharge planning for a 45-year-old woman who has a
prescription for oral albuterol. The nurse will question the patient about her
intake of which of the followi
...
Question 1
1 out of 1 points
A nurse is providing discharge planning for a 45-year-old woman who has a
prescription for oral albuterol. The nurse will question the patient about her
intake of which of the following?
Response
Feedback:
The nurse should assess the patient's intake of caffeine, including
coffee, tea, soda, cocoa, candy, and chocolate. Caffeine has
sympathomimetic effects that may increase the risk for adverse
effects. Alcohol, salt, and vitamin C intake is important to assess,
but does not potentiate the effects of albuterol.
Question 2
1 out of 1 points
A 72-year-old female patient is prescribed ipratropium aerosol for pulmonary
emphysema. The nurse will instruct her to “test spray” the new metered-dose
inhaler (MDI) three times before using it to prevent which of the following?
Response
Feedback:
Ipratropium aerosols may produce paradoxic acute
bronchospasm, which may be fatal. Although this is rare, the
adverse effect is typically evident with the patient's first inhalation
from a newly opened MDI. The patient should be advised to “test
spray” the new MDI three times before using it. The anaphylactoid
reaction occurs when a patient has an unknown allergy to
soybeans, legumes, or soy lecithin. Severe adverse effects of
asymptomatic elevated hepatic enzyme levels and symptomatic
hepatitis with hyperbilirubinemia are normally associated with
zafirlukast.
Question 3
1 out of 1 points
After a recent history of shortness of breath that has become increasingly
severe, a woman has been prescribed ipratropium by MDI while she undergoes
a diagnostic workup. What patient teaching should the nurse provide to this
patient?
Response
Feedback:
Ipratropium should be taken daily, despite the absence of
symptoms. Breathing exercises are not necessarily required and
the drug controls symptoms but does not cure lung diseases.
Question 4
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