RESPIRATORY AND CARDIOVASCULAR

DRUGS
A cromolyn sodium inhaler is prescribed for a client with allergic asthma. The nurse
provides instructions regarding the side and adverse effects of this medication and
should tell the client that which undesirable affect is associated with the medication? *

Bronchospasm
Insomia
Constipation
Hypotension

After instructing a client to use Salmeterol Fluticasone propionate (Seretide) inhaler,

which of the following statements by the client indicates to the nurse that the teaching
has been successful? *

“I will take it with meals to mask the taste”

“I will rinse my mouth after each use”
“I will limit 2 cups of coffee per day”
“I will take it before bed each night”

Terbutaline is prescribed for a client with bronchitis. The nurse understand that this
medication should be used with caution if which medical condition is present? *

Polycystic Disease
Hypothyroidism
Osteoarthritis
Diabetes Mellitus

The nurse is admitting a client with asthma who is to be started on theophylline. Which
of the following questions would be appropriate to ask this client? *

“Are you a diabetic and taking insulin?”

“Do you exercise routinely?”
“Do you take cimetidine (Tagamet)?”
“Do you use aspirin on a daily basis?”

A client arrives at the emergency room in status asthmaticus. Which of the following is
the priority nursing action? *

Provide emotional support.

Administer aminophylline intravenously as ordered.
Monitor the respiratory status and for signs of hypoxia
Administer inhaled bronchodilator therapy as ordered
A clinical instructor is preparing to teach her class on the appropriate use of nebulizers
and metered dose inhalers. Which of the following should the C.I. include in the class? *

Metered dose inhalers require a gas flow rate of 6 to 10 L/min.

Nebulizers deliver medication through a face mask or mouthpiece
Metered dose inhalers require refrigeration.
Nebulizers deliver doses in puffs

The nurse is caring for a client with lung Cancer who has intractable cough an is
exhausted from the effort of coughing. Which of the following drugs should the nurse
administer to this client? *

Benadryl
Phenergan
Codeine
Rifampicin

When instructing a client to use a metered dose inhaler, it would be essential for the
nurse to include which of the following instructions? *

place the canister six inches infront of an open mouth.

activate the canister at the beginning of a slow deep breath.
take a quick deep breath after activating the canister.
hold the breath for three seconds after using the inhaler.

A client with acute asthma is treated for inspiratory and expiratory wheezes and a
decreased forced expiratory volume. Which class of prescribed drugs should the nurse
administer first to this client? *

Mucolytics
Antitussives
Oral steroids
Bronchodilators

A client who has asthma asks the nurse why the preferred route administration for
corticosteroids is inhalation. The appropriate response by the nurse is: *

“The systematic adverse reactions are reduce”

“Inhaled medications are easier to take”
“No wearing is required when stopping the drug”
“Oral care is not required.”

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Which of the following drugs are contraindicated for patients who have undergone
thoracic surgery? *

Antitussives
Decongestants
Mucolytics
Antihistamine

A client as a prescription to take Guaifenesin (Mucinex). The student nurse determines

that the client understands the proper administration of this medication if the client
states that he or she will perform which action? *

take small frequent meals

decrease the amount of daily fluid intake.
take the medicine in an empty stomach
take an extra dose if fever develops

The nurse is monitoring a client who is taking digoxin (Lanoxin) for adverse effects.
Which findings are characteristic of digoxin toxicity? 1. Abdominal pain2. Irritability3.
Blurred vision4. Tremors *

3, 4
1, 3
1, 2
2, 3

A nursing student teaches the client about the effects of Loratadine (Claritin). Which of
the following health teachings is important to prevent gastrointestinal upset? *

Administer the drug in with alcohol.

Administer the drug in an empty stomach.
Administer the drug with a full glass of water.
Administer the drug with meals

Which of the following are adverse affects of antihistamine?1. Sedation2. Headache3.

Drowsiness4. Nausea *

3, 4
1, 3
2, 4
1, 2

Which of the following anticholinergic medicines, is the drug approved for once daily
maintenance treatment of bronchospasm-associated with COPD. *

Aclidinium
Umeclidinium
Ipatropium
 Tiotropium

The following antiholenergic effects of antihistamine are the following except: *

Headache and dizziness

Drying of the gastrointestinal mucous membranes
Drying of the respiratory mucous membranes
Urinary hesitancy

Theophylline is prescribed for client with bronchial asthma. Which laboratory test does
the nurse expect to be prescribed before the administration of this medication? *

Platelet count
Complete blood count
Liver function tests
Neutrophil count

Which of the following concepts related to bronchodilators are true?1. Bronchodilators

are helpful in the prevention of bronchial asthma2. Bronchodilators are helpful in the
prevention of bronchospasm associated with COPD3. Bronchodilators decrease over
production of secretions4. Bronchodilators depress the cough center in the medulla. *

3, 4
1, 4
1, 2
2, 3

A client has begun therapy with theophylline (Theo-24). The student nurse should plan
to teach the client to limit the intake of which of the following? *

Cottage cheese, cream cheese, eggs

Coffee, cola and chocolate
Melons, oranges and pineapple
Oysters, lobster, and shrimp

Patients who cannot tolerate the sympathetic effects of the sympathomimetics might
respond to which of the following drugs? *

Decongestants
Corticosteroids
Bronchodilators
Anticholenergics

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RESPIRATORY AND CARDIOVASCULAR

DRUGS
Untitled Section
Which of the following drugs are contraindicated for patients who have undergone
thoracic surgery? *

Antitussives
Decongestants
Mucolytics
Antihistamine

A client as a prescription to take Guaifenesin (Mucinex). The student nurse determines

that the client understands the proper administration of this medication if the client
states that he or she will perform which action? *

take small frequent meals

decrease the amount of daily fluid intake.
take the medicine in an empty stomach
take an extra dose if fever develops

The nurse is monitoring a client who is taking digoxin (Lanoxin) for adverse effects.
Which findings are characteristic of digoxin toxicity? 1. Abdominal pain2. Irritability3.
Blurred vision4. Tremors *

3, 4
1, 3
1, 2
2, 3

A nursing student teaches the client about the effects of Loratadine (Claritin). Which of
the following health teachings is important to prevent gastrointestinal upset? *

Administer the drug in with alcohol.

Administer the drug in an empty stomach.
Administer the drug with a full glass of water.
Administer the drug with meals

Which of the following are adverse affects of antihistamine?1. Sedation2. Headache3.

Drowsiness4. Nausea *

3, 4
1, 3
 2, 4
1, 2

Which of the following anticholinergic medicines, is the drug approved for once daily
maintenance treatment of bronchospasm-associated with COPD. *

Aclidinium
Umeclidinium
Ipatropium
Tiotropium

The following antiholenergic effects of antihistamine are the following except: *

Headache and dizziness

Drying of the gastrointestinal mucous membranes
Drying of the respiratory mucous membranes
Urinary hesitancy

Theophylline is prescribed for client with bronchial asthma. Which laboratory test does
the nurse expect to be prescribed before the administration of this medication? *

Platelet count
Complete blood count
Liver function tests
Neutrophil count

Which of the following concepts related to bronchodilators are true?1. Bronchodilators

are helpful in the prevention of bronchial asthma2. Bronchodilators are helpful in the
prevention of bronchospasm associated with COPD3. Bronchodilators decrease over
production of secretions4. Bronchodilators depress the cough center in the medulla. *

3, 4
1, 4
1, 2
2, 3

A client has begun therapy with theophylline (Theo-24). The student nurse should plan
to teach the client to limit the intake of which of the following? *

Cottage cheese, cream cheese, eggs

Coffee, cola and chocolate
Melons, oranges and pineapple
Oysters, lobster, and shrimp

Patients who cannot tolerate the sympathetic effects of the sympathomimetics might
respond to which of the following drugs? *

Decongestants
 Corticosteroids
Bronchodilators
Anticholenergics

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RESPIRATORY AND CARDIOVASCULAR

DRUGS
Untitled Section
Which of the following types of antihypertensive drugs are used to treat a patient with
moderate to severe hypertension? *

Sympatholytic drugs
Vasodilating drugs
Beta blockers
Calcium channel blockers

A patient taking digoxin should be monitored for which of the following sings of drug
toxicity? *

all of these
abdominal pain
diplopia
confusion

The student nurse is caring for a client with hypertension. Which of the following drugs
should the nurse administer? *

Chlorothiazide (Diuril)
Furosemide (Lasix)
Nicardipine (Cardene)
Lanoxin

Vasodilating drugs are metabolized in the liver and most are excreted in the kidneys.
Which of the following laboratory tests determine the function of the kidneys?1. Blood
urea nitrogen (BUN)2. Creatinine3. Hemoglobin4. Complete blood count *

1, 3
 2, 4
1, 2
3, 4

Which of the following drugs should be given to a patient manifesting symptoms of

digoxin toxicity as antidote? *

Nitroglycerin
Digibind
Dopamine
Antacids

A client has been taking Viagra and is now experiencing angina. The physician has
prescribed nitroglycerin P.r.n for angina. Which of the following should the student nurse
include in her discharge instructions? *

Viagra should not be used within 24 hours of taking nitroglycerin

Viagra is not effective when used in combination with nitroglycerin
Nitroglycerin and Viagra should be taken at the same time
The effect of nitroglycerine is impaired by concurrent use of Viagra.

Which of the following is the priority for the nurse to assess before administering digoxin
(Lanoxin)? *

Assess the serum potassium

Monitor the renal function test
Monitor the vital signs
Auscultate the apical pulse for one full minute

A client has started taking the prescribed nitrates. The nursing student should teach the
client to avoid intake of which of the following? *

Oranges
Cheese
Coffee
Alcohol

Absorption of sublingual nitrates maybe delayed when taken with: *

Ipatropium
Digoxin
Furosemide
Propranolol

Based on an understanding of Nitroglycerin the nurse administers it for which of the

following reasons to a client with angina? *

Constrict the arteries

 Dilate the veins
Increase afterload
Increase preload

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RESPIRATORY AND CARDIOVASCULAR

DRUGS
The nurse is developing a medication schedule for a client receiving simvastatin
(Zocor). To promote maximal effectiveness the nurse should administer the drug. *

early in the morning

30 minutes before meals
at bedtime
30 minutes after meals

The following are the effects of Calcium channel blockers except: *

Reduce after load

Increase preload
Cause dilatation of the coronary arteries
Prevent arterioles from constriction

Which of the following drugs reduce the absorption of beta-blockers? *

Diuretics
Nonsteroidal anti-inflammatory drugs
Inotropics
Antacids

Which of the following drugs are the first line of therapy for treating hypertension? *

Calcium Channel Blockers

Nitrates
Diuretics
Beta-Adrenergic Antagonist

Which of the following drugs stimulate cardiac contractility?1. Dopamine2.

Dobutamine3. Atenolol4. Nadolol *
 1, 3
1, 4
1, 2
3, 4

The following adverse effects should be assessed by the student nurse for her patient
taking loop diuretic except: *

Hypokalemia
Dehydration
Nausea and vomiting
Orthostatic hypotension

Based on an understanding of - used for unstable angina, the nurse administers a beta-
blocker because of which of the following actions? *

to promote cardiovascular fluid shift

to increase myocardial contractility
to decrease heart rate
to promote coronary artery vasodilation

A client taking diuretics should increase his or her intake of which of the following? *

Oranges
Fish
Meat
Banana

Which of the following interventions should a nursing student include in the plan of care
for a client taking thiazide diuretics? *

Check peripheral extremities for edema

All of these
Take medication with food to avoid GI upset
Monitor vital signs, weight & urine output