Extract:

Question 1 of 5

A nurse has been administering mucolytic-like Hypertonic Nasal drops to an infant she has been caring for. How can she chart the effectiveness of this medication in her narrative note?

A. The infant tolerated the instillation of the nose drops without any shortness of breath or fever.B. Saline nose drops inserted Infant cried a small amount.C. The infant tolerated the insertion of saline nose drops well.D. Saline nose drops were inserted into both nares.E. Large random breath respirations 26/minute.

Correct Answer: A,C,D

Rationale: Effective charting notes improved nasal congestion, tolerance without distress, and proper administration. Options A, C, and D reflect these, indicating the drops' mucolytic effect.

Question 2 of 5

Which type of medication is the first-line treatment for nasal congestion?

A. Nasal GlucocorticoidsB. Leukotriene ModifiersC. DecongestantsD. Antihistamines

Correct Answer: A

Rationale: Nasal glucocorticoids, like fluticasone, reduce inflammation in nasal passages, making them the most effective first-line treatment for nasal congestion due to allergic or non-allergic rhinitis. Leukotriene modifiers are mainly for asthma, decongestants offer temporary relief, and antihistamines target allergy symptoms but are less effective for congestion alone.

Question 3 of 5

A nurse is providing teaching to a client who has asthma and a new prescription for inhaled beclomethasone. Which of the following instructions should the nurse provide?

A. Check the pulse after medication administration.B. Limit caffeine intake.C. Take the medication with meals.D. Rinse the mouth after administration.

Correct Answer: D

Rationale: Beclomethasone, an inhaled corticosteroid, can cause oral thrush. Rinsing the mouth after use reduces this risk. Other options are not relevant to its administration.

Question 4 of 5

Client teaching regarding the use of leukotriene receptor antagonist (LTRAS) drug such as Montelukast (Singulair) would include which statement by the nurse?

A. Take the medication when you are short of breath and begin wheezing.B. It will take about 3 or 4 weeks before you notice a therapeutic effect.C. Increase fiber and fluid in your diet to prevent the common adverse effect of constipation.D. This medication works by preventing the inflammation that causes your asthma attacks.

Correct Answer: D

Rationale: Montelukast blocks leukotrienes, preventing airway inflammation and asthma attacks. It's for maintenance, not acute symptoms, and doesn't typically cause constipation or take weeks for effect.

Question 5 of 5

A client with diabetes mellitus is being admitted to the hospital for surgery. The client has been taking Glucocorticoids (Prednisone) long-term for uncontrolled COPD. Which of the following must the nurse consider when she is obtaining a health history?

A. Due to the use of long-term glucocorticoids her medication must not be abruptly discontinued to avoid adrenal suppression.B. The client may develop low blood pressure.C. The use of long-term glucocorticoids places the client at risk for increased susceptibility to infection.D. The use of long-term glucocorticoids may have contributed to a spike in blood glucose levels.E. The client will most likely experience more pain.

Correct Answer: A,C,D

Rationale: Long-term glucocorticoids suppress adrenal function, requiring gradual tapering to avoid insufficiency. They increase infection risk by suppressing immunity and can elevate blood glucose by causing insulin resistance. Low blood pressure and increased pain are not typical concerns.

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ATI NUR 229 Pharmacology Test 1 OEK Questions

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