ATI Learning System RN 2.0 | Pharmacology Final Practice, Exam Questions & Answers-A nurse is reinforcing teaching with the parents of a school-age child who has asthma about medications for bronchospasm. Which of the fo
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ATI Learning System RN 2.0 | Pharmacology Final Practice, Exam Questions & Answers-A nurse is reinforcing teaching with the parents of a school-age child who has asthma about medications for bronchospasm. Which of the following inhaled medications should the nurse instruct the parents to use to relieve and acute asthma attack?
A. Salmeterol
B. Cromolyn
C. Fluticasone
D. Albuterol - ANS: D
Albuterol
Albuterol is a short-acting beta2-adrenergic agonist that is used to provide immediate relief for an acute asthma attack. One or two puffs every 4 to 6 hr PRN is the usual prescribed dose for a school-age child. If higher or more frequent doses are needed, the provider should evaluate the client for worsening asthma.
A nurse is reinforcing teaching with a client who has hypertension and a new prescription for oral clonidine. Which of the following instructions should the nurse include in the teaching?
A. Discontinue the medication if a rash develops.
B. Expect increased salivation during the first few weeks of therapy.
C. Minimize fiber intake to prevent diarrhea.
D. Avoid driving until the client's reaction to the medication is known. - ANS: D
Avoid driving until the client's reaction to the medication is known.
Clonidine can cause drowsiness, weakness, sedation, and other CNS effects. Until the client's response to the medication is known, the nurse should instruct the client to avoid driving or handling other potentially hazardous equipment. Over time, these effects are likely to decrease.
A nurse is reinforcing discharge teaching with a client who has major depressive disorder and a new prescription for phenelzine. Which of the following foods should the nurse include in the plan as safe for the client to consume while taking phenelzine?
A. Broiled beef steak
B. Macaroni and cheese
C. Pepperoni pizza
D. Smoked salmon - ANS: A
Broiled beef steak
Phenelzine, an MAOI, is an antidepressant. This medication interacts with a variety of foods to produce a hypertensive crisis. Beef steak and other meats that are fresh do not interact with phenelzine and are safe to consume.
Most cheeses, except for cottage cheese and cream cheese, interact with MAOIs, such as phenelzine, and can cause hypertensive crisis.
Pepperoni, salami, and other dried or cured meats interact with MAOIs, such as phenelzine, and can cause hypertensive crisis.
Fish that has been cured or dried interacts with MAOIs, such as phenelzine, and can cause hypertensive crisis.
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