Question 1: (see full question) The nurse is caring for a client who is receiving IV theophylline for treatment of severe bronchospasm. The nurse will ensure that which item on the client’s food tray will be held while the client is receiving theophylline? You selected: Coffee Correct Explanation: Theophylline is a xanthine, which has properties that are close to caffeine; therefore, the nurse will ensure that the client doesn’t have anything on the tray that ha ... (more) Reference: Karch, A.M. Focus on Nursing Pharmacology, 6th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2013, Chapter 55: Drugs Acting on the Lower Respiratory Tract, p. 929. Question 2: (see full question) A patient is being assessed by the home care nurse on the administration of the inhalers. Which of the following will assist in proper administration of the inhaler? You selected: Use of a spacer Correct Explanation: The patient should be instructed to use a spacer to increase compliance and accuracy of administration. The corticosteroid should be administered after the bronchodilator. The incr ... (more) Reference: Karch, A.M. Focus on Nursing Pharmacology, 6th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2013, Chapter 55: Drugs Acting on the Lower Respiratory Tract, p. 933. Karch, A.M. Focus on Nursing Pharmacology, 5th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2011, Chapter 55: Drugs Acting on the Lower Respiratory Tract, p. 890. Question 3: (see full question) A client with COPD takes theophylline. The nurse identifies that the client is still experiencing severe dyspnea. Upon review of labs, the theophylline level remains nontherapeutic. The nurse evaluates the client for which of the following drugs that may cause decreased theophylline levels? You selected: Nicotine Correct Explanation: When combined with nicotine, theophylline levels are decreased. Allopurinol, cimetidine, and corticosteroids can increase theophylline levels. Reference: Karch, A.M. Focus on Nursing Pharmacology, 6th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2013, Chapter 55: Drugs Acting on the Lower Respiratory Tract, p. 929. Question 4: (see full question) Mark, 8 years old, is prescribed flunisolide. The physician advises Mark and his parents to use a spacer when administering this medication. What is the benefit of such use? You selected: It helps decrease the intrapulmonary delivery of the drug. Incorrect Correct response: It helps decrease systemic absorption. Explanation: Spacers help decrease systemic absorption, because less flunisolide is swallowed. Spacers may also help alleviate dysphonia by filtering larger aerosol particles that ordinarily de ... (more) Reference: Karch, A.M. Focus on Nursing Pharmacology, 6th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2013, Chapter 55: Drugs Acting on the Lower Respiratory Tract, p. 933. Karch, A.M. Focus on Nursing Pharmacology, 5th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2011, Chapter 55: Drugs Acting on the Lower Respiratory Tract, p. 890.