Page 1654 - Saunders Comprehensive Review For NCLEX-RN

drowsiness, the client should avoid use of alcohol or central nervous system
depressants, operating a car, or engaging in other activities requiring mental
awareness during use.
Test-Taking Strategy: Note the strategic words, needs further instruction. These
words indicate a negative event query and ask you to select an option that is
incorrect. Knowing that the medication has a sedative effect helps you eliminate
options 2 and 3 first because they are comparable or alike. Recalling that the
medication causes a dry mouth helps you choose the correct option as the answer,
according to the way the question is stated.
Level of Cognitive Ability: Evaluating
Client Needs: Physiological Integrity
Integrated Process: Teaching and Learning
Content Area: Pharmacology: Respiratory Medications: Antitussives
Health Problem: N/A
Priority Concepts: Client Education; Safety
Reference: Lilley et al. (2017), p. 575.

586. Answer: 4

Rationale: Cromolyn sodium is an inhaled nonsteroidal antiallergy agent and a
mast cell stabilizer. Undesirable effects associated with inhalation therapy of
cromolyn sodium are bronchospasm, cough, nasal congestion, throat irritation, and
wheezing. Clients receiving this medication orally may experience pruritus, nausea,
diarrhea, and myalgia.
Test-Taking Strategy: Note the words undesirable effect. This should assist in
directing you to the correct option. In addition, use the ABCs—airway, breathing,
and circulation—to select the correct option. The correct option addresses the
airway.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Teaching and Learning
Content Area: Pharmacology: Respiratory Medications: Restrictive Airway Disease
Agents
Health Problem: Adult Health: Respiratory: Asthma
Priority Concepts: Client Education; Gas Exchange
Reference: Burchum, Rosenthal (2016), pp. 925, 937.

587. Answer: 3

Rationale: Terbutaline is a bronchodilator and is contraindicated in clients with
hypersensitivity to sympathomimetics. It should be used with caution in clients with
impaired cardiac function, diabetes mellitus, hypertension, hyperthyroidism, or a
history of seizures. The medication may increase blood glucose levels.
Test-Taking Strategy: Focus on the subject, cautions for using terbutaline. Specific
knowledge regarding the contraindications and cautions associated with the use of
this medication is needed to answer this question. Remember that terbutaline is used
with caution in the client with diabetes mellitus.

1654