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43 Cards in this Set
- Front
- Back
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The action of acetylcysteine (Mucomyst) is to a. dilate the bronchioles b. decrease inflammation in the bronchioles c. break down mucoproteins in the airways that block airflow d. stop the breakdown of the mast cell |
c. |
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Acetylcysteine (Mucomyst) is the drug of choice in the treatment of a. viral upper respiratory disease b. cystic fibrosis c. allergic rhinitis d. sinusitis |
b. |
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In addition to action on the respiratory system, acetylcysteine (Mucomyst) is used in the management of a. acetaminophen overdose b. migraine H/A c. nephrotoxicity d. pancreatitis |
a. |
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The action of albuterol (Proventil) is to a. dilate the bronchioles b. decrease inflammation in the bronchioles c. breakdown mucoproteins in the airways that block airflow d. stop the breakdown of the mast cell |
a. |
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When albuterol (Proventil) is administered by inhalation, relief of symptoms should occurs within a. 30 seconds b. 1 hour c. 30 minutes d. 5 minutes |
d. |
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Adverse effects associated with the use of albuterol (Proventil) include a. bradycardia and sedation b. tachycardia and palpitations c. constipation and bradycardia d. sedation and constipation |
b. |
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Ipratropium bromide (Atrovent) works by a. stimulating the action of the SNS b. blocking the action of the SNS c. stimulating the action of the PSNS d. blocking the action of the PSNS |
d. |
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Adverse effects of inhaled ipratropium bromide (Atrovent) include a. paradoxic acute bronchospasm b. bronchodilation c. tachycardia d. H/A |
a. |
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In general, ipratopium bromide (Atrovent) should be used a. every 2 hours PRN b. 3 to 4 times a day c. QD --> eat **** Shawn d. not more than twice a day |
b. |
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Theophylline (Theo-Dur) works by a. stimulating the SNS b. blocking the rupture of a mast cell c. directly affecting the smooth muscle of the respiratory tract d. blocking the action of the PSNS |
c. |
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The optimal therapeutic range for theophylline (Theo-Dur) is a. 10 to 20 mcg/mL b. 30 to 35 mcg/mL c. 2 to 5 mcg/mL d. 20 to 25 mcg/mL |
a. |
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Which of the following statements concerning theophylline (Theo-Dur) therapy is correct a. There are very few drug-drug interactions b. Although there are many drug-drug interactions, they are minor and require no special intervention c. There are many drug-drug interactions with theophylline that may require dosage changes d. CNS adverse effect rarely occur with theophylline |
c. |
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Patients taking theophylline (Theo-Dur) should avoid large amounts of a. milk b. charcoal-broiled beef c. chicken d. green leafy veggies |
b. |
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Flunisolide (Aerobid) should be given cautiously to patients with a. DM b. hypotension c. active infection of the respiratory system d. hypothyroidism |
c. |
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Flunisolide (Aerobid) works by a. inhibiting the production of leukotrienes and prostaglandins b. decreasing the activity of the inflammatory cells c. enhancing the responsiveness of beta receptors in airway smooth muscle d. All of the above |
d. |
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Which of the following statements concerning flunisolde (Aerobid) therapy is correct a. There are very few drug-drug interactions with flunisolide, b. Although there are many drug-drug interactions with flunisolde, they are minor and require no special intervention c. There are many drug-drug interactions that require dosage changes d. CNS adverse effects rarely occur with flunisolide |
a.
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Cromolyn sodium (Intal) works by a. blocking the action of the SNS b. blocking the actions of the PSNS c. bronchodilation d. preventing the release of chemicals that stimulate the inflammatory process |
d. |
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Cromolyn sodium (Intal) is contraindicated for patients a. with hepatotoxicity b. having an acute asthma attack c. with nephrotoxicity d. with chronic asthma |
b. |
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Which of the following statements concerning cromolyn sodium (Intal) therapy is correct a. There are no drug-drug b. Although there are many drug-drug interactions with cromolyn, they are minor and require no special intervention c. there are many drug-drug interactions that may require dosage changes d. CNS adverse effects rarely occur with cromolyn |
a. |
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Zafirlukast (Accolate) works by a. blocking the rupture of a mast cell b. blocking leukotriene receptor c. blocking the action of the SNS d. blocking the action of the PSNS |
b. |
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Serious adverse effects to zafirlukast (Accolate) therapy include a. CNS obtundation b. kidney failure c. hepatic failure d. respiratory depression |
c. |
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Zafirlukast (Accolate) should not be given to children younger than a. 18 years b. 5 years c. 12 years d. 10 years |
b |
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Which of the following drug is indicated for treatment of an acute asthma attack a. Flunisolide (Aerobid) b. Zafirlukast (Accolate) c. Ipratropium bromide (Atrovent) d. Albuterol (Proventil) |
d. |
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The most serious adverse effect associated with omalizumab (Xolair) is a. neoplasm b. cardiac toxicity c. neurotoxicity d. respiratory depression |
a. |
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Your 7 y/o patient has cystic fibrosis and is receiving acetylcysteine therapy. Before the therapy, you should anticipate the need for a. flunisolide (Aerobid) b. zafirlukast (Accolate) c. ipratropium bromide (Atrovent) d. albuterol (Proventil) |
d. |
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Which of these finding, if identified in a client who is being treated with acetylcysteine, would indicated that the drug is having the desired effect a. the respiratory secretions are no longer thick b. the nasal congestion is resolved c. the cough has subsided d. the temp is normal |
a. |
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Your 16 y/o patient receiving a diagnosis of asthma at age 11. The patient uses an albuterol inhaler. The patient comes too the clinic today and states, "This is worthless. I have to use it every 2 hours." With your knowledge of this drug, you suspect the patient may be a. noncompliant b. experiencing rebound bronchoconstrictions c. experiencing addiction d. smoking |
b. |
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the nurse should assess the patient taking albuterol (Proventil, Ventolin) for adverse effects that include a. tachycardia b. hypotension c. constipation d. GI distress |
a. |
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Your 21 y/o patient has asthma and takes albuterol (Proventil) as needed. The patient is seen at the clinic today, and health care provider provides adds ipratropium bromide (Atrovent) to the asthma regimen. It is important for you to teach the patient to use this inhaler a. only when the albuterol is not helping b. only when the patient feels bad c. twice a day, regardless of how the patient feels d. twice a day, if the patient feels tightness in the chest |
c. |
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Your 22 y/o patient has asthma and an order for ipratropium bromide (Atrovent). Before administration, you should assess for allergies to a. eggs b. milk c. pasta d. legumes |
d. |
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Your 42 y/o patient has asthma and takes oral theophylline. The patient states, "I hate those pills. I'm up all night and nervous." Which of the following interventions would be most helpful to this patient. a. administer the medication every other day b. contact the health care provider for an order for an inhaled steroid c. give the theophylline with milk d. break the pill in half and give each half 2 hours apart |
b. |
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Despite a long history of asthma, your patient continues to smoke a pack of cigarettes per day. During theophylline therapy, you would expect to administer a. a higher dose of theophylline b. a lower dose of theophylline c. a dose that would be the same as that for a nonsmoker |
a. |
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Patient teaching for patients receiving inhaled steroids should include which if the following a. "Rinse your mouth after use to avoid adverse effects." b. "Drink a glass of milk immediately after using your inhaler." c. "Use your inhaler when you have tightness in your chest." d. "drink lots of water during the day." |
a. |
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Your patient has exercise-induced asthma and the health care provider has just prescribed cromolyn sodium (Intal). Patient education should include instructions to a. use the inhaler the first sign of an acute attack b. use the inhaler only on days that the patient expects symptoms c. use the inhaler 15 to 20 minutes before participating in exercise d. use the inhaler 4 times a day, regardless of how the patient feels |
c. |
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Your patient has severe persistent asthma that is not controlled by inhaled steroids. Which of the following should be documented before initiation of omalizumab (Xolair) therapy? a. Adequate iron stores b. Normal renal and hepatic function c. Negative skin test for TB d. Positive skin test for perennial allergens |
D |
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Your patient has asthma and uses albuterol (Proventil), ipratropium bromide (Aatrovent), and beclomethasone dipropionate (Beclowvent) inhalers. The patient comes to the clinic for a routine checkup and states, "I can never remember which of these i should take fist." Which of the following statements is most appropriate in response? a. "It really does not matter; just be sure to take them all 4 times a day". b. Use the albuterol first. That will help the other two disperse further into your lungs" c. "Take the ipratropium first and then rinse your mouth. The other two can follow." d. Use the beclomethasone first and then rinse your mouth. Take the ipratropium second and the albuterol last." |
B |
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You are the nurse providing a nebulizer treatment of acetylcysteine for a patient with bilateral lower love pneumonia. Which of the following should you remember while administering drug therapy and caring for the patient? a. Keep diluted acetycysteine at room temperature b. The patient should avoid coughing after drug therapy c. Nebulization of the drug initially produces a sweet smell d. A sticky residue may form on the patient's face from therapy |
D |
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A patient has been started on an IV drip of aminophylline, a xanthine bronchodilator, for an acute COPD exacerbation. Which of the following should be included in the nursing care of this patient while he receives IV aminophylline? a. Assess breath sounds every 2 to 4 hours b. Assess for insomnia, tachycardia, and irritability c. Inform him that he will have blood drawn regularly while taking the drug d. All of the above e. None of the above |
D |
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A patient with asthma has been prescribed zafirlukast (a mast cell stabilizer), beclomethasone (a glucocorticoid steroid) metereddose inhaler, and albuterol (a beta-2 agonist) metered-dose inhaler. The patient says, "Why do I need three medications, including two inhalers? Can't I just take one pill?" Patient education should include a. the drugs work in different ways to provide better, more complete treatment b. the zafirlukast and the beclomethansone work to prevent asthmatic attacks, and the albuterol works to provide quick relief of asthmatic attacks c. giving beclomethansone and albuterol by inhalers helps to reduce their adverse effects d. All of the above E. None of the above |
D |
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A female patient has been prescribed cromolyn sodium as part of the treatment for her asthma. She has a history of irregular menstrual periods and lactose intolerance. What teaching does this patient need regarding the cromolyn sodium? a. Contact the provider if nausea, bloating, or abdominal cramps occur while taking this drug b. Use the inhaler when an asthmatic attack occurs Use the inhaler by first inhaling deeply and then triggering the inhaler to release a dose d. All the above e. None of the above |
A |
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Your patient begins a regimen of oral theophylline. In your patient education, you will need to tell this patient that he needs to avoid, or limit, the intake of which of these favorite foods and beverages? a. Lemon meringue pie (eats once every 4-5 months b. Fettuccine Alfredo (every 6 weeks - 2 months c. Iced tea (daily) d. Sprite soda (daily) e. Cheerios cereal (eats 5 or 6 days in a row every 3 months) |
C |
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A patient returns for a checkup after beginning a regimen of zafirlukast for asthma. Which of these findings would alarm you, the nurse, most? a. Absence of wheezing b. Mild headache c. Whites of the eyes are yellowed d. Upset stomach |
C |
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Your patient is prescribed albuterol inhaler, flunisolide inhaler, and cromolyn sodium inhaler for management of asthma (non exercise induced). You should teach the patient to a. use all the three everyday b. use all the three whenever they experience an asthmatic attack c. take the albuterol and the flunisolide every day but the cromolyn sodium only during an asthma attack d. take the flunisolide and the cromlyn sodium daily but the albuterol should be used when they are having an steam attack |
D |
