Pharm2 30 31

Front 1

serious adverse effect of decongestants

Back 1

hypertension

Front 2

what time of the day do you take antihistamines?

Back 2

45 minutes before exposure to an allergen

Front 3

what results if a patient overuses topical decongestants?

Back 3

secondary congestion or
rebound congestion

Front 4

c/o of itchy, watery eyes, coughing, sneezing when outdoors. allergic to grass, what medication do you administer

Back 4

antihistamine

Front 5

what med do you give with allergic rhinitis who do not respond to antihistamines and sympathomimetics?

Back 5

corticosteroids

Front 6

what initiates the sneeze reflex?

Back 6

irritation of the nasal mucosa by foreign particulate matter. sneezing is a physiological reflex used by the body to clear the nasal passages of foreign matter

Front 7

what occurs in the nasal structures when cholinergic fibers are stimulated?

Back 7

production of serious and mucous secretions in the nostrils

Front 8

what process in the antigen-antibody reaction causes the symptoms of allergies?

Back 8

release of histamine

Front 9

teaching a patient with seasonal rhinitis and blocked nasal passages about intranasal corticosteroid therapy?

Back 9

use a decongestant prior to administration, ensures adequate penetration

Front 10

when does allergic rhinitis occur?

Back 10

1. nasal mucosa become inflamed
2. exposure secondary to an allergen produces inflammation
3. histamine is released following allergen exposure

Front 11

which of the following are true of antihistamines **they do not reduce nasal congestion**

Back 11

1. reduce inflammation locally
2. antagonize H1 receptors
3. administered orally
4. systemically distributed

Front 12

preparing education who has developed rebound nasal congestion secondary to use of topical decongestants

Back 12

1. follow dosage directions daily, do not overuse
2. stop topical use at once
3. nasal steroid solutions can be used by may take several days to reduce inflammation and congestion
4. use nasal saline spray to moisturize irritated mucosa

Front 13

which patients will be able to take an alpha-adrenergic decongestant safely?

Back 13

1. 24 y/o female with allergic rhinitis
2. 18 y/o male with cold symptoms
no hrt dz, glaucoma,prostatic hypertrophy

Front 14

teach for antihistamine therapy

Back 14

1. increase dietary fiber
2. do not take with RX med, until doctor approves
3. blurred vision is an expected adverse effect

Front 15

which topically active aersol steroids are highly effective for reducing sneezing, nasal itching, stuffiness, rhinorrhea?

Back 15

1. Beclomethasone (Beconase AQ)
2. Fluticasone (flonase)
3. Flunisolide (nasarel)
4. Budesonide (Rhinocort Aqua)

Front 16

patient has questions regarding a recently prescribed antitussive agent. which response by the nurse is best

Back 16

it will reduce the frequency of your cough

Front 17

which is a common otc expectorant

Back 17

guaifenesin

Front 18

why do you give potassium iodide to a patient with emphysema?

Back 18

to decrease mucus viscosity

Front 19

after minutes of a nebulizer treatment with a sympathomimetic bronchodilator, the patient feels panicky and heart is racing what do you do

Back 19

stop treatment notify the doctor

Front 20

pre-med assessments before the use of anticholinergic bronchodilating agents should verify that the patient has no history of what condition

Back 20

glaucoma

Front 21

the patient has been on theophylline (Theo-Dur) and a blood sample reveals the serum therophylline level is subtherapeutic. what causes a subtherapeutic serum level

Back 21

smoking

Front 22

what is the action of zafirlukast (Accolate), a leukotriene receptor antagonist?

Back 22

decreases leukotriene release

Front 23

what is albuterol (Proventil) used to treat?

Back 23

acute bronchospasm

Front 24

from where do the fluids of the respiratory tract originate

Back 24

specialized mucous glands called goblet cells, and serous glands that line the respiratory tract, over the trachea, bronchi, bronchioles

Front 25

what structures in the respiratory tract assist in removing foreign bodies such as smoke and bacteria?

Back 25

ciliary hairs

Front 26

providing instruction about ipratropium (atrovent) to a patient with copd, which is a common adverse effect that resolves with therapy

Back 26

dry mouth

Front 27

adult admitted with an asthma attack, which assessment would support that albuterol (proventil) was effective?

Back 27

decrease in wheezing present on auscultation

Front 28

a child with asthma, what statement does need further teaching

Back 28

we will confine our dog to the kitchen,
stuffed animals/freezer: wash bedding/hot water, damp cloth when dusting all true

Front 29

why would you limit caffeine?

Back 29

caffeine can result in thicker lung secretions

Front 30

patient teaching with hx of copd to self administer tiotropium (spiriva) by dry powder inhalation, what info is accurate

Back 30

avoid breathing into the mouthpiece

Front 31

what primary outcome should you expect using omalizumab (Xolair)

Back 31

less frequent asthma exacerbations

Front 32

what are true regarding nursing assessments of a patient with a respiratory disorder?

Back 32

1. fingernail clubbing is a sign of hypoxia
2. mental status will decrease as the o2 level in the body decreases
3. apnea is present in cheyne stokes respirations

Front 33

what is true about abg's

Back 33

1. arterial sample/drawn/analyzed asap
2. measures partial pressures of co2
3. measure blood ph
4. measure partial pressures of 02

Front 34

pt has hx of copd, which assessments would be most important to include in obtaining hx

Back 34

1. smoking hx/secondhand
2. meds
3. c/o and s/s
4. support system
5. home oxygen use

Front 35

which physical assessments are pertinent to the patient with asthma

Back 35

1. lung sounds
2. patient color
3. RR and effort of breathing
4. PEF?
3. Pulse ox reading

Front 36

what do you teach a patient with a steroid inhaler

Back 36

1. freq oral hygiene
2. rinse/spit after inhalation
3. when taking a steroid drug and a bronchodilator, the bronchodilator should be administered first
4. hold breath for 10 sec during inhalation

Front 37

what is true about abg's

Back 37

1. arterial sample/drawn/analyzed asap
2. measures partial pressures of co2
3. measure blood ph
4. measure partial pressures of 02

Front 38

pt has hx of copd, which assessments would be most important to include in obtaining hx

Back 38

1. smoking hx/secondhand
2. meds
3. c/o and s/s
4. support system
5. home oxygen use

Front 39

which physical assessments are pertinent to the patient with asthma

Back 39

1. lung sounds
2. patient color
3. RR and effort of breathing
4. PEF?
3. Pulse ox reading

Front 40

what is true about ipratropium (atrovent)

Back 40

1. aerosol inhalation
2. minimal effect on ciliary activity
3. may cause tachycardia or urinary retention

Front 41

what do you teach a patient with a steroid inhaler

Back 41

1. freq oral hygiene
2. rinse/spit after inhalation
3. when taking a steroid drug and a bronchodilator, the bronchodilator should be administered first
4. hold breath for 10 sec during inhalation

Front 42

what is true about acetylcysteine are true (mucomist)

Back 42

1. reduces viscosity of mucus
2. treats acetaminophen toxicity
3. givent to improve airway flow
4. administered by inhalation

Front 43

taking digoxin, laxix, proventil, client is at risk for?

Back 43

hypokalemia

Front 44

taking beta-adrenergic and maoi, risk for

Back 44

hypertension

Front 45

diabetic with acute bronchospasm, given epinephrine bronkaid, then what happens

Back 45

blood glucose level 156

Front 46

copd client how to administer multiple meds by inhalation

Back 46

1. wait at least one min between use of my different inhalers
2. consult dr before using otc meds

Front 47

beta adrenergic causes nervousness and temors

Back 47

symptoms are common will decrease over time

Front 48

home administration of theophylline theo dur

Back 48

take with food

Front 49

theophylline theo dur reports restlessness, what to do first

Back 49

check pt for hypoxia

Front 50

beclovent beclomethasone for copd

Back 50

beclovent decreases inflammation and makes it easier to breath

Front 51

cromolyn (intal)

Back 51

limits inflammation and bronchoconstriction with exposure to allergens

Front 52

cromolyn (intal) potential side effects

Back 52

1. dry mouth
2. headache
3. thoat irritation

Front 53

montelukast (singulair)

Back 53

singulair decreases inflammation and mucus secretions

Front 54

zafirlukast (accolate)

Back 54

liver function testing

Front 55

second generation vs first generation antihistamines, 2nd generation has reduced this side effect

Back 55

drowsiness

Front 56

drug interactions with benedryl

Back 56

1. alcohol
2. opiates
3. antianxiety agents
4. tricylic antidepressants

Front 57

proper technique for nasal sprays

Back 57

inhale while holding your finger over the other nostril

Front 58

nasal decongestant

Back 58

avoid eating or drinking for 30 min after medication administration

Front 59

fuaifenesin robitussin

Back 59

side effects include nausea, vomiting and rash

Front 60

side effects for opiod antitussive

Back 60

respirations of 10/min

Front 61

taking a mucolytic needs further teaching

Back 61

i should discard what i do not use of hte medicine after a week

Front 62

administer 50% oxygen

Back 62

venturi mask