Question 1

What is the rationale for using inhaled budesonide (Pulmicort)?

Accepted Answer

A) It causes bronchodilation. 
B) It thins bronchial secretions. 
C) It inhibits the activity of b-agonists. 
D) It provides an anti-inflammatory response. 
A) It causes bronchodilation. 
B) It thins bronchial secretions. 
C) It inhibits the activity of b-agonists. 
D) It provides an anti-inflammatory response. D

Question 2

Which drug is used in the treatment of acute attacks of bronchial asthma?

Accepted Answer

A) nedocromil 
B) salbutamol (Ventolin) 
C) zafirlukast (Accolate) 
D) triamcinolone 
A) nedocromil 
B) salbutamol (Ventolin) 
C) zafirlukast (Accolate) 
D) triamcinolone B

Question 3

After receiving a nebulizer treatment with a b-agonist,the patient reports feeling slightly nervous and wonders whether the asthma is getting worse.What is the nurse's best answer to the patient's concern?

Accepted Answer

A) "Feeling a little nervous is an expected adverse effect.Let me take your pulse to check it." 
B) "The next scheduled nebulizer treatment should be skipped." 
C) "I will notify the physician about this adverse effect." 
D) "We will hold the treatment for 24 hours." 
A) "Feeling a little nervous is an expected adverse effect.Let me take your pulse to check it." 
B) "The next scheduled nebulizer treatment should be skipped." 
C) "I will notify the physician about this adverse effect." 
D) "We will hold the treatment for 24 hours." A

Question 4

Which drugs are used for acute asthma attacks? (Select all that apply.)

Accepted Answer

A) zafirlukast (Accolate) tablets 
B) salbutamol (Ventolin) nebulizer solution 
C) Cromolyn metered-dose inhaler (MDI) 
D) Intravenous (IV) epinephrine 
E) fluticasone (Flovent)
F)beclomethasone (Qvar) MDI
G)aminophylline IV infusion 
A) zafirlukast (Accolate) tablets 
B) salbutamol (Ventolin) nebulizer solution 
C) Cromolyn metered-dose inhaler (MDI) 
D) Intravenous (IV) epinephrine 
E) fluticasone (Flovent)
F)beclomethasone (Qvar) MDI
G)aminophylline IV infusion

Question 5

A patient has prescriptions for two inhalers.One inhaler is a bronchodilator; the other is a corticosteroid.Which instruction should the nurse give the patient regarding these inhalers?

Accepted Answer

A) The corticosteroid should be taken first. 
B) The bronchodilator should be taken first. 
C) The two drugs should be taken at least 2 hours apart. 
D) The order of administration does not matter with these two drugs. 
A) The corticosteroid should be taken first. 
B) The bronchodilator should be taken first. 
C) The two drugs should be taken at least 2 hours apart. 
D) The order of administration does not matter with these two drugs.

Question 6

The physician has prescribed fluticasone (Flovent)to treat a patient's asthma.What important information should the nurse emphasize when teaching the patient about this medication?

Accepted Answer

A) The patient must use the proper technique for inhalation. 
B) The medication should be kept on the patient's person at all times for treatment of an acute asthma attack. 
C) The medication is to be taken every day on a continuous schedule, even if symptoms improve. 
D) When the asthma symptoms improve, the dosage schedule can be tapered and eventually discontinued. 
A) The patient must use the proper technique for inhalation. 
B) The medication should be kept on the patient's person at all times for treatment of an acute asthma attack. 
C) The medication is to be taken every day on a continuous schedule, even if symptoms improve. 
D) When the asthma symptoms improve, the dosage schedule can be tapered and eventually discontinued.

Question 7

A patient has recently been placed on inhaled corticosteroids.Which common adverse effects should the nurse discuss with the patient?

Accepted Answer

A) Fatigue and depression 
B) Anxiety and peripheral vasoconstriction 
C) Headache and rapid heart rate 
D) Oral candidiasis and dry mouth 
A) Fatigue and depression 
B) Anxiety and peripheral vasoconstriction 
C) Headache and rapid heart rate 
D) Oral candidiasis and dry mouth

Question 8

A patient has been prescribed an respiratory corticosteriod medication.What should the nurse tell this patient about the proper method for taking this medication?

Accepted Answer

A) Rinsing of the mouth after using the inhaler is recommended. 
B) The tubings and mouthpieces should be cleaned with only hot water. 
C) The medication is to be inhaled deeply, with the head tipped backward to maximize opening of the airway. 
D) After taking an inhaler medication, the patient should remove the inhaler and hold the breath for at least 20 seconds. 
A) Rinsing of the mouth after using the inhaler is recommended. 
B) The tubings and mouthpieces should be cleaned with only hot water. 
C) The medication is to be inhaled deeply, with the head tipped backward to maximize opening of the airway. 
D) After taking an inhaler medication, the patient should remove the inhaler and hold the breath for at least 20 seconds.

Question 9

Which is an adverse effect associated with the use of xanthine derivatives?

Accepted Answer

A) Diarrhea 
B) Palpitations 
C) Bradycardia 
D) Drowsiness 
A) Diarrhea 
B) Palpitations 
C) Bradycardia 
D) Drowsiness

Question 10

For which condition would the nurse anticipate treatment with montelukast (Singulair)?

Accepted Answer

A) Acute bronchospasm 
B) Exacerbation of chronic obstructive pulmonary disease 
C) Long-term treatment of emphysema 
D) Prophylaxis of asthma in children 
A) Acute bronchospasm 
B) Exacerbation of chronic obstructive pulmonary disease 
C) Long-term treatment of emphysema 
D) Prophylaxis of asthma in children

Question 11

A patient is taking aminophylline intravenously for a severe exacerbation of chronic obstructive pulmonary disease.Which effect does the nurse expect to note when evaluating for a therapeutic response to the medication?

Accepted Answer

A) Drowsiness 
B) Increased heart rate 
C) Increased respiratory rate 
D) Increased ease of breathing 
A) Drowsiness 
B) Increased heart rate 
C) Increased respiratory rate 
D) Increased ease of breathing

Exam 38: Respiratory Drugs

What is the rationale for using inhaled budesonide (Pulmicort)?

Which drug is used in the treatment of acute attacks of bronchial asthma?

After receiving a nebulizer treatment with a b-agonist,the patient reports feeling slightly nervous and wonders whether the asthma is getting worse.What is the nurse's best answer to the patient's concern?

Which drugs are used for acute asthma attacks? (Select all that apply.)

A patient has prescriptions for two inhalers.One inhaler is a bronchodilator; the other is a corticosteroid.Which instruction should the nurse give the patient regarding these inhalers?

The physician has prescribed fluticasone (Flovent)to treat a patient's asthma.What important information should the nurse emphasize when teaching the patient about this medication?

A patient has recently been placed on inhaled corticosteroids.Which common adverse effects should the nurse discuss with the patient?

A patient has been prescribed an respiratory corticosteriod medication.What should the nurse tell this patient about the proper method for taking this medication?

Which is an adverse effect associated with the use of xanthine derivatives?

For which condition would the nurse anticipate treatment with montelukast (Singulair)?

A patient is taking aminophylline intravenously for a severe exacerbation of chronic obstructive pulmonary disease.Which effect does the nurse expect to note when evaluating for a therapeutic response to the medication?

Nursing Practice in Canada and Drug Therapy

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Gene Therapy and Pharmacogenomics

Medication Errors: Preventing and Responding

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