EAQ 3, Week 2
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Questions and Answers

Which medication is a mast cel stabilizer?

  • Zileuton
  • Cromolyn (correct)
  • Montelukast
  • Arformoterol

Which condition is characterized by enlargement of air spaces caused by alveolar walls?

  • Rhinitis
  • emphysema (correct)
  • bronchia asthma
  • chronic bronchitis

Which medication given for the treatment of asthma can suppress bone growth in children?

  • A beta agonist
  • Corticosteroid (correct)
  • Anticholinergic
  • xanthine derivative

Which drug is a long acting beta-agonist (LABA) inhaler?

<p>Formoterol (A)</p> Signup and view all the answers

What is the elimination half-life of theophylline?

<p>6-13 hr (C)</p> Signup and view all the answers

Which time frame described how long it will take ipratropium to have its maximum effect?

<p>1-2 hr (C)</p> Signup and view all the answers

Which condition is contraindication for the administration of montelukast?

<p>lactose allergy (D)</p> Signup and view all the answers

which medication disrupts the inflammation response and is indicated in the treatment of asthma?

<p>Montelukast (C)</p> Signup and view all the answers

What is an adverse effect of albuterol? SATA

<p>palpitations (B), tachycardia (C), tremors (D)</p> Signup and view all the answers

Which anti-asthmatic, available only for oral use, is approved for use in children 1 years of age and older?

<p>Montelukast (C)</p> Signup and view all the answers

Which route would the nurse use to administer omalizumab?

<p>subcutaneous (D)</p> Signup and view all the answers

Which medication should be administered to a patient who has an acute asthmatic attack?

<p>Albuterol (A)</p> Signup and view all the answers

which antiasthmatic drugs work by preventing the inflammation commonly provoked by the substances released from mast cells?

<p>corticosteriods (A)</p> Signup and view all the answers

The nurse is teaching a patient who has asthma about the frequency of inhalation of salmeterol. Which statement by the patient indicates effective learning?

<p>&quot;I will inhale it twice a day approximately 12 hrs apart&quot; (D)</p> Signup and view all the answers

Which laboratory parameter would the nurse monitor for a patient who is prescribed theophylline?

<p>serum level of drug (A)</p> Signup and view all the answers

Which intervention would the nurse implement for a pediatric pt who is having difficulty using a metered dose inhaler?

<p>Teach the child to use a spacer (A)</p> Signup and view all the answers

Which side effect of beta agonist bronchodilator will the nurse teach the pt to report to the provider?

<p>Tachycardia (B)</p> Signup and view all the answers

Which is the correct nursing action for pt who is prescribed albuterol and beclomethasone inhalers?

<p>Administer albuterol wait 5 mins and administer beclomethasone (D)</p> Signup and view all the answers

Waking assessment will the nurse perform to evaluate a pt who reports dizziness after taking albuterol?

<p>blood pressure (B)</p> Signup and view all the answers

Which interaction can occur when an asthmatic pt consumes rifampin along with xanthine derivatives?

<p>Theophylline levels are decreased (A)</p> Signup and view all the answers

Which action would the nurse implement first for a pt who is taking ipratropium and complains of dry cough?

<p>Listen to the pt's lungs (B)</p> Signup and view all the answers

Which action by the pt will improve the absorption of tiotropium into the lung?

<p>Waiting for 1 to 2 mins before inhaling the second dose (C)</p> Signup and view all the answers

Which information would the nurse include regarding the use of antileukotriene agents, such as zafirlukast, in pt teaching?

<p>This medication will prevent the inflammation that causes you asthma attack (D)</p> Signup and view all the answers

Which adverse effects will the nurse monitor in a pt who is receiving tiotropium? Select all

<p>Nasal congestion (A), Heart palpitations (B), Dry mouth or throat (D)</p> Signup and view all the answers

Which order would the nurse anticipate for pt prescribed ipratropium for tx of COPD who also take diphenhydramine to treat allergies?

<p>Discontinue the dose of diphenhydramine (B)</p> Signup and view all the answers

Which intervention if followed may prevent a fatal outcome for pt changing from systemic corticosteroids to inhaled corticosteroids?

<p>Tapering dose of systemic corticosteroid (A)</p> Signup and view all the answers

Which complication would the nurse anticipate in pt who is prescribed theophylline therapy and complains of gastroesophageal reflux during sleep? Select all

<p>Vomiting (A), Increased urination (B), Ventricular dysrhythmias (C)</p> Signup and view all the answers

Which adjustment to drug therapy would the nurse anticipate the provider will make for pt who has been prescribed epinephrine and is also taking metformin?

<p>Increase dose of metformin (A)</p> Signup and view all the answers

Which complication would be prevented when nurse instructs the pt to rinse mouth with water immediately after inhaling ipratropium?

<p>Mucosal irritation and dryness (D)</p> Signup and view all the answers

The nurse is reviewing lab results for pt scheduled to receive theophylline for asthma. Based on theophylline level of 25 mcg/mL which action would the nurse take? Select all

<p>Hold the dose (A), Contact provider (B)</p> Signup and view all the answers

The provider has prescribed montelukast for tx of allergic rhinitis and allergy induced asthma. Which cue in health record would make use of this drug contraindicated? Dx: Seizure disorder, Allergy-induced asthma, Depression, Allergic rhinitis MAR: Phenobarbital 60 mg PO BID; Montelukast 10 mg PO daily; Citalopram 20 mg PO daily

<p>Phenobarbital (C)</p> Signup and view all the answers

Which instruction would nurse provide a pt beginning tx with fluticasone/salmeterol inhaler to prevent complications? Select all

<p>Monitor for signs of infection (A), Do not abruptly stop drug (B), Rinse your mouth out after dose (D)</p> Signup and view all the answers

Which parameter would nurse assess after a scheduled dose of albuterol-ipratropium is finished to determine drug effectiveness for pt with pneumonia? Select all

<p>Breath sounds (A), SpO2 (B), RR (C)</p> Signup and view all the answers

Which respiratory therapy would nurse administer to lower CO2 concentration of pt with COPD?

<p>Albuterol nebulizer (B)</p> Signup and view all the answers

Which step of asthma management involves a prescription for fluticasone and salmeterol inhaler?

<p>Step 6 (D)</p> Signup and view all the answers

Which med would nurse expect to administer to pt with bronchospasms who develops tachycardia?

<p>Levalbuterol (C)</p> Signup and view all the answers

Which item would the nurse advise a pt who is prescribed a zanthine-derivitive drug to avoid? Select all

<p>Coffee (A), Charcoal broiled foods (B), Cigarettes (C), Low carb foods (D)</p> Signup and view all the answers

Which instruction would the nurse give to the pt for safe administration of theophylline?

<p>Avoid intake of a high protein diet (B)</p> Signup and view all the answers

Which reason explains why the nurse would recommend an alternate method of contraception to a pt taking theophylline and an oral contraceptive?

<p>Oral contraceptives increase serum level of theophylline (D)</p> Signup and view all the answers

Which side effects would the nurse ask the pt to be watchful when administering mixed alpha/beta agonists? Select all

<p>Anorexia (A), Vascular headache (B), Cardiac stimulation (C)</p> Signup and view all the answers

Which medication will the nurse anticipate will be prescribed for a pt in status asthmaticus who continues to have symptoms after administration of epinephrine?

<p>Aminophylline (D)</p> Signup and view all the answers

Which will the provider prescribe to treat a pt with xanthine overdose?

<p>Activated charcoal (D)</p> Signup and view all the answers

Which priority instruction would the nurse include for pt with acute asthma who completed 4 days of IV methylprednisolone therapy and has just received a prescription for fluticasone at discharge?

<p>Take fluticasone exactly as it is prescribed (A)</p> Signup and view all the answers

Which biochemical test may be performed in pt before administration of an inhaled corticosteroid for tx of asthma?

<p>Sputum test (A)</p> Signup and view all the answers

Which laboratory value would the nurse monitor to ensure safe drug administration for a pt who is prescribed zileuton?

<p>Liver enzyme levels (B)</p> Signup and view all the answers

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