Podcast
Questions and Answers
What is a potential side effect of mucolytic agents such as hypertonic saline solution or acetylcysteine?
What is a potential side effect of mucolytic agents such as hypertonic saline solution or acetylcysteine?
- Bronchospasm (correct)
- Fluid overload
- Increased mucus production
- Electrolyte imbalance
What should a nurse advise a client regarding the use of a short-acting beta-2 agonist (SABA)?
What should a nurse advise a client regarding the use of a short-acting beta-2 agonist (SABA)?
- Use the SABA as the primary treatment for asthma control.
- Take the SABA with an oral glucocorticoid for effectiveness.
- Notify the provider if the SABA is needed more than twice per week. (correct)
- SABAs provide prolonged control of asthma.
What describes the primary mechanism of action of omalizumab?
What describes the primary mechanism of action of omalizumab?
- It reduces the number of immunoglobulin E (IgE) molecules on mast cells. (correct)
- It decreases the synthesis of inflammatory mediators.
- It stabilizes mast cell membranes.
- It relaxes smooth muscles by blocking adenosine receptors.
Which of the following is true regarding short-acting beta-2 agonists (SABAs)?
Which of the following is true regarding short-acting beta-2 agonists (SABAs)?
Which incorrect statement might a patient make regarding mucolytic agents?
Which incorrect statement might a patient make regarding mucolytic agents?
What should not be expected from a short-acting beta-2 agonist (SABA)?
What should not be expected from a short-acting beta-2 agonist (SABA)?
What is a potential consequence of combining zafirlukast with theophylline?
What is a potential consequence of combining zafirlukast with theophylline?
Which is an effect of using SABA too frequently?
Which is an effect of using SABA too frequently?
Which statement indicates a client understands the dietary needs while taking hydrochlorothiazide?
Which statement indicates a client understands the dietary needs while taking hydrochlorothiazide?
Why should a client report increased SABA use to their provider?
Why should a client report increased SABA use to their provider?
Which of the following is NOT an interaction to consider with the use of theophylline?
Which of the following is NOT an interaction to consider with the use of theophylline?
What adverse effect should a nurse monitor for in a client prescribed a mucolytic agent?
What adverse effect should a nurse monitor for in a client prescribed a mucolytic agent?
Why should a client taking hydrochlorothiazide consume potassium-rich foods?
Why should a client taking hydrochlorothiazide consume potassium-rich foods?
What is the primary role of albuterol sulfate in treatment?
What is the primary role of albuterol sulfate in treatment?
What is a key reason for prescribing enteric-coated aspirin for stroke prophylaxis?
What is a key reason for prescribing enteric-coated aspirin for stroke prophylaxis?
Which of these medications is correctly paired with its classification?
Which of these medications is correctly paired with its classification?
What is a common misconception about the effect of potassium when taking hydrochlorothiazide?
What is a common misconception about the effect of potassium when taking hydrochlorothiazide?
Why might long-term treatment with glucocorticoids lead to hypertension?
Why might long-term treatment with glucocorticoids lead to hypertension?
Which medication should a nurse anticipate for a client with atrial fibrillation scheduled for cardioversion?
Which medication should a nurse anticipate for a client with atrial fibrillation scheduled for cardioversion?
What side effects might a nurse expect from long-term glucocorticoid treatment?
What side effects might a nurse expect from long-term glucocorticoid treatment?
Which of the following statements about enteric-coated medications is incorrect?
Which of the following statements about enteric-coated medications is incorrect?
Which medication is NOT typically used to treat arrhythmias?
Which medication is NOT typically used to treat arrhythmias?
What happens if the coating of an enteric-coated medication fails to dissolve?
What happens if the coating of an enteric-coated medication fails to dissolve?
Which of the following statements about diltiazem is true?
Which of the following statements about diltiazem is true?
What adverse effect should a nurse monitor for when administering subcutaneous epinephrine?
What adverse effect should a nurse monitor for when administering subcutaneous epinephrine?
What is a possible serious adverse effect of alteplase administration?
What is a possible serious adverse effect of alteplase administration?
Which client statement indicates understanding of the nitroglycerin patch application?
Which client statement indicates understanding of the nitroglycerin patch application?
Which symptom is NOT an expected adverse effect of epinephrine?
Which symptom is NOT an expected adverse effect of epinephrine?
Why is bleeding a concern when administering alteplase?
Why is bleeding a concern when administering alteplase?
Which of the following is an incorrect practice regarding the nitroglycerin patch?
Which of the following is an incorrect practice regarding the nitroglycerin patch?
What is a major action of epinephrine that might cause tachycardia?
What is a major action of epinephrine that might cause tachycardia?
Which statement about alteplase is true?
Which statement about alteplase is true?
Why should the nitroglycerin transdermal patch be applied to hairless skin?
Why should the nitroglycerin transdermal patch be applied to hairless skin?
Which statement about the nitroglycerin patch placement is correct?
Which statement about the nitroglycerin patch placement is correct?
What is an expected side effect of brompheniramine?
What is an expected side effect of brompheniramine?
What advice should the nurse give to alleviate dry mouth caused by brompheniramine?
What advice should the nurse give to alleviate dry mouth caused by brompheniramine?
What central nervous system effects might a client experience while taking brompheniramine?
What central nervous system effects might a client experience while taking brompheniramine?
What medication is typically prescribed for a client experiencing unstable angina?
What medication is typically prescribed for a client experiencing unstable angina?
Which of the following gastrointestinal disturbances is known and does not need immediate reporting for a client taking brompheniramine?
Which of the following gastrointestinal disturbances is known and does not need immediate reporting for a client taking brompheniramine?
What is a potential side effect related to urinary frequency when taking brompheniramine?
What is a potential side effect related to urinary frequency when taking brompheniramine?
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Study Notes
Theophylline Interactions
- Zafirlukast suppresses the metabolism of theophylline, leading to potential toxicity.
- Theophylline should not be used with zafirlukast.
Hydrochlorothiazide
- Decreases potassium levels in the body.
- Requires a potassium-rich diet to avoid hypokalemia.
- Foods rich in potassium include: bananas, raisins, baked potatoes, pumpkins, and milk.
Mucolytics
- Thin mucus secretions.
- Can irritate airways, causing bronchospasm.
- Adverse effects can include a cough and thinning mucus secretions.
Short-Acting Beta-2 Agonists (SABAs)
- Used for the treatment of asthma attacks.
- Not for long-term asthma control.
- If used more than twice a week, a long-acting beta-2 agonist (LABA) should be considered.
Omalizumab
- Reduces the number of immunoglobulin E (IgE) molecules on mast cells.
- Reduces allergic response.
Glucocorticoids
- Long-term use can cause hypertension.
- Can cause restlessness, agitation, anxiety, and irritability.
Enteric-Coated Aspirin
- Dissolves in the small intestine, reducing gastric irritation.
- Protects the stomach lining from the effects of aspirin.
Diltiazem
- Calcium channel blocker.
- Reduces blood pressure.
- Used during cardioversion to treat atrial fibrillation.
Epinephrine
- Adrenergic agonist.
- Can cause tachycardia and dysrhythmia stimulation.
Alteplase
- Thrombolytic medication used to dissolve clots.
- Can cause bleeding.
Nitroglycerin Patch
- Should be applied to hairless skin for optimal absorption.
- Can cause skin irritation if applied to the same site repeatedly.
Brompheniramine
- First-generation antihistamine.
- Dry mouth can be an expected effect.
- Can cause gastrointestinal disturbances (nausea, vomiting, loss of appetite, diarrhea, constipation).
- Can cause central nervous system effects (dizziness, poor coordination, confusion, fatigue) .
Unstable Angina
- Nitroglycerin is the medication of choice to treat unstable angina.
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