Pulmonary Disease Management Class
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Questions and Answers

Which class of drugs used in the management of pulmonary diseases decreases the production of and inhibits the release of leukotrienes, histamine, and prostaglandins; inhibits the activity of eosinophils and leukocytes; and decreases vascular permeability to decrease airway edema?

  • Anticholinergics
  • Beta2-adrenergic agonists
  • Glucocorticoids (correct)
  • Leukotriene modifiers

    • Which range is the targeted therapeutic adult dosage range of theophylline?

  • 1 to 5 mcg/mL
  • 10 to 20 mcg/mL (correct)
  • 30 to 40 mcg/mL
  • 50 to 60 mcg/mL

    • Which statement describes a pharmacodynamic difference between albuterol and salmeterol?

  • Albuterol is considered “long-acting” and salmeterol is considered “short-acting.”
  • Salmeterol’s effects last for 3 to 4 hours, and albuterol has an extended duration of action up to 12 hours.
  • Because of the onset of action, albuterol should not be used during an acute attack of asthma, but instead, salmeterol should be used.
  • Based on pharmacodynamics, albuterol is typically dosed as needed based on symptoms whereas salmeterol is dosed twice daily. (correct)

    • Which statement is accurate regarding the pharmacokinetic profile of zafirlukast?

    <p>Zafirlukast undergoes hepatic metabolism.</p> Signup and view all the answers

    When can a patient anticipate ipratropium’s onset of action?

    <p>5 to 15 minutes</p> Signup and view all the answers

    Which teaching points would a nurse provide to Mr. Marx?

    <p>Encourage Mr. Marx to stop smoking.</p> Signup and view all the answers

    Which patients will a nurse determine can safely receive treatment with a beta2-adrenergic agonist? Select all that apply.

    <p>A patient with an active systemic fungal infection</p> Signup and view all the answers

    Which order of instructions would a nurse provide a patient using a metered-dose inhaler?

    <p>Insert the medication canister into the plastic mouthpiece.Shake the inhaler well and remove the cap from the mouthpiece. = 1,2 Breathe out through the mouth, and then take a slow deep breath through the mouth while pushing the top of the medication canister at the same time. = 4 Hold the mouthpiece 1 to 2 inches from the mouth, or place the inhaler mouthpiece between the teeth, sealing the lips around it. = 3 Hold breath for a few seconds, exhaling slowly through pursed lips. Wait for 2 minutes if a second dose is required. = 5,6</p> Signup and view all the answers

    Which effect would a nurse anticipate might occur in a patient receiving inhaled fluticasone who is also prescribed hydrochlorothiazide for hypertension?

    <p>Increased risk for hypokalemia</p> Signup and view all the answers

    Which statements made about theophylline by a patient with asthma would alert the nurse that further intervention is warranted? Select all that apply.

    <p>“I should take an extra dose during an asthma attack.”</p> Signup and view all the answers

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