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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?

Zafirlukast undergoes hepatic metabolism. Signup and view all the answers

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

5 to 15 minutes Signup and view all the answers

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

Encourage Mr. Marx to stop smoking. 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.

A patient with an active systemic fungal infection Signup and view all the answers

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

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 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?

Increased risk for hypokalemia 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.

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