respiratory tract drugs-pharm

K she asks whether you can answer some questions ms 1

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Unformatted text preview: mily practice setting. You You have been assigned to follow Ms. K through her visit to the primary care provider. As you complete your interview with Ms. K, she asks whether you can answer some questions. Ms. 1. She says, “I have a lot of stuffiness with my nose. I’m not sure She whether I want to take anything for it because my friend told me that she started to take a medication that was a decongestant spray, and now she can’t stop taking it. Do you know anything about this?” How should you reply? know 2. She then asks, “Can anything be done to prevent dependency She on a decongestant spray?” How should you respond? on 61 Example Test Questions Questions 62 Fill in the Blank Fill 1. 2. 3. 3. 4. 5. 6. Goals of drug therapy for asthma are twofold: Goals to________acute bronchospasm and to reduce the________of asthma attacks. the________of Bronchodilators are used to treat______. Bronchodilators _________uses a propellant to deliver a _________uses masured dose of a drug to the lung during each breath. breath. Glucocortioids reduce asthma symptoms Glucocortioids by_____. by_____. For therapy of allergic rhinitis, antihistamines are For most effective when taken_____. most Decongestants are not recommended for Decongestants patients with_______. patients 63 What instructions must the nurse give to the client who is receiving acetylcysteine (Mucomyst) therapy by aerosol? a.Use hand nebulizers b.Clear the airway by coughing before treatment c. Clear the airway by gagging after treatment d. Clearing the airway is not necessary d. 64 The nurse recognizes that which of the following symptoms may be an adverse effect noted in a child using diphenhydramine (Benadryl)? diphenhydramine a. Hypertension b. Orthostatic hypotension c. Confusion d. Paradoxic excitement d. Paradoxic 65 The nurse understands that a disadvantage of an inhaled glucocorticoid in treatment of a chronic respiratory disorder is that the drug: drug: A. May enhance the immune response. B. Requires very high doses to be effective. C. May lead to oropharyngeal candidiasis. D. Does not inhibit histamine release. D. Does 66 Antihistamines should be used very cautiously in patients with: very a. A history of dysrrhythmias b. COPD c. Asthma d. Angioedema 67 A patient with asthma is prescribed triamcinolone acetonide (Azmacort). The nurse should: A. A. take the pulse before administration of the medication. B. teach the patient to use a spacer and gargle after. C. instruct the patient to use the inhaler to treat an acute attack. D. encourage the patient to avoid weightencourage bearing activity. 68 A patient with asthma is prescribed albuterol (Proventil) 2 puffs 3 times/day. The nurse should teach the patient to: The A. rinse the mouth after taking the rinse prescribed dose. B. take an extra dose if breathing is B. take compromised. C. wait 1 minute between puffs from the C. wait inhaler. D. take adequate amounts of calcium and D. take vitamin D. 69 69 A patient has codeine prescribed as an antitussive. Which of the following symptoms will the nurse observe for as an adverse effect of this medication? A. B. C. D. Respiratory depression Increased heart rate Productive cough Restlessness 70 70...
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This document was uploaded on 03/25/2014.

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