Unformatted text preview: mily practice setting. 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.
1. She says, “I have a lot of stuffiness with my nose. I’m not sure
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?
2. She then asks, “Can anything be done to prevent dependency
on a decongestant spray?” How should you respond?
61 Example Test
Questions 62 Fill in the Blank
6. Goals of drug therapy for asthma are twofold:
to________acute bronchospasm and to reduce
the________of asthma attacks.
Bronchodilators are used to treat______.
_________uses a propellant to deliver a
masured dose of a drug to the lung during each
Glucocortioids reduce asthma symptoms
For therapy of allergic rhinitis, antihistamines are
most effective when taken_____.
Decongestants are not recommended for
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
c. Clear the airway by gagging after
d. Clearing the airway is not necessary
64 The nurse recognizes that which of the
following symptoms may be an adverse
effect noted in a child using
b. Orthostatic hypotension
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: 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:
a. A history of dysrrhythmias
d. Angioedema 67 A patient with asthma is prescribed
(Azmacort). The nurse should:
A. take the pulse before administration of
B. teach the patient to use a spacer and
C. instruct the patient to use the inhaler to
treat an acute attack.
D. encourage the patient to avoid weightencourage
68 A patient with asthma is prescribed
albuterol (Proventil) 2 puffs 3 times/day.
The nurse should teach the patient to:
A. rinse the mouth after taking the
B. take an extra dose if breathing is
C. wait 1 minute between puffs from the
D. take adequate amounts of calcium and
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.
D. Respiratory depression
Increased heart rate
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- Spring '14
- Allergic rhinitis, adverse effects, respiratory tract, histamine antagonists