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Pharm Exam 4 Nurs 611: Questions & Detailed Solutions
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Pharm Exam 4 Nurs 611: Questions & Detailed Solutions
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Pharm Exam 4 Nurs 611: Questions & DetailedSolutions
Digoxin levels need to be monitored closely when the following medication is
started: Right Ans - 4
1.Loratadine
2.Diphenhydramine
3.Ipratropium
4.Albuterol
Patients with pheochromocytoma should avoid which of the following classes
of drugs because of the possibility of developing hypertensive crisis? Right
Ans - 2
1.
Expectorants
2.
Beta-2-agonists
3.
Antitussives
4.
Antihistamines
Harold, a 42-year-old African American, has moderate persistent asthma.
Which of the following asthma medications should be used cautiously, if at all?
Right Ans - 2
1.
Betamethasone, an inhaled corticosteroid
2.
Salmeterol, an inhaled long-acting beta-agonist
3.
Albuterol, a short-acting beta-agonist
4.
Montelukast, a leukotriene modifier
Long-acting beta-agonists (LTBAs) received a Black Box Warning from the U.S.
Food and Drug Administration due to the: Right Ans - 3
1.
Risk of life-threatening dermatological reactions
,2.
Increased incidence of cardiac events when LTBAs are used
3.
Increased risk of asthma-related deaths when LTBAs are used
4.
Risk for life-threatening alterations in electrolytes
The bronchodilator of choice for patients taking propranolol is: Right Ans -
4
1.
Albuterol
2.
Pirbuterol
3.
Formoterol
4.
Ipratropium
James is a 52-year-old overweight smoker taking theophylline for his
persistent asthma. He tells his provider he is going to start the Atkin's diet for
weight loss. The appropriate response would be: Right Ans - 2
1.
Congratulate him on making a positive change in his life.
2.
Recommend he try stopping smoking instead of the Atkin's diet.
3.
Schedule him for regular testing of serum theophylline levels during his diet
due to increased excretion of theophylline.
4.
Decrease his theophylline dose because a high-protein diet may lead to
elevated theophylline levels.
Li takes theophylline for his persistent asthma and calls the office with a
complaint of nausea, vomiting, and headache. The best advice for him would
be to: Right Ans - 3
1.
Reassure him this is probably a viral infection and should be better soon
2.
Have him seen the same day for an assessment and theophylline level
,3.
Schedule him for an appointment in 2 to 3 days, which he can cancel if he is
better
4.
Order a theophylline level at the laboratory for him
Tiotropium bromide (Spiriva) is an inhaled anticholinergic: Right Ans - 1
1.
Used for the treatment of chronic obstructive pulmonary disease (COPD)
2.
Used in the treatment of asthma
3.
Combined with albuterol for treatment of asthma exacerbations
4.
Combined with fluticasone for the treatment of persistent asthma
Christy has exercise-induced and mild persistent asthma and is prescribed
two puffs of albuterol 15 minutes before exercise and as needed for wheezing.
One puff per day of beclomethasone (QVAR) is also prescribed. Teaching
regarding her inhalers includes: Right Ans - 2
1.
Use one to two puffs of albuterol per day to prevent an attack with no more
than eight puffs per day
2.
Beclomethasone needs to be used every day to treat her asthma
3.
Report any systemic side effects she is experiencing, such as weight gain
4.
Use the albuterol metered-dose inhaler (MDI) immediately after her
corticosteroid MDI to facilitate bronchodilation
When prescribing montelukast (Singulair) for asthma, patients or parents of
patients should be instructed: Right Ans - 3
1.
Montelukast twice a day is started when there is an asthma exacerbation.
2.
Patients may experience weight gain on montelukast.
3.
, Aggression, anxiety, depression, and/or suicidal thoughts may occur when
taking montelukast.
4.
Lethargy and hypersomnia may occur when taking montelukast.
Montelukast (Singulair) may be prescribed for: Right Ans - 2
1.
A 6-year-old child with exercise-induced asthma
2.
A 2-year-old child with moderate persistent asthma
3.
An 18-month-old child with seasonal allergic rhinitis
4.
None of the above; montelukast is not approved for use in children
The known drug interactions with the inhaled corticosteroid beclomethasone
(QVAR) include: Right Ans - 4
1.
Albuterol
2.
MMR vaccine
3.
Insulin
4.
None of the above
When educating patients who are starting on inhaled corticosteroids, the
provider should tell them that: Right Ans - 3
1.
They need to get any live vaccines before starting the medication.
2.
Inhaled corticosteroids need to be used daily during asthma exacerbations to
be effective.
3.
Patients should rinse their mouths out after using the inhaled corticosteroid
to prevent thrush.
4.
They can triple the dose number of inhalations of medication during colds to
prevent needing systemic steroids.
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