NR 293: PHARMACOLOGY EXAM 2
2023 /35 Questions And Answers
(A+)
Quiz :Pseudoephedrine: Contraindication - √Answer :Sudafed
is contraindicated in patient with dx of HTN. Rationale because
of the potential for vasoconstriction which could aggravate the
HTN condition,
Quiz :Nasal Decongestant Administration - √Answer :Before
administering, have the patient blow their nose before placing
the drops. This allows any secretions or crust that could
interfere with the distribution and absorption of the medication
Quiz :Diphenhydramine: Side Effects - √Answer :- dry mouth,
nose, and throat
- drowsiness
- dizziness
- nausea
- vomiting
- loss of appetite
- constipation
Quiz :Albuterol: Patient Teaching - √Answer :- hold their breath
for 10 seconds after inhaling the albuterol inhaler
- pt teaching:
1. have the pt exhale normally
2. then just prior to releasing the medication, have them inhale
as deeply as the medication is released
3. hold for 10 seconds
Quiz :Albuterol and Other Medications Via Nebulizer - √Answer
:- with using 2 medications for asthma in a nebulizer.
-Need to use the Albuterol 1st then use a leukotriene modifier
(like cromolyn).
, - Using the bronchodilator first to allow the airways to be open,
ensuring that the max dose of the medication will get to the
patient's lungs.
Quiz :Status Asthmaticus: Medication and Nursing Priority -
√Answer :- prolonged asthma attack that does not respond to
typical drug therapy
- medical emergency
- Use the urgent vs non- urgent approach to patient care
- The priority action is to administer a nebulized high- dose
SABA (short acting B2 agonist) to relieve bronchoconstriction
and improve ventilation.
- The medication needs to be given via jet nebulizer
Quiz :Asthma & Prednisone: Adverse Effects with Sudden
Discontinuation - √Answer :- Prednisone withdrawal occurs
when a person stops taking prednisone abruptly or reduces
their dose too quickly.
-Symptoms of prednisone withdrawal can include body aches,
mood swings, and extreme fatigue
Quiz :Asthma: Patient Teaching - √Answer :-Avoid triggers
-If relievers are used more than 2 days/week - needs new
controller medication
-*Drink 10-14 8oz glasses of fluid/daily*
-Use metered-dose inhalers correctly
Quiz :Inhalers: Patient Education - √Answer :- for any inhaler
prescribed, ensure that the patient is able to self- administer
the medication
- provide demonstration and return demonstration
- ensure the pt knows the correct time intervals for inhalers
- provide a spacer if the pt has difficulty breathing with inhaler
activation
- ensure that the pt knows how to keep track of # of doses in
the inhaler device
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