CMN 5 100% CORRECT ANSWERS, LATEST . 68 UNIT 3 INTRO TO FAMILY EXAM/TESTED & CONFIRMED DOCUMENT WITH
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CMN 568 UNIT 3 INTRO TO FAMILY
Institution
CMN 568 UNIT 3 INTRO TO FAMILY
CMN 5 100% CORRECT ANSWERS, LATEST .
68 UNIT 3 INTRO TO FAMILY EXAM/TESTED & CONFIRMED DOCUMENT WITH
Is Ipratropium bromide (SAMA) as effect as a SABA for relief of acute bronchospasm - CORRECT ANSWERS -No
What is the benefit to adding Tiotropium to therapy bronchodilator (salmeterol) or inade...
CMN 568 UNIT 3 INTRO TO FAMILY EXAM/TESTED &
CONFIRMED DOCUMENT WITH 100% CORRECT ANSWERS,
LATEST 2024-2025.
Is Ipratropium bromide (SAMA) as effect as a SABA for relief of acute bronchospasm -
CORRECT ANSWERS -No
What is the benefit to adding Tiotropium to therapy bronchodilator (salmeterol) or
inadequately controlled low-dose inhaler. - CORRECT ANSWERS -Improves lung
function and reduces frequency of asthma exacerbations.
Name the phosphodiesterase inhibitor used for asthma - CORRECT ANSWERS -
theophylline
What is theophylline used for in a pt w/ asthma? - CORRECT ANSWERS -mild
bronchodilation
What is the mechanism of action of theophylline for asthma - CORRECT ANSWERS -
anti-inflammatory and immunodilator properties which enhance mucociliary clearance
and strengthen diaphragmatic contractility.
Why are drug levels of Theophylline monitored? - CORRECT ANSWERS -Due to
narrow therapeutic ranges.
Name the leukotriene modifiers for asthma - CORRECT ANSWERS -Zileutonn,
zafirlukast, montelukast
use of leukotriene modifiers for asthma? - CORRECT ANSWERS -alternatives to low-
dose inhaled corticosteroids in pt. w/mild persistent asthma
*as mono-therapy are usually less effective than inhaled corticosteroids
Which recombinant antibody that binds IgE w/o activating mast cells can be used to
treat SEVERE asthma in 18 yr old and older - CORRECT ANSWERS -Omalizumab and
Reslizumab
Which vaccinations should the FNP ensure that a pt with asthma receives? - CORRECT
ANSWERS -pneumovac and influenze
Which patients are oral sustained release beta 2 agonist be reserved for? - CORRECT
ANSWERS -pt. with nocturnal asthma or persistent mod-severe asthma who do not
respond to other therapies.
,A patient has a PEF> 80% and minor changes in airway function. What severity of
asthma exacerbation does this patient have? - CORRECT ANSWERS -Mild asthma
exacerbation
The FNP should double the dose of inhaled corticosteroids during an asthma
exacerbation, true or false? - CORRECT ANSWERS -False.
Doubling the dose of the inhaled corticosteroid is not effective and not recommended.
A patient is experiencing mild asthma exacerbation and currently not taking an inhaled
corticosteroid, what can the FNP do? - CORRECT ANSWERS -initiate one
The FNP expects many pts with mild asthma exacerbation to respond fully and quickly
to which treatment? - CORRECT ANSWERS -Inhaled SABA
Can the FNP start an oral corticosteroid if the patient is already taking an inhaled
corticosteroid? - CORRECT ANSWERS -Yes
What is the goal of treating moderate asthma exacerbation? - CORRECT ANSWERS -
**Correct hypoxemia!
Reverse airflow obstruction
reduce likelihood of reoccurrence of obstruction
What should the FNP prescribe to correct hypoxemia in a pt with exacerbation of
asthma - CORRECT ANSWERS -Oxygen!
When should systemic corticosteroids be given to a pt with asthma exacerbation -
CORRECT ANSWERS -When peak flow is <70% of baseline
To pt. who doesn't respond to several SABA treatments
What criteria correlates to the severity of asthma exacerbation? - CORRECT
ANSWERS -Improvement of FEVI after 30 minutes
A pt presents with (severe) Acute Asthma Exacerbation, what should the patient be
treated with? - CORRECT ANSWERS -Immediately- Oxygen, high doses of inhaled
SABA, and systemic corticosteroids
What are the 3 characteristics of Asthma - CORRECT ANSWERS -Bronchoconstriction
Airway Inflammation
Reversible airflow limitation
Which inhaled anticholinergic is best used for asthma pt. w/an intolerance to beta
agonist or w/ bronchospasms due to beta blocker meds? - CORRECT ANSWERS -
Ipratropium Bromide
, What is the primary tx for pt. w/moderate to severe asthma exacerbations who do not
respond promptly and completely to SABA? - CORRECT ANSWERS -Systemic
Corticosteroids
Which bacterial infections predispose exacerbations of asthma - CORRECT ANSWERS
-M. Pneumoniae and C. Pneumoniae
Is routine use of antimicrobials recommended for acute exacerbations of asthma -
CORRECT ANSWERS -No, only use when likelihood of acute bacterial respiratory tract
infection
Name short acting beta agonist - CORRECT ANSWERS -albuterol, levalbuterol,
bitolerol, pirbuterol, terbutaline
What does a SABA do? - CORRECT ANSWERS -acts directly by relaxing bronchial
smooth muscles.
What do long-term pharmacologic agents accomplish for asthma pt. - CORRECT
ANSWERS -act primarily to attenuate airway inflammation.
Why take long-term pharmacologic agents for asthma daily? - CORRECT ANSWERS -
to achieve and maintain control of persistent asthma independent of symptoms.
What does the NAEPP recommend as the cornerstone of daily treatment of persistent
asthma? - CORRECT ANSWERS -daily anti-inflammatory therapy with inhaled
corticosteroids
Role of corticosteroids with asthma - CORRECT ANSWERS -Reduce inflammation
(acute and chronic) = improved airflow, decreased airway hyper-responsiveness and
fewer asthma exacerbations, and potentiate the action of beta-adrenergic agonist.
1st. line treatment agent for all pt w/persistent asthma (long term controller) -
CORRECT ANSWERS -Inhaled Corticosteroids
How often to most patient use inhaled corticosteroids? - CORRECT ANSWERS -Twice
daily to provide adequate control.
How long can it take to see maximum response of inhaled corticosterioids? - CORRECT
ANSWERS -Months
What can a patient do to reduce side effects of inhaled corticosteroids? - CORRECT
ANSWERS -Rinse mouth after each use
A patient has an exacerbation of asthma, what is the most effective treatment to
achieve prompt control? - CORRECT ANSWERS -Systemic (oral) corticosteroids
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