N3661 - Exam 2 (Med Surg - D. Cleary) questions with correct answers
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Course
RN- Nursing
Institution
RN- Nursing
Drug and food additives that are risk factors for developing asthma and status asthmaticus (6) Correct Answer-aspirin (ASA: acetylsalicylic acid)
NSAIDs
beta blockers
ACE inhibitors
yellow dye #5
sulfiting agents in wine & beer
What are typical respiratory rate for someone having an asthma ...
N3661 - Exam 2 (Med Surg - D. Cleary) questions with
correct answers
Drug and food additives that are risk factors for developing asthma and
status asthmaticus (6) Correct Answer-aspirin (ASA: acetylsalicylic
acid)
NSAIDs
beta blockers
ACE inhibitors
yellow dye #5
sulfiting agents in wine & beer
What are typical respiratory rate for someone having an asthma attack?
Pulse? Correct Answer-RR > 30
HR >120
(think; trying to get air in and trying to push any oxygenated blood
around body)
Cholelithiasis can interfere with absorption of what vitamins? (4)
Correct Answer-vit A, D, E, K
Which of the following is likely to present diagnosis of fluid volume
deficit?
a. appendicitis
b. pancreatitis
,c. cholecystitis
d. peptic ulcer Correct Answer-b. pancreatitis
hypovolemia is typical because loss of protein-rich fluids into the tissues
and peritoneal cavity
(a, c, & d exhibit FV excess)
What are the classifications of asthma?
How often do symptoms occur? Correct Answer-intermittent: <2
days/wk
persistent-mild: >2 days/wk (not daily)
persistent-moderate: daily
persistent-severe: continuous symptoms
Define FEV1 Correct Answer-forced expiratory volume in 1 second
(vital capacity = maximum inspiration & expiration volume)
(FEV1 = how much of your inhale can you force out in 1 second,
typically 80%)
(FEV3 = almost 100% of vital capacity exhaled forcefully)
For the asthma categories, what are the expected FEV1? Correct
Answer-intermittent: normal FEV1 (about 80%)
persistent-mild: FEV1 > 80% predicted (80% of typical 80%)
persistent-moderate: FEV1 = 60-80% predicted
persistent-severe: FEV1 < 80% predicted
,Which classifications of asthma will experience nighttime symptoms?
How often? Correct Answer-persistent-moderate: >1/wk
persistent-severe: often
In regards to asthma, what does SABA mean? Correct Answer-short-
acting beta 2 adrenergic agonists (albuterol, levalbuterol, pirbuterol)
aka quick-relief medications
Which classifications of asthma would you expect frequent use of
SABAs? How often? Correct Answer-(albuterol, levalbuterol,
pirbuterol)
persistent-moderate: daily
persistent-severe: several times daily
SABA medications (3) Correct Answer-albuterol
levalbuterol
pirbuterol
What drug classification are used for quick asthma relief? Correct
Answer-bronchodilators: SABA and anticholinergics (ipratropium)
anti-inflammatories: corticosteroids (systemic)
What anticholinergic medication is commonly used for asthma relief?
What type of relief: quick or long-acting? Correct Answer-ipratropium
, quick relief
What corticosteroid medications are commonly used for asthma relief?
What type of relief: quick or long-acting? Correct Answer-both quick
and long-acting
methylprednisolone
prednisolone
prednisone
budesonide (inhaled for long-term tx)
endings: -sone, -lone, -nide, -lide
Which asthmatic medication classification can be of concern for a
diabetic patient? Why? Correct Answer-corticosteroids (prednisone,
prednisolone, methylprednisolone, budesonide)
increase blood glucose levels by reducing action of insulin and
encourages liver to release stored glucose
What drug classifications are used for long term asthma control? Correct
Answer-anti-inflammatory drugs: corticosteroids (inhaled & systemic),
leukotriene modifiers, anti-IgE
bronchodilators: LABA (oral albuterol & inhaled:
salmeterol/formoterol), methylxanthines (rarely used)
What leukotriene modifier medications are commonly used for asthma
relief?
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