Chapter 14 (3)

Question 1

Digoxin levels need to be monitored closely when the following medication is given:

Answer 1

Albuterol

Question 2

Patients with pheochromocytoma should avoid which of the following classes of drugs because of the possibility of developing hypertensive crisis:

Answer 2

beta 2 agonists

Question 3

Harold, a 42-year-old African American has persistent asthma. Which of the following asthma medications should be used cautiously, if at all:

Answer 3

Salmeterol, an inhaled long-acting beta-agonist

Question 4

Long-acting beta-agonists (LTBAs) received a Black Box Warning from the FDA due to the:

Answer 4

Increased risk of asthma related deaths when LTBAs are used.

Question 5

The bronchodilator of choice for patients taking propranolol is:

Answer 5

Ipratropium

Question 6

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:

Answer 6

Recommend he try stopping smoking instead of the Atkin’s diet

Question 7

Li takes theophylline for his persistent asthma and calls the office with c/o of N/V and headache. The best advice for him would be:

Answer 7

schedule an appointment for in 2-3 days and cancel if he feels better

Question 8

Tiotropium bromide (Spiriva) is an inhaled anticholinergic:

Answer 8

Used for the treatment of COPD

Question 9

Christy has exercise induced and mild persistent asthma and is prescribed 2 puffs of albuterol 15 mins before exercise and PRN for wheezing. One puff per day of beclomethasone (QVAR) is also prescribed. Teaching regarding her inhalers also includes:

Answer 9

Beclomethasone needs to be used every day to treat her asthma.

Question 10

When prescribing montelukast (Singular) for asthma, patients should be instructed:

Answer 10

aggression, anxiety, depression, and/or suicidal thoughts may occur while taking

Question 11

Montelukast (singular) may be prescribed for:

Answer 11

a 2-year-old child with moderate persistent asthma

Question 12

The known drug interactions with the inhaled corticosteroid beclomethasone (QVAR) include:

Answer 12

None of the above

Question 13

When educating patients who are starting on inhaled corticosteroids, the provider should tell them that:

Answer 13

patients should rinse their mouths out after using the inhaled corticosteroid to prevent thrush

Question 14

Patients with allergic rhinitis may benefit from a prescription of:

Answer 14

Any of the above

Question 15

Howard is a 72-year-old who occasionally takes diphenhydramine for his seasonal allergies. Monitoring for this patient using diphenhydramine would include assessing for:

Answer 15

urinary retention

Question 16

First-generation antihistamines such as loratadine (Claritin) are prescribed for seasonal allergies because they are:

Answer 16

Less sedating than the first-generation antihistamines

Question 17

When recommending dimenhydrinate (Drammamine) to treat motion sickness, patients should be instructed to:

Answer 17

take 15 minutes before it is needed

Question 18

Decongestants such as pseudoephedrine (Sudafed):

Answer 18

Should not be prescribed to children under the age of 4

Question 19

Cough and cold medicines that contain a sympathomimetic decongestant such as phenylephrine should be used cautiosuly in what population:

Answer 19

all of the above

Question 20

Martin is a 60-year-old patient with HTN. The first-line decongestant to prescribe would be:

Answer 20

nasal oxymetazoline

Question 21

The first-line treatment for cough R/T an upper respiratory tract infection in a 5-year-old child is:

Answer 21

fluids and symptomatic care