Lilley Chapter 38: Respiratory Drugs Flashcards
A patient is taking aminophylline intravenously for a severe exacerbation of chronic obstructive pulmonary disease. Which effect does the nurse expect to note when evaluating for a therapeutic response to the medication?
a. Drowsiness
b. Increased HR
c. Increased respiratory rate
d. Increased ease of breathing
d. Increased ease of breathing
Which is an adverse effect associated with the use of xanthine derivatives?
a. Diarrhea
b. Palpitations
c. Bradycardia
d. Dowsiness
b. Palpitations
What is the rationale for using inhaled budesonide (Pulmicort)?
a. It causes bronchodilation
b. It this bronchial secretions
c. It inhibits the activity of B-agonists
d. It provides an anti-inflammatory response.
d. It provides an anti-inflammatory response.
A patient has been prescribed an respiratory corticosteroid medication. What should the nurse tell this patient about the proper method for taking this medication?
a. Rinsing of the mouth after using the inhaler is recommended.
b. The tubings and mouthpieces should be cleaned with only hot water.
c. The medications is to be inhaled deeply, with the head tipped backward to maximize opening of the airway.
d. After taking an inhaler medication, the patient should remove the inhaler and hold the breath for at least 20 seconds.
a. Rinsing of the mouth after using the inhaler is recommended.
The physician has prescribed fluticasone (Flovent) to treat a patient’s asthma. What important information should the nurse emphasize when teaching the patient about this medication?
a. The patient must use the proper techniques for inhalation.
b. The medication should be kept on the patient’s person at all times for treatment of an acute asthma attack.
c. The medication is to be taken every day on a continuous schedule, even if symptoms improve.
d. When the asthma symptoms improve, the dosage schedule can be tapered and eventually discontinued.
c. The medication is to be taken every day on a continuous schedule, even if symptoms improve.
Which drug is used in the treatment of acute attacks of bronchial asthma?
a. nedocromil
b. salbutamol (Ventolin)
c. zafirlukast (Accolate)
d. Triamcinolone
b. salbutamol (Ventolin)
A patient has a prescription for two inhalers. One inhaler is a bronchodilator; the other is a corticosteroid. Which instruction should the nurse give the patient regarding these inhalers?
a. The corticosteroid should be taken first.
b. The bronchodilator should be taken first.
c. The two drugs should be taken at least 2 hours apart.
d. The order of administration does not matter with these two drugs.
b. The bronchodilator should be taken first.
A patient has recently been placed on inhaled corticosteroids. Which common adverse effects should the nurse discuss with the patient?
a. Fatigue and depression
b. Anxiety and peripheral vasoconstriction
c. Headache and rapid heart rate
c. Oral candidiasis and dry mouth
c. Oral candidiasis and dry mouth
After receiving a nebulizer treatment with a β -agonist, the patient reports feeling slightly nervous and wonders whether the asthma is getting worse. What is the nurse’s best answer to the patient’s concern?
a. “Feeling a little nervous is an expected adverse effect. Let me take your pulse to check it”
b. “The next scheduled nebulizer treatment should be skipped”
c. “I will notify the physician about this adverse effect”
d. “We will hold the treatment for 24 hours”
a. “Feeling a little nervous is an expected adverse effect. Let me take your pulse to check it”
For which condition would the nurse anticipate treatment with montelukast?
a. Acute bronchospasm
b. Exacerbation of chronic obstructive pulmonary disease
c. Long-term treatment of emphysema
d. Prophylaxis of asthma in children
d. Prophylaxis of asthma in children
Which drugs are used for acute asthma attacks?
Select all that apply:
a. zafirlukast
b. Salbutamol
c. Comolyn
d. IV Epinephrine
e. Fluticasone
f. Beclomethasone
g. Aminophylline IV infusion
b. Salbutamol
d. IV Epinephrine
g. Aminophylline IV infusion
