PME Respiratory Flashcards

1
Q

An HCP is advising a pt about using beclomethasone (Beconas AQ) to treat asthma. The HCP should explain that the drug treats asthma by which of the following actions?

thins mucus

relaxes bronchial smooth muscle

decreases inflammation

increases the cough threshold

A

decreases inflammation

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2
Q

An HCP is advising a pt about using cromolyn sodium to prevent bronchospasm. The HCP should explain that the drug prevents bronchospasm by which of the following actions?

  • increases leukocyte activity
  • blocks muscarinic receptors
  • causes bronchodilation
  • reduces inflammation
A

reduces inflammation

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3
Q

An HCP cautions a pt who is taking guaifenesin (Mucinex) about using combination OTC cold products because

A

they can also contain guaifenesin

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4
Q

When advising a pt who is beginning fluticasone proprionate/salmeterol (Advair), which of the following instructions should an HCP include?

  • take as needed for acute asthma
  • follow low-sodium diet
  • use an alternate-day dosing schedule
  • increase weight-bearing activity
A

increase weight-bearing activity

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5
Q

An HCP who is advising a pt about the use of a mucolytic to treat a cough should explain that this type of drug performs which of the following actions?

  • suppresses the cough stimulus
  • reduces inflammation
  • thins and loosens mucus
  • dries secretions
A

thins and loosens mucus

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6
Q

An HCP should tell a pt who is taking albuterol (Proventil) to report which of the following possible indications of a serious adverse effect?

  • fever
  • bruising
  • polyuria
  • palpitations
A

palpitations

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7
Q

Before prescribing dextropmethorphan (Robitussin) to a pt, the PCP should know that, giving it with opioids can result in which of the following?

  • reduced antitussive effect
  • potentiation of the analgesic effect of the opioid
  • increased renal reabsorption of dextromethorphan
  • delayed analgesic effect of opioid
A

potentiation of the analgesic effect

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8
Q

An HCP is advising a pt about the use of cromolyn sodium. Which of the following instructions should the HCP include?

  • report signs of jaundice
  • anticipate difficulty sleeping
  • expect a bitter aftertaste
  • increase Ca and vitamin D intake
A

expect bitter aftertaste

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9
Q

When explaining how to use ipratropium (Atrovent), an HCP should include which of the following instructions?

  • don’t drink for 30 min after
  • wait 5 min between this and other inhaled drugs
  • drug is used to thin respiratory secretions
  • check pulse rate after
A

wait 5 min between inhaled drugs

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10
Q

For which of the following reasons should a pt attach a spacer to an MDI?

  • to increase amt delivered to lungs
  • to increase amt delivered to oropharynx
  • to increase amt delivered on exhalation
  • to increase speed of delivery
A

increase amt delivered to lungs

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11
Q

An HCP is caring for a pt who is having difficulty mobilizing thick respiratory secretions. Which of the following should the HCP expect to administer?

  • ipratropium (Atrovent)
  • beclomethasone (Beconase AQ)
  • acetylcysteine (Acetadote)
  • azelastine (Astelin)
A

acetylcysteine (Acetadote)

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12
Q

An HCP professional is monitoring plasma drug levels in a pt who is taking theophylline (Theo-24). Which of the following adverse effects should the HCP expect if the pt’s level indicates toxicity?

  • seizures
  • vomiting
  • constipation
  • restlessness
A

seizures

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13
Q

An HCP is caring for a pt taking ipratropium (Atrovent). The HCP should explain which of the following adverse effects to the pt? (Select all that apply.)

  • muscle tremors
  • urinary retention
  • dry mouth
  • insomnia
  • tachycardia
A
  • urinary retention
  • dry mouth
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14
Q

An HCP should recognize that using pseudoephedrine (Sudafed) to treat allergic rhinitis requires cautious use with pts who have which of the following?

  • PUD
  • seizure disorder
  • anemia
  • coronary artery disease
A

coronary artery disease

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15
Q

An HCP who is advising a pt about using an expectorant for cough should explain that it performs which of the following actions?

  • suppresses cough stimulus
  • reduces surface tension
  • reduces inflammation
  • dries mucous membranes
A

reduces surface tension

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16
Q

An HCP who is advising a pt about using antihistamines to treat allergic rhinitis should explain that they perform which of the following actions?

  • decreases fiscosity of nasal secretions
  • blocks H2 receptors
  • prevents histamine from binding to receptors
  • reduces nasal congestion
A

prevents histamine from binding to receptors

17
Q

Legal restrictions apply to purchase of pseudoephedrine (Sudafed) because of which of the following risks?

  • respiratory depression
  • drug abuse
  • drug tolerance
  • rebound congestion
A

drug abuse

18
Q

An HCP who is advising a pt about intranasal glucocorticoids should include which of the following instructions?

  • start at low dose and gradually increase
  • take as needed for nasal congestion
  • allow at least 2 wks for full effect
  • use drug before exercise
A

allow at least 2 wks for therapeutic effect

19
Q

Which of the following should an HCP include when advising a pt about the use of montelukast (Singulair)?

  • use spacer
  • take at onset of bronchospasm
  • rinse mouth to prevent fungal infection
  • take once a day in the evening
A

take once a day in the evening

20
Q

An HCP is advising a pt about the adverse effects of pseudoephedrine (Sudafed). Which of the following should the HCP include? (Select all that apply.)

  • restlessness
  • bradycardia
  • insomnia
  • muscle pain
  • anxiety
A
  • restlessness
  • insomnia
  • anxiety
21
Q

An HCP is talking to a pt who is prescribed albuterol (Proventil) via inhaler and fluticasone (Advair) via inhaler for asthma. The HCP should tell the pt to use albuterol first because

A

albuterol will increase absorption of fluticasone

22
Q

When adivising a pt about using zileuton (Zyflo), an HCP should include which of the following instructions?

  • check apical pulse before
  • take prior to exercise
  • rinse mouth after
  • have lab tests at regular intervals
A

have lab tests at regular intervals

23
Q

An HCP should explain to a pt who is prescribed diphenhydramine that the most common SE is

  • muscle tremors
  • sedation
  • anxiety
  • insomnia
A

sedation

24
Q

An HCP is caring for a pt who is taking codeine. which of the following is the most important assessment following admin?

  • BP
  • apical HR
  • respirations
  • LOC
A

respirations

25
Q

When advising a pt about taking prenisone for chronic asthma, an HCP should include which info?

  • avoid taking NSAIDs
  • rinse mouth after
  • stop taking if nauseated
  • change position slowly when standing
A

avoid taking NSAIDs