Week 9: Chapter 21 Study Guide

Question 1

beclomethasone (QVAR)

Answer 1

Inhaled corticosteroid

Question 2

albuterol (Proventil)

Answer 2

Short-acting beta agonist (SABA)

Question 3

theophylline (Theo-Dur)

Answer 3

Methylxanthine

Question 4

triamcinolone (Azamacort)

Answer 4

Inhaled corticosteroid

Question 5

salmeterol (Serevent)

Answer 5

Long-acting beta agonist (LABA)

Question 6

fluticasone (Flovent)

Answer 6

Inhaled corticosteroid

Question 7

aminophylline (Truphylline)

Answer 7

Methylxanthine

Question 8

ipratropium (Atrovent)

Answer 8

Cholinergic agonist

Question 9

budesonide (Pulmicort)

Answer 9

Inhaled corticosteroid

Question 10

fomorterol (Foradil)

Answer 10

Long-acting beta agonist

Question 11

terbutaline (Brthine)

Answer 11

SABA

Question 12

coromolyn sodium (Intal)

Answer 12

Mast cell stabilizer

Question 13

tiotropium (Sprivia)

Answer 13

Cholinergic antagonist

Question 14

montelukast sodium (Singulair)

Answer 14

Leukotriene inhibitor

Question 15

nedocromil sodium (Tilade)

Answer 15

Mast cell stabilizer

Question 16

zarfirlukast (Accolate)

Answer 16

Leukotriene inhibitor

Question 17

Air sacs in the lungs where oxygen moves into the blood:

Answer 17

Alveoli

Question 18

Airway obstruction disease caused by constriction and inflammation:

Answer 18

Asthma

Question 19

Sound of air moving through narrowed airways:

Answer 19

Wheeze

Question 20

Drug reduces the thickness of mucus:

Answer 20

Mucolytic

Question 21

Open center of a hollow airway:

Answer 21

Lumen

Question 22

Inflammation of the airways:

Answer 22

Bronchitis

Question 23

Disease where the elasticity of alveoli is greatly reduced:

Answer 23

Emphysema

Question 24

Tightening of pulmonary smooth muscle, resulting in narrowed airways:

Answer 24

Bronchoconstriction

Question 25

Drug that relaxes the smooth muscle around the airways, causing the center openings to enlarge:

Answer 25

Bronchodilator

Question 26

Involves the airways and the alveoli:

Answer 26

COPD

Question 27

Causes reduced oxygenation:

Answer 27

COPD & Asthma

Question 28

Is a reversible condition or airway obstruction:

Answer 28

Asthma

Question 29

Wheezing:

Answer 29

COPD & Asthma

Question 30

Increase size of mucus-producing cells:

Answer 30

COPD

Question 31

Caused by a combination of bronchitis and emphysema:

Answer 31

COPD

Question 32

Reduces peak expiratory flow rate (PEFR):

Answer 32

COPD & Asthma

Question 33

No symptoms present between attacks:

Answer 33

Asthma

Question 34

Lumen size reduced:

Answer 34

COPD & Asthma

Question 35

Can be caused by constriction of bronchiolar smooth muscle alone:

Answer 35

Asthma

Question 36

Airway inflammation:

Answer 36

COPD and Asthma

Question 37

Loss of elastic tissue in walls of the alveoli:

Answer 37

COPD

Question 38

A common method to measure airway function is____________________ _______________ _______________ _________________ (___________________)

Answer 38

``` Peak Expiratory Flow Rate (PEFR) ```

Question 39

A pt can use a(n) ___________________ ____________________ when about to start an activity that is likely to induce an asthma attack.

Answer 39

Rescue Drug / Reliever Drug

Question 40

List 4 systemic effects of bronchodilators:

Answer 40

1. Rapid HR 2. Increase BP 3. Tremors 4. Nervousness 5. Difficulty sleeping

Question 41

_____________________ or ________________ ______________ can occur if excessive amounts of bronchodilator drugs reach the blood.

Answer 41

Angina | Heart Attack

Question 42

A child who take a(n) ____________________ ___________________ ____________________ close to bedtime may have difficulty sleeping.

Answer 42

Beta2 Adrenergic Agonist

Question 43

Asthma medication that is used only during an acute episode is known as a(n) _____________________ drug.

Answer 43

rescue

Question 44

A pt just took a short-acting inhaler drug. What symptoms of an A/E should be reported immediately to the prescriber?

Answer 44

1. Chest pain 2. Severe tachycardia 3. Rapid rise in BP

Question 45

The nurse must ensure that the pt using an oral inhaler knows the proper technique for using it, and for a(n) ______________, if one is ordered.

Answer 45

spacer

Question 46

If a pt is taking more than one type of inhaled drug, the ________________ drug should be given at least 5 min before the other drug.

Answer 46

bronchodilator

Question 47

A PEFR value that has dropped below 50% indicates what is occurring.

Answer 47

The pt has dangerously low airflow into and out of the airways

Question 48

Symptom severity in a pt with asthma or chronic bronchitis is assessed by using which method?

Answer 48

PEFR

Question 49

A pt is taking ipratropium (Atrovent) and reports having difficulty emptying his bladder. What should be the nurse's action?

Answer 49

Discuss the pts symptoms with the prescriber

Question 50

Which important point should be included when teaching pts about the use of long-acting beta adrenergic agonists?

Answer 50

Take this medication even when symptoms are not present

Question 51

A child with asthma is having difficulty using a rescue aerosol inhaler effectively. What alteration in treatment should be discussed with the provider?

Answer 51

Using a nebulized form of the drug with a facemask

Question 52

What are common S/E associated with inhaled anti-inflammatory drugs?

Answer 52

1. Bad taste 2. Mouth dryness 3. Oral infection

Question 53

Before administering an inhaled corticosteroid, it is important to take which action?

Answer 53

Teach the pt how to use the inhaler or spacer

Question 54

What important instruction should be given to a pt who is taking guaifenesin (Mucinex)?

Answer 54

This medication will thin your mucus and make it easier to cough up

Question 55

A pt has just taken a short-acting inhaler drug to treat asthma symptoms. Which best indicated the medication has been effective?

Answer 55

An increase of 15% in peak flow

Question 56

A pt has been given instruction on use of a dry-powder inhaler. Which pt action indicates the need for further instructions?

Answer 56

The pt exhales deeply into the inhaler after the treatment

Question 57

A pt is using an aerosol inhaler without a spacer. Two puffs are prescribed. How far apart should the puffs be administered?

Answer 57

60 seconds

Question 58

Which action by the nurse is most essential during intravenous administration of treprostinil (Orenitram) for a pt with pulmonary hypertension?

Answer 58

Utilize strict sterile technique when preparing and administering the drug

Question 59

Which is the most important point to include in pt teaching for a female pt with pulmonary hypertension who will have boesntan (Tracleer) prescribed?

Answer 59

Your pregnancy test must be negative before this drug is given