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Pharm- Chapter 37 Chapter Questions

Terms in this set (8)

A patient who has a history of asthma is experiencing an acute episode of shortness of breath and needs to take a medication for immediate relief. The nurse will choose which medication that is appropriate for this situation?

a. A beta agonist, such as Albuterol

b. A leukotriene receptor antagonist, such as Montelukast

c. A corticosteroid, such as Fluticasone

d. An anticholinergic, such as Ipratropium
a
After a nebulizer treatment with the beta agonist albuterol, the patient complains of feeling a little "shaky," with slight tremors of the hands. The patient's heart rate is 98 beats/min, increased from the pretreatment rate of 88 beats/min. The nurse knows that this reaction is which of these?

a. Expected adverse effect of the medication

b. Allergic reaction to the medication

c. An indication that he has received an overdose of the medication

d. An idiosyncratic reaction to the medication
a
A patient is receiving ipratropium via an inhaler. The nurse will assess the patient for which of these adverse effects? SATA

a. CNS depression

b. Dry mouth or throat

c. Increased appetite

d. Nasal congestion

e. Headache
b, d, e
During a teaching session for a patient who will be receiving a new prescription for the LTRA Montelukast (Singulair), the nurse will tell the patient that the drug has which therapeutic effect?

a. Improves the respiratory drive

b. Loosens and removes thickened secretions

c. Reduces inflammation in the airway

d. Stimulates immediate bronchodilation
c
After the patient takes a dose of an inhaled corticosteroid, such as fluticasone (Flovent), what is the most important action the patient needs to do next?

a. Hold the breath for 60 seconds.

b. Rinse out the mouth with water.

c. Follow the corticosteroid with a bronchodilator inhaler, if ordered.

d. Repeat the dose in 15 minutes if the patient feels short of breath.
b
The nurse is teaching a patient about the inhaler. Advair (fluticasone/salmeterol). Which statements by the patient indicate a correct understanding of this medication? SATA

a. I will rinse my mouth with water after each dose

b. I need to use this inhaler whenever I feel short of breath, but not less than 4 hours between doses

c. This medication is taken twice a day, every 12 hours

d. I can take this inhaler if I get short of breath while exercising

e. I will call my doctor if I notice white patches inside my mouth
a, c, e
A patient who is taking a xanthine derivative for COPD asks the nurse, "I miss my morning coffee. I can't wait to go home and have some." What is the nurse's best response?

a. I know how you feel. I'd miss my coffee too

b. I can get some coffee for you. I'll be right back

c. It's important not to take coffee or other caffeinated products with this medicine, as it may cause an increased heart rate as well as other problems

d. You've been on this medicine for a few days. I can call your prescriber to ask whether you can have some coffee
c
The nurse is preparing to administer the elixir form of theophylline to a patient who has a PEG tube. The dose is 240mg daily, and the medication is available in a concentration of 80mg/15mL. How many milliliters of medication will the nurse give per dose?
45 mL
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