NUR 139 Unit 4 Respiratory/Inhaled Meds

_____________________ decongestants are very quick acting usually within 15 mins.

A. Adrenergic
B. Steroid
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_____________________ decongestants are very quick acting usually within 15 mins.

A. Adrenergic
B. Steroid
A. Adrenergic
_____________________ decongestants take longer to work and can take up to a couple weeks. They can also raise blood glucose levels

A. Adrenergic
B. Steroid
B. Steroid
Inhaled decongestants cause _____________________ in nose and puts the pt at risk for rebound congestion.

A. vasoconstriction
B. vasodilation
A. vasoconstriction
Fluticasone should be sprayed _________ from the septum.

A. toward
B. away
B. away
_________________________ are used to treat rhinitis, common cold, sinusitis, allergic rhinitis (hay fever) or other allergies.

A. Decongestants
B. Antihistamines
C. Expectorants
D. Mucolytics
E. Antitussive Agents
F. Beta-Adrenergic Bronchodilators or Sympathomimetics
G. Respiratory Anti-Inflammatory Agents or Corticosteroids
H. Anticholinergic Agents
I. Xanthine Derivative Bronchodilating Agents
J. Antileukotriene Agents
A. Decongestants
_________________________ are used to treat nasal allergies, allergic rhinitis,
common cold, allergic reactions, motion sickness, Parkinson's disease, and vertigo. They are sometimes given prophylactic before certain things that they know will cause issues such as before being exposed to pollen or before a blood transfusion

A. Decongestants
B. Antihistamines
C. Expectorants
D. Mucolytics
E. Antitussive Agents
F. Beta-Adrenergic Bronchodilators or Sympathomimetics
G. Respiratory Anti-Inflammatory Agents or Corticosteroids
H. Anticholinergic Agents
I. Xanthine Derivative Bronchodilating Agents
J. Antileukotriene Agents
B. Antihistamines
_________________________ are sometimes given prophylactic before certain things that they know will cause issues such as before being exposed to pollen or before a blood transfusion

A. Decongestants
B. Antihistamines
C. Expectorants
D. Mucolytics
E. Antitussive Agents
F. Beta-Adrenergic Bronchodilators or Sympathomimetics
G. Respiratory Anti-Inflammatory Agents or Corticosteroids
H. Anticholinergic Agents
I. Xanthine Derivative Bronchodilating Agents
J. Antileukotriene Agents
B. Antihistamines
_________________________ are used to increase cough production by increasing and thinning mucous secretions.

A. Decongestants
B. Antihistamines
C. Expectorants
D. Mucolytics
E. Antitussive Agents
F. Beta-Adrenergic Bronchodilators or Sympathomimetics
G. Respiratory Anti-Inflammatory Agents or Corticosteroids
H. Anticholinergic Agents
I. Xanthine Derivative Bronchodilating Agents
J. Antileukotriene Agents
C. Expectorants
_________________________ are used to treat acute and chronic respiratory disease with large amounts of secretions, cystic fibrosis, tx of acetaminophen poisoning, and protection against contrast dyes.

A. Decongestants
B. Antihistamines
C. Expectorants
D. Mucolytics
E. Antitussive Agents
F. Beta-Adrenergic Bronchodilators or Sympathomimetics
G. Respiratory Anti-Inflammatory Agents or Corticosteroids
H. Anticholinergic Agents
I. Xanthine Derivative Bronchodilating Agents
J. Antileukotriene Agents
D. Mucolytics
_________________________ (Acetylcysteine) when given by nebulizer smell like rotten eggs.

A. Decongestants
B. Antihistamines
C. Expectorants
D. Mucolytics
E. Antitussive Agents
F. Beta-Adrenergic Bronchodilators or Sympathomimetics
G. Respiratory Anti-Inflammatory Agents or Corticosteroids
H. Anticholinergic Agents
I. Xanthine Derivative Bronchodilating Agents
J. Antileukotriene Agents
D. Mucolytics
_________________________ are used to stop the cough reflex when the cough is nonproductive or harmful (dry cough). A. Decongestants B. Antihistamines C. Expectorants D. Mucolytics E. Antitussive Agents F. Beta-Adrenergic Bronchodilators or Sympathomimetics G. Respiratory Anti-Inflammatory Agents or Corticosteroids H. Anticholinergic Agents I. Xanthine Derivative Bronchodilating Agents J. Antileukotriene AgentsE. Antitussive Agents_________________________ are used to prevent or relieve bronchospasm R/T asthma, bronchitis or other pulmonary diseases. A. Decongestants B. Antihistamines C. Expectorants D. Mucolytics E. Antitussive Agents F. Beta-Adrenergic Bronchodilators or Sympathomimetics G. Respiratory Anti-Inflammatory Agents or Corticosteroids H. Anticholinergic Agents I. Xanthine Derivative Bronchodilating Agents J. Antileukotriene AgentsF. Beta-Adrenergic Bronchodilators or Sympathomimetics_________________________ are used to treat asthma and COPD. A. Decongestants B. Antihistamines C. Expectorants D. Mucolytics E. Antitussive Agents F. Beta-Adrenergic Bronchodilators or Sympathomimetics G. Respiratory Anti-Inflammatory Agents or Corticosteroids H. Anticholinergic Agents I. Xanthine Derivative Bronchodilating Agents J. Antileukotriene AgentsG. Respiratory Anti-Inflammatory Agents or Corticosteroids_________________________ are used for prevention of bronchospasm R/T chronic bronchitis or emphysema. A. Decongestants B. Antihistamines C. Expectorants D. Mucolytics E. Antitussive Agents F. Beta-Adrenergic Bronchodilators or Sympathomimetics G. Respiratory Anti-Inflammatory Agents or Corticosteroids H. Anticholinergic Agents I. Xanthine Derivative Bronchodilating Agents J. Antileukotriene AgentsH. Anticholinergic Agents_________________________ are used to dilate the airways in a pt with asthma, chronic bronchitis or emphysema (used for severe issues). A. Decongestants B. Antihistamines C. Expectorants D. Mucolytics E. Antitussive Agents F. Beta-Adrenergic Bronchodilators or Sympathomimetics G. Respiratory Anti-Inflammatory Agents or Corticosteroids H. Anticholinergic Agents I. Xanthine Derivative Bronchodilating Agents J. Antileukotriene AgentsI. Xanthine Derivative Bronchodilating Agents_________________________ are used for prevention of asthma in adults children 12 and older; COPD. These meds bronchodilate, decrease mucous, decrease inflammation A. Decongestants B. Antihistamines C. Expectorants D. Mucolytics E. Antitussive Agents F. Beta-Adrenergic Bronchodilators or Sympathomimetics G. Respiratory Anti-Inflammatory Agents or Corticosteroids H. Anticholinergic Agents I. Xanthine Derivative Bronchodilating Agents J. Antileukotriene AgentsJ. Antileukotriene Agents_________________________ are contraindicated for known allergy, Adrenergics: glaucoma - cause pupils to dilate, uncontrolled CV disease, HTN, DM (deadly triad). A. Decongestants B. Antihistamines C. Expectorants D. Mucolytics E. Antitussive Agents F. Beta-Adrenergic Bronchodilators or Sympathomimetics G. Respiratory Anti-Inflammatory Agents or Corticosteroids H. Anticholinergic Agents I. Xanthine Derivative Bronchodilating Agents J. Antileukotriene AgentsA. Decongestants_________________________ are contraindicated for known drug allergy, acute asthma attacks, glaucoma, HTN, cardiac disease, kidney disease, peptic ulcer disease (affects histamine in your stomach), seizure, BPH, pregnancy. They should be used cautiously in pt with lower respiratory tract disease (these dry you out and can thicken mucous) A. Decongestants B. Antihistamines C. Expectorants D. Mucolytics E. Antitussive Agents F. Beta-Adrenergic Bronchodilators or Sympathomimetics G. Respiratory Anti-Inflammatory Agents or Corticosteroids H. Anticholinergic Agents I. Xanthine Derivative Bronchodilating Agents J. Antileukotriene AgentsB. AntihistaminesAntihistamines should be used cautiously in pts with lower respiratory tract disease, because they dry you out and can __________ mucous. A. loosen B. thickenB. thicken_________________________ should be used cautiously in pts with asthma. A. Decongestants B. Antihistamines C. Expectorants D. Mucolytics E. Antitussive Agents F. Beta-Adrenergic Bronchodilators or Sympathomimetics G. Respiratory Anti-Inflammatory Agents or Corticosteroids H. Anticholinergic Agents I. Xanthine Derivative Bronchodilating Agents J. Antileukotriene AgentsD. Mucolytics_________________________ are contraindicated for pts with lots of secretions (productive cough). A. Decongestants B. Antihistamines C. Expectorants D. Mucolytics E. Antitussive Agents F. Beta-Adrenergic Bronchodilators or Sympathomimetics G. Respiratory Anti-Inflammatory Agents or Corticosteroids H. Anticholinergic Agents I. Xanthine Derivative Bronchodilating Agents J. Antileukotriene AgentsE. Antitussive Agents_________________________ are contraindicated for pts with uncontrolled HTN or tachydysrhythmias, or high risk of stroke. A. Decongestants B. Antihistamines C. Expectorants D. Mucolytics E. Antitussive Agents F. Beta-Adrenergic Bronchodilators or Sympathomimetics G. Respiratory Anti-Inflammatory Agents or Corticosteroids H. Anticholinergic Agents I. Xanthine Derivative Bronchodilating Agents J. Antileukotriene AgentsF. Beta-Adrenergic Bronchodilators or Sympathomimetics_________________________ are contraindicated for pts with an allergy to atropine or soy lecithin, peanuts, soybeans and other legumes, and pts with glaucoma and BPH. A. Decongestants B. Antihistamines C. Expectorants D. Mucolytics E. Antitussive Agents F. Beta-Adrenergic Bronchodilators or Sympathomimetics G. Respiratory Anti-Inflammatory Agents or Corticosteroids H. Anticholinergic Agents I. Xanthine Derivative Bronchodilating Agents J. Antileukotriene AgentsH. Anticholinergic Agents_________________________ are contraindicated for pts with uncontrolled cardiac dysrhythmias, seizure disorders, hyperthyroidism. A. Decongestants B. Antihistamines C. Expectorants D. Mucolytics E. Antitussive Agents F. Beta-Adrenergic Bronchodilators or Sympathomimetics G. Respiratory Anti-Inflammatory Agents or Corticosteroids H. Anticholinergic Agents I. Xanthine Derivative Bronchodilating Agents J. Antileukotriene AgentsI. Xanthine Derivative Bronchodilating Agents_________________________ should be used cautiously with pts that have liver dysfunction. A. Decongestants B. Antihistamines C. Expectorants D. Mucolytics E. Antitussive Agents F. Beta-Adrenergic Bronchodilators or Sympathomimetics G. Respiratory Anti-Inflammatory Agents or Corticosteroids H. Anticholinergic Agents I. Xanthine Derivative Bronchodilating Agents J. Antileukotriene AgentsJ. Antileukotriene Agents_________________________ are usually well tolerated but, have adverse effects of (Adrenergics): restlessness, topical applications used longer than 3-5 days can cause rebound congestion; (Intranasal Steroids): local mucosal irritation. A. Decongestants B. Antihistamines C. Expectorants D. Mucolytics E. Antitussive Agents F. Beta-Adrenergic Bronchodilators or Sympathomimetics G. Respiratory Anti-Inflammatory Agents or Corticosteroids H. Anticholinergic Agents I. Xanthine Derivative Bronchodilating Agents J. Antileukotriene AgentsA. Decongestants_________________________ have adverse effects of sedation, dry mouth, urinary retention, blurred vision, constipation (can't see, can't pee, can't spit, can't poop). (select all that apply) A. Decongestants B. Antihistamines C. Expectorants D. Mucolytics E. Antitussive Agents F. Beta-Adrenergic Bronchodilators or Sympathomimetics G. Respiratory Anti-Inflammatory Agents or Corticosteroids H. Anticholinergic Agents I. Xanthine Derivative Bronchodilating Agents J. Antileukotriene AgentsB. Antihistamines H. Anticholinergic Agents_________________________ have minimal adverse effects. A. Decongestants B. Antihistamines C. Expectorants D. Mucolytics E. Antitussive Agents F. Beta-Adrenergic Bronchodilators or Sympathomimetics G. Respiratory Anti-Inflammatory Agents or Corticosteroids H. Anticholinergic Agents I. Xanthine Derivative Bronchodilating Agents J. Antileukotriene AgentsC. Expectorants_________________________ have an adverse effect of bronchospasm and should be used cautiously with asthma pts. A. Decongestants B. Antihistamines C. Expectorants D. Mucolytics E. Antitussive Agents F. Beta-Adrenergic Bronchodilators or Sympathomimetics G. Respiratory Anti-Inflammatory Agents or Corticosteroids H. Anticholinergic Agents I. Xanthine Derivative Bronchodilating Agents J. Antileukotriene AgentsD. Mucolytics_________________________ have adverse effects of drowsiness and dizziness. A. Decongestants B. Antihistamines C. Expectorants D. Mucolytics E. Antitussive Agents F. Beta-Adrenergic Bronchodilators or Sympathomimetics G. Respiratory Anti-Inflammatory Agents or Corticosteroids H. Anticholinergic Agents I. Xanthine Derivative Bronchodilating Agents J. Antileukotriene AgentsE. Antitussive Agents_________________________ have adverse effects of nervousness, palpitations, ↑HR, tremors, paradoxical bronchoconstriction (especially possible with racemic epi - has opposite intended effect and causes bronchoconstriction). A. Decongestants B. Antihistamines C. Expectorants D. Mucolytics E. Antitussive Agents F. Beta-Adrenergic Bronchodilators or Sympathomimetics G. Respiratory Anti-Inflammatory Agents or Corticosteroids H. Anticholinergic Agents I. Xanthine Derivative Bronchodilating Agents J. Antileukotriene AgentsF. Beta-Adrenergic Bronchodilators or Sympathomimetics______________________________________ is especially possible with racemic epi. It has the opposite intended effect and causes ______________________________. A. Paradoxical bronchoconstriction; bronchoconstriction B. Paradoxical bronchodilation; bronchodilationA. Paradoxical bronchoconstriction; bronchoconstriction_________________________ have adverse effects of hoarseness, dry mouth, and oral fungal infections (thrush or candidiasis). A. Decongestants B. Antihistamines C. Expectorants D. Mucolytics E. Antitussive Agents F. Beta-Adrenergic Bronchodilators or Sympathomimetics G. Respiratory Anti-Inflammatory Agents or Corticosteroids H. Anticholinergic Agents I. Xanthine Derivative Bronchodilating Agents J. Antileukotriene AgentsG. Respiratory Anti-Inflammatory Agents or Corticosteroids_________________________ have adverse effects of N&V, anorexia, and tachycardia. A. Decongestants B. Antihistamines C. Expectorants D. Mucolytics E. Antitussive Agents F. Beta-Adrenergic Bronchodilators or Sympathomimetics G. Respiratory Anti-Inflammatory Agents or Corticosteroids H. Anticholinergic Agents I. Xanthine Derivative Bronchodilating Agents J. Antileukotriene AgentsI. Xanthine Derivative Bronchodilating Agents_________________________ have an adverse effects of liver damage. A. Decongestants B. Antihistamines C. Expectorants D. Mucolytics E. Antitussive Agents F. Beta-Adrenergic Bronchodilators or Sympathomimetics G. Respiratory Anti-Inflammatory Agents or Corticosteroids H. Anticholinergic Agents I. Xanthine Derivative Bronchodilating Agents J. Antileukotriene AgentsJ. Antileukotriene AgentsNursing interventions for pts taking Antihistamines should be instructed to: A. take before exposure to allergen B. drink 8-10 glasses of fluid per day C. CNS depressants will potentiate effects D. all of the aboveD. all of the aboveNursing interventions for expectorants include: A. don't use longer than 7 days B. force fluids C. use humidifier D. all of the aboveD. all of the aboveConcomitant use of CNS depressants increase sedation when a pt is taking ______________________________. A. Decongestants B. Antihistamines C. Expectorants D. Mucolytics E. Antitussive Agents F. Beta-Adrenergic Bronchodilators or Sympathomimetics G. Respiratory Anti-Inflammatory Agents or Corticosteroids H. Anticholinergic Agents I. Xanthine Derivative Bronchodilating Agents J. Antileukotriene AgentsE. Antitussive AgentsNursing interventions for Respiratory Anti-Inflammatory Agents or Corticosteroids include: A. Perform oral hygiene or at least rinse and spit after each inhaler use B. Use a spacer to decrease oral infections (increased risk of oral candidiasis (thrush) C. A&B are correctC. A&B are correct_________________________ have many drug interactions. The use of caffeine produces an additive cardiac effect and can cause severe tachycardia and CNS stimulation. A. Decongestants B. Antihistamines C. Expectorants D. Mucolytics E. Antitussive Agents F. Beta-Adrenergic Bronchodilators or Sympathomimetics G. Respiratory Anti-Inflammatory Agents or Corticosteroids H. Anticholinergic Agents I. Xanthine Derivative Bronchodilating Agents J. Antileukotriene AgentsI. Xanthine Derivative Bronchodilating AgentsA nursing intervention for _________________________ is to monitor liver function. A. Decongestants B. Antihistamines C. Expectorants D. Mucolytics E. Antitussive Agents F. Beta-Adrenergic Bronchodilators or Sympathomimetics G. Respiratory Anti-Inflammatory Agents or Corticosteroids H. Anticholinergic Agents I. Xanthine Derivative Bronchodilating Agents J. Antileukotriene AgentsJ. Antileukotriene Agents_________________________ are used to dilate the airways in a pt with asthma, chronic bronchitis or emphysema (used for severe issues). A. Decongestants B. Antihistamines C. Expectorants D. Mucolytics E. Antitussive Agents F. Beta-Adrenergic Bronchodilators or Sympathomimetics G. Respiratory Anti-Inflammatory Agents or Corticosteroids H. Anticholinergic Agents I. Xanthine Derivative Bronchodilating Agents J. Antileukotriene AgentsI. Xanthine Derivative Bronchodilating AgentsThe nurse should check the pt's strength and coordination and make sure they are able to do the technique before having them self administer an inhaler. (TRUE or FALSE)TRUEA Dry Powder Inhaler _______ propelled. Sometimes meds are combined in the dose. A. is B. is notB. is notA spacer should be used with a _______________________ inhaler. A. metered dose B. dry powder C. nebulizerA. metered doseA metered dose inhaler should be shaken for ___ seconds before using. A. 5 B. 10 C. 15A. 5When using a metered dose inhaler, the pt takes a deep breath & exhales completely just before positioning it near the mouth. (TRUE or FALSE)TRUEWhen using a metered dose inhaler, the nurse should position the inhaler in the pt's mouth or 1-2 inches away from the open mouth and then: A. Simultaneously press inhaler as pt. takes a slow deep breath B. Hold breath for approximately 10 sec C. Exhale through nose or pursed lips (best) D. all of the aboveD. all of the aboveThe pt should wait _______ seconds between puffs if there is an order for multiple puffs when using an inhaler. A. 10-20 B. 20-60 C. 30-45B. 20-60If there are multiple inhaled medications ordered, the pt should wait _________ between medications and always give the bronchodilator before giving anything else to open the airway passages. A. 2-3 mins B. 3-5 mins C. 5-10 minsA. 2-3 minsIf multiple inhaled medications are ordered, the nurse should give the bronchodilator first before giving anything else in order to _____ the airway passages. A. constrict B. openB. openAfter using an inhaler (especially for steroids), the nurse should ensure that the pt rinses their mouth or brushes their teeth. (TRUE or FALSE)TRUEA spacer _______________ the risk for thrush, and allows more medication to be inhaled in. A. decreases B. increasesA. decreasesWhen using a spacer, the pt inhales slowly and deeply presses the inhaler simultaneously. (TRUE or FALSE)TRUEWhen using a spacer, the nurse should have the pt. continue to breath in ____________ (it will whistle if pt is breathing in too fast). A. slowly B. rapidlyA. slowlyAfter inhaling with a spacer, the nurse should instruct the pt to hold their breath for approximately ___ seconds and then exhale through nose or pursed lips. A. 10 B. 20 C. 60A. 10When using a dry powder inhaler, the nurse should instruct the pt to exhale completely and then breath in ___________________________ and finally hold their breath as long as possible before exhaling. A. slowly and steadily B. quickly and deeplyB. quickly and deeplyIt takes ________________ to deliver one dose when using a dry powder inhaler with capsule. The pt should inhale quickly and deeply. A. one breath B. two breaths C. three breathsB. two breathsYou can use oxygen with the air turned up all the way to administer nebulizer medications. (TRUE or FALSE)TRUEWhen using a nebulizer, the nurse should have the pt. take a: A. slow deep breath, hold it briefly then exhale slowly B. quick and deep breath, hold it for as long as possible then exhale quicklyA. slow deep breath, hold it briefly then exhale slowlyWhen using a nebulizer, the nurse should ensure mist is forming and occasionally tap the cup to make sure the pt gets the full dose. (TRUE or FALSE)TRUEEvaluation of the effectiveness of respiratory medications can be done by checking for: A. Breath sounds B. Breathing rate and effort C. Less use of accessory muscles D. Increased oxygen saturation E. Less anxious (some meds such as albuterol may cause increased anxiousness) F. all of the aboveF. all of the aboveSome meds such as albuterol may cause _____________ anxiousness. A. decreased B. increasedB. increasedA patient who is taking a xanthine derivative for chronic bronchitis asks the nurse " i miss my morning coffee, I can't wait to go home and have some" what is the nurses best response. A. i know how you feel, i miss my coffee too B. i can get some coffee for you, ill be right back C. its important not to take coffee or other caffeinated products with this medication as it may cause an increased HR as well as other problems D. you've been on this medication for a few days, i can call your prescriber to ask whether you can have some coffeeC. its important not to take coffee or other caffeinated products with this medication as it may cause an increased HR as well as other problemsA client has just returned to a nursing unit following bronchoscopy. A nurse would implement which of the following nursing interventions for this client? A. Encouraging additional fluids for the next 24 hours B. Ensuring the return of the gag reflex before offering foods or fluids C. Administering atropine intravenously D. Administering small doses of midazolam (Versed).B. Ensuring the return of the gag reflex before offering foods or fluidsA client has been taking benzonatate (Tessalon Perles) as prescribed. A nurse concludes that the medication is having the intended effect if the client experiences: A. Decreased anxiety level. B. Increased comfort level. C. Reduction of N/V. D. Decreased frequency and intensity of cough.D. Decreased frequency and intensity of cough.Pseudoephedrine (Sudafed) has been ordered as a nasal decongestant. Which of the following is a possible side effect of this drug? A. Constipation B. Bradycardia C. Diplopia D. RestlessnessD. RestlessnessA client is prescribed with Guaifenesin (Mucinex). The nurse determines that the client understands the proper administration of this medication if the client states that he or she will: A. Drink extra fluids while taking this medication. B. Take the medication with meals only. C. Take an additional dose once fever and cough persist. D. Limit oral fluid intakeA. Drink extra fluids while taking this medication.A nurse is about to administer Albuterol (Ventolin HFA) 2 puff and Budesonide (Pulmicort Turbohaler) 2 puff by metered dose inhaler. The nurse plans to administer by? A. Alternating with a single puff each, starting with albuterol. B. Alternating with a single puff each, starting with budesonide. C. Budesonide inhaler first then the albuterol. D. Albuterol inhaler first then the budesonide.D. Albuterol inhaler first then the budesonide.You're assisting your patient who has asthma to bed. The patient is experiencing a frequent cough and chest tightness. You auscultate the patient's lung fields and note expiratory wheezes. The patient's peak flow rate is 78% less than their best peak flow reading. Which medication will provide the patient with the fastest relief from these signs and symptoms of an asthma attack? A. Theophylline B. Tiotropium C. Albuterol D. CromolynC. AlbuterolYou assist your patient with using their inhaler. The inhaler contains the medication Budesonide. Before administering the inhaler, you will want to connect what device to the inhaler to help decrease the patient from developing ________? A. Peak flow meter; pneumonia B. Incentive spirometer; thrush C. Spacer; thrush D. Peak flow meter; mouth soresC. Spacer; thrush