NSG 6005 WEEK 4 KNOWLEDGE CHECK QUIZ 1 ANSWERS(UPDATE)

NSG 6005 WEEK 4 KNOWLEDGE CHECK QUIZ 1 ANSWERS Question 1. Patients with pheochromocytoma should avoid which of the following classes of drugs due to the possibility of developing hypertensive crisis? Expectorants CORRECT Beta 2 agonists Antitussives Antihistamines Question 2. Harold, a forty-two-year-old African American, has moderate persistent asthma. Which of the following asthma medications should he use cautiously, if at all? Betamethasone, an inhaled corticosteroid CORRECT Salmeterol, an inhaled long-acting beta-agonist Albuterol, a short-acting beta-agonist Montelukast, a leukotriene modifier Question 3. Patients with allergic rhinitis may benefit from a prescription of: Fluticasone (Flonase) Cetirizine (Zyrtec) OTC cromolyn nasal spray (Nasalcrom) CORRECT Any of the above Question 4. Howard is a seventy-two-year-old male who occasionally takes diphenhydramine for his seasonal allergies. Monitoring for this patient taking diphenhydramine would include assessing for: CORRECT Urinary retention Cardiac output Peripheral edema Skin for rash Question 5. Montelukast (Singulair) may be prescribed for: A six-year-old with exercise-induced asthma. CORRECT A two-year-old with moderate persistent asthma. An eighteen-month-old with seasonal allergic rhinitis. None of the above; montelukast is not approved for use in children. Question 6. Christy has exercise and mild persistent asthma and is prescribed two puffs of albuterol fifteen minutes before exercise and as needed for wheezing. One puff per day of beclomethasone (Qvar) is also prescribed. Teaching regarding her inhalers includes which one of the following? She should use one to two puffs of albuterol per day to prevent an attack, with no more than eight puffs per day. CORRECT Beclomethasone needs to be used every day to treat her asthma. She should report any systemic side effects she is experiencing, such as weight gain. She should use the albuterol MDI immediately after her corticosteroid MDI to facilitate bronchodilation. Question 7. Monitoring a patient with persistent asthma includes: Monitoring how frequently the patient has a upper respiratory infection during treatment Monthly in-office spirometry testing Determining whether the patient has increased use of his or her long-acting beta 2 agonists due to exacerbations CORRECT Evaluating the patient every one to six months to determine whether the patient needs to step up or down in his or her therapy Question 8. Pregnant patients with asthma may safely use ____ throughout their pregnancies. oral terbutaline prednisone CORRECT inhaled corticosteroids (budesonide) montelukast (Singulair) Question 9. Cough and cold medications that contain a sympathomimetic decongestant such as phenylephrine should be used cautiously in what population? Older adults Hypertensive patients Infants CORRECT All of the above Question 10. The first-line treatment for cough related to a upper respiratory infection in a five-year-old is: CORRECT Fluids and symptomatic care Dextromethorphan and guaifenesin syrup (Robitussin DM for kids) Guaifenesin and codeine syrup (Tussin AC) Chlorpheniramine and dextromethorphan syrup (NyQuil for kids) Question 11. Prior to developing a plan for the treatment of asthma, the patient’s asthma should be classified according to the National Heart, Lung, and Blood Institute (NHLBI) Expert Panel 3 guidelines. In adults, mild-persistent asthma is classified as asthma symptoms that occur: Daily Daily and limit physical activity Less than twice a week CORRECT More than twice a week and less than once a day Question 12. Medications used in the management of patients with COPD include: Inhaled beta 2 agonists Inhaled anticholinergics (ipratropium) Inhaled corticosteroids CORRECT All of the above Question 13. One goal of asthma management in children is: They should independently manage their asthma. CORRECT They should participate in school and sports activities. There should be no exacerbations. The use of inhaled corticosteroids should be minimal. Question 14. Education of patients with COPD who use inhaled corticosteroids includes the following: They should double the dose at the first sign of a upper respiratory infection. They should use the inhaled corticosteroid first and then the bronchodilator. CORRECT They should rinse their mouths after use. They should not smoke for at least thirty minutes after use. Question 15. Metoclopramide improves GERD symptoms by: Reducing acid secretion Increasing gastric pH CORRECT Increasing lower esophageal tone Decreasing lower esophageal tone Question 16. Patients who are on chronic long-term PPI therapy require monitoring for: CORRECT Iron deficiency anemia, vitamin B12, and calcium deficiency Folate and magnesium deficiency Elevated uric acid levels leading to gout Hypokalemia and hypocalcemia Question 17. Lifestyle changes are the first step in the treatment of GERD. A food that may aggravate GERD is: Eggs Honey Dew CORRECT Chocolate Chicken Question 18. An acceptable first-line treatment for PUD disease with positive H. pylori test is: Histamine 2 receptor antagonists for four to eight weeks A PPI twice daily (BID) for twelve weeks until healing is complete CORRECT A PPI BID plus clarithromycin plus amoxicillin for fourteen days A PPI BID and levofloxacin for fourteen days Question 19. Antacids treat GERD by: Decreasing lower esophageal tone CORRECT Increasing gastric pH Inhibiting gastric acid secretion Increasing the serum calcium level Question 20. Kelly has diarrhea and is wondering if she can take loperamide (Imodium) for the diarrhea. Loperamide: Can be given to patients of all ages, including infants and children, for viral gastroenteritis CORRECT Slows gastric motility and reduces fluid and electrolyte loss from diarrhea Is the treatment of choice for the diarrhea associated with E. coli 0157 May be used in pregnancy and by lactating women