A patient with stable COPD receives prescriptions for an d.
inhaled glucocorticoid and an inhaled beta2-adrenergic "The glucocorticoid is used as prophylaxis to prevent exacerbations."
agonist. Which statement by the patient indicates
understanding of this medication regimen?
a.
"I should use the glucocorticoid as needed when
symptoms flare."
b.
"I will need to use the beta2-adrenergic agonist drug daily."
c.
"The beta2-adrenergic agonist suppresses the synthesis of
inflammatory mediators."
d.
"The glucocorticoid is used as prophylaxis to prevent
exacerbations."
A patient who uses an inhaled glucocorticoid for chronic a.
asthma calls the nurse to report hoarseness. What will the Ask whether the patient is rinsing the mouth after each dose.
nurse do?
a.
Ask whether the patient is rinsing the mouth after each
dose.
b.
Request an order for an antifungal medication.
c.
Suggest that the patient be tested for a bronchial infection.
d.
Tell the patient to discontinue use of the glucocorticoid.
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A patient with asthma is admitted to an emergency c.
department with a respiratory rate of 22 breaths per minute, Intravenous glucocorticoids, nebulized albuterol and ipratropium, and oxygen
a prolonged expiratory phase, tight wheezes, and an d.
oxygen saturation of 90% on room air. The patient reports
using fluticasone [Flovent HFA] 110 mcg twice daily and has
used 2 puffs of albuterol [Proventil HFA], 90 mcg/puff,
every 4 hours for 2 days. The nurse will expect to administer
which drug?
a.
Four puffs of albuterol, oxygen, and intravenous
theophylline
b.
Intramuscular glucocorticoids and salmeterol by metered-
dose inhaler
c.
Intravenous glucocorticoids, nebulized albuterol and
ipratropium, and oxygen
d.
Intravenous theophylline, oxygen, and fluticasone (Flovent
HFA) 220 mcg
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A parent asks a nurse about growth suppression resulting a.
from the use of an inhaled glucocorticoid in children. What Growth may be slowed, but eventual adult height will not be reduced.
will the nurse tell the parent?
a.
Growth may be slowed, but eventual adult height will not
be reduced.
b.
The growth rate is not impaired, but overall height will be
reduced.
c.
The growth rate slows while the drug is used and only
resumes when the drug is stopped.
d.
Long-term use of the drug results in a decrease in adult
height.
A young adult woman will begin using an inhaled b.
glucocorticoid to treat asthma. The nurse will teach this Participating in weight-bearing exercises on a regular basis
patient about the importance of which action?
a.
Lowering her calcium intake and increasing her vitamin D
intake
b.
Participating in weight-bearing exercises on a regular basis
c.
Taking oral glucocorticoids during times of acute stress
d.
Using two reliable forms of birth control to prevent
pregnancy
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