Module 7 NURS 5334 correctly answered 2022

Module 7 NURS 5334 correctly answered 2022Oral decongestants should be discouraged in patients with • A. migraines • B. allergic rhinitis • C. cardiovascular disease • D. chronic bronchitis C. Cardiovascular disease • A 19 year old asthmatic is admitted to the ED in severe bronchospasm. The NP should order: • A. nebulized beta 2 agonist • B. a salmeterol type inhaled agonist • C. an oral beta 2 agonist • D. an inhaled corticosteroid A. nebulized beta 2 agonist • Regarding the use of long acting beta 2 agonists (LABAs), which of the following is NOT true? • A. LABAs enhance the anti inflammatory actions of corticosteroids • B. Use of LABAs is associated with small increase in risk of asthma death • C. LABA use reduces the risk of asthma exacerbations • D. LABAs can be used as monotherapy to relieve bronchospasms in asthma • D. LABAs can be used as monotherapy to relieve bronchospasms in asthma • The antitussive dextromethorphan suppresses the cough reflex by: • A. Direct action on the cough center • B. Anesthetizing the alpha receptors • C. Causing CNS depression • D. Decreasing the viscosity of the bronchial sec • A. Direct action on the cough center • Your new 10 year old patient has asthma, and you decide to treat her with a Beta 2 agonist. In considering the possible drug effects in the patient, you would note the Beta 2 stimulants frequently cause: • A. Direct stimulation of the renin system • B. Hypoglycemia • C. Increased Histamine release • D. Increased pulse rate D. Increased pulse rate • Tiotropium bromide is an inhaled anticholinergic: • A. Used for the treatment of COPD • B. Used in the treatment of asthma • C. Combined with albuterol in the treatment of asthma • D. Combined with fluticasone for the treatment of persistent asthma • A. Used for the treatment of COPD • Christy has exercise induced and mild persistent asthma and is prescribed 2 puffs of albuterol 15 minutes before exercise and as needed for wheezing. One puff per day of beclomethasone is also prescribed. Education regarding her inhalers includes: • A. Use 1 2 puffs of albuterol per day to prevent an attack with no more than 8 puffs per day • B. Beclomethasone needs to be used every day to treat her asthma • C. Use the albuterol MDI immediately after her corticosteroid MDI to facilitate bronchodilation • D. Beclomethasone needs to be given 10 minutes prior to exercise • B. Beclomethasone needs to be used every day to treat her asthma • Montelukast may be prescribed for: • A. A 5 year old child with exercise induced asthma • B. A 2 year old child with moderate persistent asthma • C. An 18 month old child with seasonal allergic rhinitis • D. None of the above. Montelukast is not approved for children • B. A 2 year old child with moderate persistent asthma • A common adverse reaction when using codeine based antitussives is: • A. HTN • B. Headache • C. Insomnia • D. Constipation D. Constipation • Which medication is most likely to cause bronchoconstriction in an asthma patient? • A. Enalapril • B. Fexofenadine • C. Carvedilol • D. lopressor • C. Carvedilol How do H1 and H2 receptors differ? A. H2 play a role in secretion of gastric acid; H1 receptors play a role in vasodilation and bronchoconstriction B. H1 play a role in secretion of gastric acid; H2 play a role in sleep wake cycle C. H1 play a role in secretion of gastric acid; H2 play a role in vasodilation and bronchoconstriction D. H1 play a role in vasodilation and bronchoconstriction; H2 play a role in sleep wake cycle A. H2 play a role in secretion of gastric acid; H1 receptors play a role in vasodilation and bronchoconstriction What are the adverse effects of first generation H1 antagonist? Check all that apply. • dry mouth • Constipation • Fatigue • Confusion • Hallucinations in children • dry mouth • Constipation • Fatigue • Confusion • Hallucinations in children • What is the advantage of using a second generation H1 antagonist rather than a first generation HI antagonist? • A. They cross the blood brain barrier easily • B. They are virtually void of all anticholinergic actions • C. They produce more sedation than first generation agents and can be used for sleep • D. They have less risk of causing flushing • B. They are virtually void of all anticholinergic actions • Which of the following are second generation H1 antagonists? Check all that apply. • diphenhydramine • Cetirizine • Fexofenadine • Levocetirizine • Loratadine • dextromethorphan • Cetirizine • Fexofenadine • Levocetirizine • Loratadine • Susie has been on prednisone 60 mg for 10 days for COPD exacerbation. Does she need a steroid taper? Yes, decrease by 10 until at 10 then 5 then stop