NCLEX Pharmacology Study Guide with correct answers 2024

NCLEX Pharmacology Study Guide Albuterol (Proventil) - correct answer Rescue drug administered as a "quick relief" for symptoms (wheezing, breathlessness, rightness) Beclomethasone - correct answer inhaled corticosteroid used as a "long term" first line drug to control chronic airway inflammation What is the proper use of the ICS metered dose inhaler - correct answer 1. Rinsing the mouth and throat after using and not swelling water after use to prevent candida infection 2. Use with spacer What is a SABA drug? What can be taken with this drug in an emergency? - correct answer 1. Albuterol 2. ICS metered dose inhaler (SABA 1st to expand airway then ICS to provide better medication delivery) Inhaled corticosteroids 2 examples? What are they us ed? - correct answer Fluticasone & Beclomethasone Prescribed on a regular schedule for long term to prevent exacerbations Cleaning Albuterol Inhaler vs. ICS inhaler - correct answer 1. Albuterol inhaler you take it apart and wash mouthpiece under warm r unning water, and let it air dry 1 -2 times a week (do not wash canister) 2. ICS clean everyday is recommended (wash mouth and throat) Carbidopa -Levodopa is used to treat? - correct answer Bradykinesia in Parkinson disease and improve tremor and rigidity to some extent (improvement of spontaneous activity) How is cabidopa -levodopa started/why? How should it be discontinued? - correct answer 1. Started in low doses to prevent orthostatic hypotension and neuropsychiatric adverse effects 2. should never be stopped suddenly when started bc it can lead to akinetic crisis Adverse effects of cabidopa -levodopa? - correct answer 1. orthostatic hypotension 2. neuropsychiatric adverse effects (confusion, hallucinations, delusions, agitation, psychosis) Donepezil & Rivastigmine - correct answer treatment for Alzheimer disease, improves cognition and memory Pharmacologic treatment for severe asthma exacerbations - correct answer 1. Maintain O2 above 90% 2. SABA - albuterol and anticholinergic agent (iprat ropium) every 20 mins 3. System corticosteroids (Solu -Medrol) Used to prevent asthma attacks - correct answer Montelukast Salmeterol 1. Used to treat 2. Administration teachings 3. Avoid what products? 4. If there is a risk for infection what 2 vacci nes are recommended? - correct answer 1. long -term control of moderate to severe asthma that promotes relaxation or bronchial smooth muscles over 12 hrs 2. After inhalation, rinse the mouth with water without swallowing to reduce oral candidiasis 3. Avoid smoking and using tobacco products 4. Pneumococcal and influenza Miconazole 1. Used to treat 2. Nursing education