NR293 PHARM EXAM 2 PRACTICE QUESTIONS AND ANSWERS 2024

What advantage does loratadine have compared with traditional antihistamines such as diphenhydramine? Less sedative effect What statement by the patient demonstrates an understanding about beclomethasone dipropionate mechanism of action? "This medication will help prevent the inflammatory response of my allergies." The nurse is discussing use of antitussive medications with a patient. What common adverse effect does the nurse include in the patient teaching? Drowsiness and dizziness What instruction would the nurse include when teaching a patient who is prescribed an expectorant? Increase fluid intake to decrease viscosity of secretions. *Expectorant drugs are used to decrease viscosity of secretions and allow them to be more easily expectorated. Increasing fluid intake helps this action. The nurse would question a prescription for pseudoephedrine in a patient with a history of what condition? Hypertension A patient is making an appointment for allergy testing. The nurse instructs the patient not take what class of medications at least 4 days before allergy testing? Antihistamines What body system will the nurse assess for known common adverse effects of traditional antihistamines? Central Nervous A patient complains of worsening nasal congestion despite the use of oxymetazoline nasal spray every 2 to 4 hours for the past 5 days. The nurse explains this based on what knowledge? Sustained use of nasal decongestants over several days may result in rebound congestion When providing general education on use of over-the-counter (OTC) medications for allergies, what instruction would the nurse to include? Do not use in children younger than 2 years of age unless prescribed. The nurse is discussing with the patient management of symptoms of an upper respiratory tract infection. What classes of medications are often used in treating the symptoms of upper respiratory tract infections? Antihistamines Expectorant Nasal decongestants Antitussive The nurse is discussing use of antihistamines for allergic rhinitis. What medications would be included in the list of H1 antagonists used in the treatment of allergic rhinitis? Cetirizine Fexofenadine Loratadine The nurse is providing discharge teaching to a patient receiving a beta-agonist bronchodilator. What side effect would the nurse emphasize the patient needs to report? Tachycardia Which herbal product, when taken with theophylline, can decrease theophylline's serum drug levels? St. John's wort Which statement by a patient best indicates an understanding of the teaching on flunisolide? "I will rinse my mouth with water after each use." Which laboratory value would the nurse assess before administering zafirlukast to a patient? Liver enzymes The nurse receives laboratory values for a patient with a theophylline level of 14 mcg/mL. How does the nurse interpret this theophylline level? Therapeutic The nurse is providing care to a patient prescribed a nonselective adrenergic agonist bronchodilator. Which condition documented in the patient's medical history would alert the nurse to question this medication order? Coronary Artery Disease A nurse is providing education to a patient taking two different bronchodilator medications. The nurse identifies which characteristic as the advantage of salmeterol over other beta2 agonists such as albuterol? Longer duration of action The nurse is teaching a patient about the use of leukotriene receptor antagonists (LTRAs) drugs such as zafirlukast. Which statement would be appropriate by the nurse? "This medication works by preventing the inflammation that causes your asthma attack." What is the role of corticosteroids in the treatment of acute respiratory disorders? They decrease inflammation Which statement by the nurse would be included when teaching a patient about the proper use of metered-dose inhalers? "Wait 1 to 2 minutes before you take a second puff of the same drug." The nurse performs discharge teaching with a patient who is prescribed the anticholinergic inhaler ipratropium bromide. Which statement by the patient indicates to the nurse that teaching has been successful? "This inhaler is not to be used alone to treat an acute asthma attack." Before administering an LTRA medication, the nurse would assess the patient for allergies to which substance?