MU NURS 615: Advanced Pharm - Exam
4 Review Q&A 100% Guaranteed Pass
What is tiotropium? - ✔✔(Spiriva) Tiotropium bromide (INN) is a long-standing,
24 hour, anticholinergic bronchodilator used in the management of chronic
obstructive pulmonary disease, (COPD).
What is tiotropium used for maintenance treatment of? - ✔✔COPD, which
includes chronic bronchitis and emphysema.
Tiotropium - ✔✔is not used in the treatment for acute exacerbations of COPD
and bronchitis
Tiotropium - ✔✔is a muscarinic receptor antagonist, often referred to as an
antimuscarinic or anticholingeric agent.
What are the adverse effects of montelukast (Singulair)? - ✔✔Side effects of
Singular can include skin rash, mood changes, tremors, h/a, stomach pain,
heartburn, upset stomach, nausea, diarrhea, tooth pain, tiredness, fever, stuffy
nose, sore throat, cough, and hoarseness. Singular may interact with
phenobarbital or rifampin.
What patient teaching should accompany the prescription of montelukast
(Singulair)? - ✔✔It will not work fast enough to treat an asthma attack that has
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©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
, already begun. Use only a fast-acting inhalation medicine to treat an asthma
attack.
Singulair should not be used for exercised- induced - ✔✔bronchoconstriction
Singulair can lead to what mood changes? - ✔✔anxiety, depression, or thoughts
of suicide or of hurting yourself
What patient teaching should be provided when prescribing inhaled
corticosteroids? - ✔✔They should be taken 2x a day every day for the use of
prevention of asthma. Rinse mouth after use to prevent oral thrush.
What ethnic background should not be prescribed long-acting beta agonists? -
✔✔African Americans, increased incidence of death in this population
What medication would you prescribe for bronchospasm for a patient taking
propranolol? - ✔✔Ipratropium
What is the mechanism of action of albuterol? - ✔✔Relaxes bronchial smooth
muscle by action on beta 2 receptors with little effect on heart rate, causing
dilation of airways.
What is the mechanism of action of inhaled corticosteroids? - ✔✔Extremely
potent vasoconstrictive and anti-inflammatory activity.
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©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
4 Review Q&A 100% Guaranteed Pass
What is tiotropium? - ✔✔(Spiriva) Tiotropium bromide (INN) is a long-standing,
24 hour, anticholinergic bronchodilator used in the management of chronic
obstructive pulmonary disease, (COPD).
What is tiotropium used for maintenance treatment of? - ✔✔COPD, which
includes chronic bronchitis and emphysema.
Tiotropium - ✔✔is not used in the treatment for acute exacerbations of COPD
and bronchitis
Tiotropium - ✔✔is a muscarinic receptor antagonist, often referred to as an
antimuscarinic or anticholingeric agent.
What are the adverse effects of montelukast (Singulair)? - ✔✔Side effects of
Singular can include skin rash, mood changes, tremors, h/a, stomach pain,
heartburn, upset stomach, nausea, diarrhea, tooth pain, tiredness, fever, stuffy
nose, sore throat, cough, and hoarseness. Singular may interact with
phenobarbital or rifampin.
What patient teaching should accompany the prescription of montelukast
(Singulair)? - ✔✔It will not work fast enough to treat an asthma attack that has
1|Page
©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
, already begun. Use only a fast-acting inhalation medicine to treat an asthma
attack.
Singulair should not be used for exercised- induced - ✔✔bronchoconstriction
Singulair can lead to what mood changes? - ✔✔anxiety, depression, or thoughts
of suicide or of hurting yourself
What patient teaching should be provided when prescribing inhaled
corticosteroids? - ✔✔They should be taken 2x a day every day for the use of
prevention of asthma. Rinse mouth after use to prevent oral thrush.
What ethnic background should not be prescribed long-acting beta agonists? -
✔✔African Americans, increased incidence of death in this population
What medication would you prescribe for bronchospasm for a patient taking
propranolol? - ✔✔Ipratropium
What is the mechanism of action of albuterol? - ✔✔Relaxes bronchial smooth
muscle by action on beta 2 receptors with little effect on heart rate, causing
dilation of airways.
What is the mechanism of action of inhaled corticosteroids? - ✔✔Extremely
potent vasoconstrictive and anti-inflammatory activity.
2|Page
©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
