Pharmacology WEEK 1, Pharm Week 7
Quiz 4 *Cardiac*, Quiz wk 13, Pharm
Exam 5 Antimicrobial Drugs Review, Wk
11 Quiz Pharmacology Review, Wk 10
Pharm (Endocrine)
Sylvia Vasquez presents to the emergency room with an acute exacerbation of chronic obstructive
pulmonary disease (COPD). She is anxious and acutely short ofbreath, with bilateral audible
wheezing. As the nurse, you administer an inhaled albuterol treatment as ordered.However, what
disadvantage of inhaled agents do yourecognize?
Difficulty measuring the actual dose delivered, due to variability in use and breathing pattern
Insulin that is 100 units/mL must use a U-100 syringe.
True
A continuous subcutaneous insulin infusion pump uses long-acting insulins.
False: uses rapid-or-fast-acting insulins
Lantus and Levemir can be mixed with regular insulin.
False
Regular insulin should be drawn up before NPH insulin.
True
The angle of a subcutaneous injection for a normal sized person is 45 degrees.
True
After Mr. Jackson is successfully treated in the emergencydepartment, the acute episode of asthma
is resolved. When preparing to discharge him, what point should you emphasize in relation to
managing acute asthmaexacerbations?
Avoid exposure to pollutants (dust, pollen, mold)
Sylvia Vasquez presents to the emergency room with an acute exacerbation of chronic obstructive
pulmonary disease (COPD). She is anxious and acutely short of breath, with bilateral audible
wheezing. As the nurse, you administer an inhaled albuterol treatment as ordered. However, what
disadvantage of inhaled agents do yourecognize?
Difficulty measuring the actual dose delivered, due to variability in use and breathing pattern
What type of pharmacologic agent is albuterol (Ventolin)?
A beta-adrenergic agonist, resulting in smooth muscle relaxation and bronchodilation
, After administering the initial treatment, you question Ms. Vasquez about her medication regimen at
home. She responds that she stopped using her steroid inhaler as prescribed but kept it to use
during an acute attack. Your response to this information is based on the knowledge that:
Inhaled steroids are used for the prevention of exacerbations and are ineffective during an acute
exacerbation
After Ms. Vasquez's acute exacerbation is resolved, you prepare a discharge teaching plan. She is
placed on a daily dose of ipratropium(Atrovent) for her asthma. What do you encourage Sylvia to
do?
Keep hard candy available at all times
Saundra Ellis is hospitalized for an exacerbation of her chronic bronchitis. She responds well to the
acute care treatments prescribed and is being discharged with ametered-dose inhaler. When
preparing the discharge teaching plan, which nursing diagnosis is the most appropriate for this
client?
Inability to effectively use the delivery device
After teaching Mrs. Ellis how to use the metered-dose inhaler, what is the most important thing you
should do as you evaluate this case?
Observe Mrs. Ellis using the metered-dose inhaler correctly
As a family nurse practitioner, you examine Hector Hernandez. Your diagnosis is allergic rhinitis. You
give Mr. Hernandez a prescription for beclomethasone (Beconase AQ) nasal spray every 6 hours;
montelukast (Singulair) 10 mg daily; and diphenhydramine (Benadryl) 25 mg every six hours as
needed.
Mr. Hernandez asks why the nasal spray is necessary if he avoids exposure to the allergen and takes
an oral agent. How should you respond?
b. Beclomethasone (Beconase AQ) is an intranasal corticosteroid that will help relieve the symptoms
of allergic rhinitis without the risk of severe adverse effects.
Mr. Hernandez asks you if there are any restrictions on his activities when he takes beclomethasone
(Beconase AQ), montelukast (Singulair), and diphenhydramine (Benadryl). You respond based on
your knowledge that:
b. Individuals taking an antihistamine should not drive or operate machinery.
Jessica Jordan is evaluated in the emergency room and diagnosed with severe allergic rhinitis
secondary to exposure to mold spores. She is complaining of severe nasal congestion, sneezing, and
watery eyes.
As the nurse practitioner, you prescribe diphenhydramine (Benadryl) 25 mg by mouth, first dose
now. What is the most appropriate nursing diagnosis related to the use of antihistamines?
d. Risk for unexpected outcome
When preparing to discharge Ms. Jordan, what should you include in the discharge teaching plan?
Quiz 4 *Cardiac*, Quiz wk 13, Pharm
Exam 5 Antimicrobial Drugs Review, Wk
11 Quiz Pharmacology Review, Wk 10
Pharm (Endocrine)
Sylvia Vasquez presents to the emergency room with an acute exacerbation of chronic obstructive
pulmonary disease (COPD). She is anxious and acutely short ofbreath, with bilateral audible
wheezing. As the nurse, you administer an inhaled albuterol treatment as ordered.However, what
disadvantage of inhaled agents do yourecognize?
Difficulty measuring the actual dose delivered, due to variability in use and breathing pattern
Insulin that is 100 units/mL must use a U-100 syringe.
True
A continuous subcutaneous insulin infusion pump uses long-acting insulins.
False: uses rapid-or-fast-acting insulins
Lantus and Levemir can be mixed with regular insulin.
False
Regular insulin should be drawn up before NPH insulin.
True
The angle of a subcutaneous injection for a normal sized person is 45 degrees.
True
After Mr. Jackson is successfully treated in the emergencydepartment, the acute episode of asthma
is resolved. When preparing to discharge him, what point should you emphasize in relation to
managing acute asthmaexacerbations?
Avoid exposure to pollutants (dust, pollen, mold)
Sylvia Vasquez presents to the emergency room with an acute exacerbation of chronic obstructive
pulmonary disease (COPD). She is anxious and acutely short of breath, with bilateral audible
wheezing. As the nurse, you administer an inhaled albuterol treatment as ordered. However, what
disadvantage of inhaled agents do yourecognize?
Difficulty measuring the actual dose delivered, due to variability in use and breathing pattern
What type of pharmacologic agent is albuterol (Ventolin)?
A beta-adrenergic agonist, resulting in smooth muscle relaxation and bronchodilation
, After administering the initial treatment, you question Ms. Vasquez about her medication regimen at
home. She responds that she stopped using her steroid inhaler as prescribed but kept it to use
during an acute attack. Your response to this information is based on the knowledge that:
Inhaled steroids are used for the prevention of exacerbations and are ineffective during an acute
exacerbation
After Ms. Vasquez's acute exacerbation is resolved, you prepare a discharge teaching plan. She is
placed on a daily dose of ipratropium(Atrovent) for her asthma. What do you encourage Sylvia to
do?
Keep hard candy available at all times
Saundra Ellis is hospitalized for an exacerbation of her chronic bronchitis. She responds well to the
acute care treatments prescribed and is being discharged with ametered-dose inhaler. When
preparing the discharge teaching plan, which nursing diagnosis is the most appropriate for this
client?
Inability to effectively use the delivery device
After teaching Mrs. Ellis how to use the metered-dose inhaler, what is the most important thing you
should do as you evaluate this case?
Observe Mrs. Ellis using the metered-dose inhaler correctly
As a family nurse practitioner, you examine Hector Hernandez. Your diagnosis is allergic rhinitis. You
give Mr. Hernandez a prescription for beclomethasone (Beconase AQ) nasal spray every 6 hours;
montelukast (Singulair) 10 mg daily; and diphenhydramine (Benadryl) 25 mg every six hours as
needed.
Mr. Hernandez asks why the nasal spray is necessary if he avoids exposure to the allergen and takes
an oral agent. How should you respond?
b. Beclomethasone (Beconase AQ) is an intranasal corticosteroid that will help relieve the symptoms
of allergic rhinitis without the risk of severe adverse effects.
Mr. Hernandez asks you if there are any restrictions on his activities when he takes beclomethasone
(Beconase AQ), montelukast (Singulair), and diphenhydramine (Benadryl). You respond based on
your knowledge that:
b. Individuals taking an antihistamine should not drive or operate machinery.
Jessica Jordan is evaluated in the emergency room and diagnosed with severe allergic rhinitis
secondary to exposure to mold spores. She is complaining of severe nasal congestion, sneezing, and
watery eyes.
As the nurse practitioner, you prescribe diphenhydramine (Benadryl) 25 mg by mouth, first dose
now. What is the most appropriate nursing diagnosis related to the use of antihistamines?
d. Risk for unexpected outcome
When preparing to discharge Ms. Jordan, what should you include in the discharge teaching plan?
