NUR 504 EXAM 2 WITH ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS
RATED A+
Take the corticosteroid several minutes after the
bronchodilator dose.
A patient is prescribed an inhalational corticosteroid therapy along
with bronchodilator therapy. Which of the following points should
the nurse include in the patient teaching plan?
Stop corticosteroid therapy immediately if you notice any adverse
effects. Before each dose of corticosteroid, rinse the mouth
thoroughly with water. The corticosteroid drug provides rapid relief
during an asthma attack. Take the corticosteroid several minutes
after the bronchodilator dose.
beta2-adrenergic agonist
What is the most common first-line therapy for relief of an acute
asthma attack?
inhaled steroid leukotriene modifier beta2-adrenergic agonist
xanthine
Use strict oral hygiene.
Cleanse inhaler per package instructions.
Use proper technique when administering dose.
,Which of the following should a patient be advised to do to lessen
the likelihood of developing oral thrush with the use of an inhaled
corticosteroid or mast cell aerosol? Select all that apply:
Avoid eating after administration. Use strict oral hygiene. Cleanse
inhaler per package instructions. Use proper technique when
administering dose. Only administer a dose every other day.
They act locally to decrease release of inflammatory
mediators
Why are inhaled steroids used to treat asthma and COPD?
They act locally to decrease release of inflammatory mediators
They act locally to improve mobilization of edema They act locally
to increase histamine release They act locally to decrease
histamine release
Oropharyngeal Candida albicans infection
A 36-year-old client is prescribed inhaled corticosteroid (ICS) for
daily use. Which adverse effects should the nurse closely monitor
for in this client?
Delayed growth Suppression of the hypothalamic-pituitary-adrenal
axis Hypotension Oropharyngeal Candida albicans infection
True
Leukotriene receptor antagonists are administered orally.
True False
, Albuterol first, wait five minutes and then follow with
flunisolide
The client has been diagnosed with asthma and is being treated
with two inhalers, albuterol and flunisolide. The nurse teaches the
client that the two medications should be administered in what
order?
Flunisolide first, wait five minutes and then follow with albuterol
Albuterol first, wait five minutes and then follow with flunisolide
Flunisolide followed immediately by albuterol Albuterol followed
immediately by flunisolide
True
Cromolyn should not be used during an acute asthmatic attack.
True False
Fluticasone
After teaching a group of students about leukotriene receptor
antagonists, the instructor determines a need for additional
teaching when the students identify which agent as an example?
Fluticasone Montelukast Zileuton Zafirkulast
Cromolyn
A client who has chronic bronchial asthma has had a mast cell
stabilizer prescribed. What drug would the health care provider
prescribe?
QUESTIONS AND CORRECT ANSWERS
RATED A+
Take the corticosteroid several minutes after the
bronchodilator dose.
A patient is prescribed an inhalational corticosteroid therapy along
with bronchodilator therapy. Which of the following points should
the nurse include in the patient teaching plan?
Stop corticosteroid therapy immediately if you notice any adverse
effects. Before each dose of corticosteroid, rinse the mouth
thoroughly with water. The corticosteroid drug provides rapid relief
during an asthma attack. Take the corticosteroid several minutes
after the bronchodilator dose.
beta2-adrenergic agonist
What is the most common first-line therapy for relief of an acute
asthma attack?
inhaled steroid leukotriene modifier beta2-adrenergic agonist
xanthine
Use strict oral hygiene.
Cleanse inhaler per package instructions.
Use proper technique when administering dose.
,Which of the following should a patient be advised to do to lessen
the likelihood of developing oral thrush with the use of an inhaled
corticosteroid or mast cell aerosol? Select all that apply:
Avoid eating after administration. Use strict oral hygiene. Cleanse
inhaler per package instructions. Use proper technique when
administering dose. Only administer a dose every other day.
They act locally to decrease release of inflammatory
mediators
Why are inhaled steroids used to treat asthma and COPD?
They act locally to decrease release of inflammatory mediators
They act locally to improve mobilization of edema They act locally
to increase histamine release They act locally to decrease
histamine release
Oropharyngeal Candida albicans infection
A 36-year-old client is prescribed inhaled corticosteroid (ICS) for
daily use. Which adverse effects should the nurse closely monitor
for in this client?
Delayed growth Suppression of the hypothalamic-pituitary-adrenal
axis Hypotension Oropharyngeal Candida albicans infection
True
Leukotriene receptor antagonists are administered orally.
True False
, Albuterol first, wait five minutes and then follow with
flunisolide
The client has been diagnosed with asthma and is being treated
with two inhalers, albuterol and flunisolide. The nurse teaches the
client that the two medications should be administered in what
order?
Flunisolide first, wait five minutes and then follow with albuterol
Albuterol first, wait five minutes and then follow with flunisolide
Flunisolide followed immediately by albuterol Albuterol followed
immediately by flunisolide
True
Cromolyn should not be used during an acute asthmatic attack.
True False
Fluticasone
After teaching a group of students about leukotriene receptor
antagonists, the instructor determines a need for additional
teaching when the students identify which agent as an example?
Fluticasone Montelukast Zileuton Zafirkulast
Cromolyn
A client who has chronic bronchial asthma has had a mast cell
stabilizer prescribed. What drug would the health care provider
prescribe?
