NSG 318 FINAL EXAM ACTUAL QUESTIONS AND
SOLUTIONS RATED A+
✔✔Albuterol Side effects - ✔✔Tremors, agitation, anxiety, sweating, nasopharyngitis,
insomnia, GI distress
✔✔Dextromethorphan (Robitussin) system effects - ✔✔Upper respiratory
✔✔Tiotropium (Spiriva) classification - ✔✔anticholinergic
✔✔Albuterol effects area - ✔✔Lower respiratory system.
✔✔Tiotropium (Spiriva) uses - ✔✔maintenance treatment of asthma and COPD
✔✔Tiotropium (Spiriva) mechanism of action - ✔✔blocks acetylcholine =
bronchodilation
✔✔Tiotropium (Spiriva) caution - ✔✔lactose hypersensitivity, narrow-angle glaucoma,
bladder neck obstruction, renal impairment, breastfeeding, older adults
✔✔Tiotropium (Spiriva) drug interactions - ✔✔Decreased action with
parasympathomimetics
✔✔Tiotropium (Spiriva) side effects - ✔✔Insomnia, sinusitis,
nasopharyngitis,hyperglycemia, joint pain, oral ulcerations, URI
✔✔Tiotropium (Spiriva) adverse reactions - ✔✔Anaphylaxis, angioedema, dehydration,
chest pain
✔✔Tiotropium (Spiriva) area of impact - ✔✔lower respiratory system
✔✔Montelukast (Singulair) classification - ✔✔Bronchodilator: Leukotriene receptor
antagonist
✔✔Montelukast (Singulair) uses - ✔✔Treatment of allergic rhinitis, asthma, and
exercise induced bronchospasm prophylaxis
✔✔Montelukast (Singulair) mode of action - ✔✔Binds with leukotriene receptors which
inhibits bronchoconstriction (no contraction smooth muscle).
✔✔Montelukast (Singulair) cautions - ✔✔Hepatic disease, depression, suicidal ideation,
corticosteroid withdrawal, alcoholism, older adults
, ✔✔Montelukast (Singulair) drug interactions - ✔✔- drug action is blocked by aspirin and
NSAIDS
- increased drug levels with clopidogrel
✔✔Echinacea - ✔✔-decreases cold symptoms and recovery time
- used for stimulating the immune system, antisepsis, viral infections, influenza, and
promotes wound healing.
✔✔Echinacea adverse reactions - ✔✔stomach upset, dizziness, headache, dermatitis,
unpleasant taste
✔✔Cinnamon - ✔✔used for bronchitis, GI problems, anorexia, and diabetes
✔✔Cinnamon adverse effects - ✔✔Allergy
✔✔non pharm for vomiting - ✔✔weak tea, flat soda, gelatin, pedialyte (for use in kids
only), Gatorade, Crackers, dry toast.
✔✔Promethazine Hydrochloride (Phenergan) classification - ✔✔Dopamine antagonist:
Antiemetic
✔✔Promethazine Hydrochloride uses - ✔✔motion sickness, N/V, and sedation
✔✔Promethazine Hydrochloride Mode of action - ✔✔Act on CTZ, block H1 receptors
✔✔Promethazine Hydrochloride caution - ✔✔Narrow-angle glaucoma, intestinal
obstruction, blood dyscrasias (disorders), bone marrow depression, COPD, HTN, older,
debilitated.
✔✔Promethazine Hydrochloride Drug interactions - ✔✔- increased CNS depression w/
alcohol and other depressants
- lowers seizure threshold with phenytoin and tramadol
✔✔Promethazine Hydrochloride lab interactions - ✔✔False pregnancy test
✔✔Promethazine Hydrochloride side effects - ✔✔Erectile dysfunction, injection site
reaction, anorexia, hyper or hypotension, photosensitivity
✔✔Promethazine Hydrochloride adverse reactions - ✔✔Extra-pyramidal syndrome,
seizures
✔✔Promethazine Hydrochloride life threatening - ✔✔Agranulocytosis, leukopenia,
thrombocytopenia, respiratory depression
SOLUTIONS RATED A+
✔✔Albuterol Side effects - ✔✔Tremors, agitation, anxiety, sweating, nasopharyngitis,
insomnia, GI distress
✔✔Dextromethorphan (Robitussin) system effects - ✔✔Upper respiratory
✔✔Tiotropium (Spiriva) classification - ✔✔anticholinergic
✔✔Albuterol effects area - ✔✔Lower respiratory system.
✔✔Tiotropium (Spiriva) uses - ✔✔maintenance treatment of asthma and COPD
✔✔Tiotropium (Spiriva) mechanism of action - ✔✔blocks acetylcholine =
bronchodilation
✔✔Tiotropium (Spiriva) caution - ✔✔lactose hypersensitivity, narrow-angle glaucoma,
bladder neck obstruction, renal impairment, breastfeeding, older adults
✔✔Tiotropium (Spiriva) drug interactions - ✔✔Decreased action with
parasympathomimetics
✔✔Tiotropium (Spiriva) side effects - ✔✔Insomnia, sinusitis,
nasopharyngitis,hyperglycemia, joint pain, oral ulcerations, URI
✔✔Tiotropium (Spiriva) adverse reactions - ✔✔Anaphylaxis, angioedema, dehydration,
chest pain
✔✔Tiotropium (Spiriva) area of impact - ✔✔lower respiratory system
✔✔Montelukast (Singulair) classification - ✔✔Bronchodilator: Leukotriene receptor
antagonist
✔✔Montelukast (Singulair) uses - ✔✔Treatment of allergic rhinitis, asthma, and
exercise induced bronchospasm prophylaxis
✔✔Montelukast (Singulair) mode of action - ✔✔Binds with leukotriene receptors which
inhibits bronchoconstriction (no contraction smooth muscle).
✔✔Montelukast (Singulair) cautions - ✔✔Hepatic disease, depression, suicidal ideation,
corticosteroid withdrawal, alcoholism, older adults
, ✔✔Montelukast (Singulair) drug interactions - ✔✔- drug action is blocked by aspirin and
NSAIDS
- increased drug levels with clopidogrel
✔✔Echinacea - ✔✔-decreases cold symptoms and recovery time
- used for stimulating the immune system, antisepsis, viral infections, influenza, and
promotes wound healing.
✔✔Echinacea adverse reactions - ✔✔stomach upset, dizziness, headache, dermatitis,
unpleasant taste
✔✔Cinnamon - ✔✔used for bronchitis, GI problems, anorexia, and diabetes
✔✔Cinnamon adverse effects - ✔✔Allergy
✔✔non pharm for vomiting - ✔✔weak tea, flat soda, gelatin, pedialyte (for use in kids
only), Gatorade, Crackers, dry toast.
✔✔Promethazine Hydrochloride (Phenergan) classification - ✔✔Dopamine antagonist:
Antiemetic
✔✔Promethazine Hydrochloride uses - ✔✔motion sickness, N/V, and sedation
✔✔Promethazine Hydrochloride Mode of action - ✔✔Act on CTZ, block H1 receptors
✔✔Promethazine Hydrochloride caution - ✔✔Narrow-angle glaucoma, intestinal
obstruction, blood dyscrasias (disorders), bone marrow depression, COPD, HTN, older,
debilitated.
✔✔Promethazine Hydrochloride Drug interactions - ✔✔- increased CNS depression w/
alcohol and other depressants
- lowers seizure threshold with phenytoin and tramadol
✔✔Promethazine Hydrochloride lab interactions - ✔✔False pregnancy test
✔✔Promethazine Hydrochloride side effects - ✔✔Erectile dysfunction, injection site
reaction, anorexia, hyper or hypotension, photosensitivity
✔✔Promethazine Hydrochloride adverse reactions - ✔✔Extra-pyramidal syndrome,
seizures
✔✔Promethazine Hydrochloride life threatening - ✔✔Agranulocytosis, leukopenia,
thrombocytopenia, respiratory depression
