NSG 6005 WEEK 4 KNOWLEDGE CHECK QUIZ 2 ANSWERS(Graded A+) LATEST UPDATE

NSG 6005 WEEK 4 KNOWLEDGE CHECK QUIZ 2 ANSWERS Question 1 Tiotropium bromide (Spiriva) is an inhaled anticholinergic: Used for the treatment of COPD Used in the treatment of asthma Combined w/ albuterol for the treatment of asthma exacerbations Combined w/ fluticasone for the treatment of persistent asthma Question 2. Pregnant patients w/ asthma may safely use ____ throughout their pregnancies. Student Answer: oral terbutaline prednisone inhaled corticosteroids (budesonide) montelukast (Singulair) Question 3. Patients w/ pheochromocytoma should avoid which of the following classes of drugs due to the possibility of developing hypertensive crisis? Student Answer: Expectorants Beta 2 agonists Antitussives Antihistamines Question 4. Long-acting beta-agonists received a black box warning from the US Food and Drug Administration due to the: Student Answer: Risk of life-threatening dermatological reactions Increased incidence of cardiac events when long-acting beta-agonists are used Increased risk of asthma-related deaths when long-acting beta-agonists are used Risk for life-threatening alterations in electrolytes Question 5. When prescribing montelukast (Singulair) for asthma, patients or parents of patients should be instructed as follows: Student Answer: Montelukast twice a day is started when there is an asthma exacerbation. Patients may experience weight gain on montelukast. Aggression, anxiety, depression, and/or suicidal thoughts may occur when taking montelukast. Lethargy and hypersomnia may occur when taking montelukast. Question 6. Second-generation antihistamines such as loratadine (Claritin) are prescribed for seasonal allergies because they: Student Answer: Are more effective than first-generation antihistamines Are less sedating than first-generation antihistamines Are prescription products and, therefore, are covered by insurance Can be taken w/ CNS sedatives, such as alcohol Question 7. Medications used in the management of patients w/ COPD include: Student Answer: Inhaled beta 2 agonists Inhaled anticholinergics (ipratropium) Inhaled corticosteroids All of the above Question 8. Patients w/ allergic rhinitis may benefit from a prescription of: Student Answer: Fluticasone (Flonase) Cetirizine (Zyrtec) OTC cromolyn nasal spray (Nasalcrom) Any of the above Question 9. A stepwise approach to the pharmacologic management of asthma: Student Answer: Begins w/ determining the severity of the asthma and assessing asthma control Is used when the asthma is severe and requires daily steroids Allows for each provider to determine his or her personal approach to the care of asthmatic patients Provides a framework for the management of severe asthmatics but is not as helpful when patients have intermittent asthma Question 10. One goal of asthma therapy outlined by the NHLBI Expert Panel 3 guidelines is: Student Answer: Use albuterol daily to control symptoms Minimize exacerbations to once a month Keep nighttime symptoms at a maximum of twice a week Require infrequent use of beta 2 agonists (albuterol) for relief of symptoms