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NUSA 207 – Exam 3 Study Guide and Practice Questions

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This document provides a comprehensive study guide for NUSA 207 Exam 3, covering advanced nursing concepts, clinical practices, and patient care principles. It includes topics such as patient assessment, complex care management, pharmacology applications, disease management, and professional responsibilities. The material is designed to help students reinforce understanding, practice exam-style questions, and prepare effectively for the third course exam.

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NUSA 207 – Exam 3 Study Guide and Practice Questions

Decongestant med - ANS✔✔ phenylephrine



Antitussive - ANS✔✔ cough suppressant



Decongestant - ANS✔✔ decreases overproduction of secretions



Antihistamine - ANS✔✔ blocks the release of histamines



Expectorant - ANS✔✔ increases productive cough to clear airways



Mucolytic - ANS✔✔ increases or liquefies secretions to aid in clearing the airway



Beta 2-adrenergic agonist med - ANS✔✔ albuterol



Albuterol action - ANS✔✔ activate the beta2-receptors in the bronchus resulting in
bronchodilation leading to:

- relief of bronchospasm



Albuterol use - ANS✔✔ - prevention of exercised induced asthma (take 30 min prior)

- long term control of asthma

- bronchospasm tx acute asthma attacks



Albuterol complications - ANS✔✔ tachycardia, tremors

- avoid caffeine

,TTT "Tachycardia, Tremors, Trouble sleeping"



don't take it before sleep



Albuterol contraindications - ANS✔✔ Pregnancy risk C, HTN, angina, tachydysrrhytmias,
hyperthyroidism, heart disease, DM



"albut is so handsome, causes heart beat rise and hypertension, heart disease, angina. so
nervous that I have hyperthyroidism and diabetes"



Glucocorticoid meds - ANS✔✔ - beclomethasone

- prednisone



Prednisone/Beclomesthasone action - ANS✔✔ - prevention of inflammation

- reduction of airway edema

- suppress airway mucous production

- bronchodilation



SSS:"Swelling, Sores in mouth, Sugar increase"

P rednisone decrease Person swelling

B eclomesthasone decrease Bronchi swelling



Prednisone use - ANS✔✔ - short term IV for status asthmaticus

- inhaled for long term treatment of asthma



Beclomethasone complications - ANS✔✔ - difficulty speaking

, - hoarseness

- candidiasis (fungal infections)

sore throat, headache

HOCUS:

Hoarseness (沙哑)

Oral thrush/candidiasis

Cough

Upper resp tract infections

Sore throat



Prednisone education - ANS✔✔ - instruct client to rinse their mouth after using med

- rinsing mouth decreases likelihood of fungal overgrowth in the mouth



Prednisone complications - ANS✔✔ - suppression of adrenal gland function

[adm oral on alternate-day schedule, monitor blood glucose levels, taper the dose not stop
abruptly]

- bone loss

[lowest dose to control, adm oral on alter-day schedule]

(perform weight-bearing exercises, diet with ca and vD)

- peptic ulcer disease

[adm with food]

(avoid NSAIDs, report black tarry stools)

- infection

(notify if infection occur such as sore throat, weakness and malaise; avoid large crowds such as
school; hand hygiene)

- disturbances of fluid and electrolytes

evd by weight gain, edema, and hypokalemia evd by muscle weakness

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