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VERSION 2026
A patient with many adverse reactions to drugs is tried on an inhaled steroid for
treatment of bronchospasm. For the first 3 days, the patient does not notice any
improvement. You should
1. switch the patient to a xanthine.
2. encourage the patient to continue the drug for 2 to 3 weeks.
3. switch the patient to a sympathomimetic.
4. try the patient on surfactant. - ANSWER-2
Leukotriene receptor antagonists act to block production of a component of
slow-reacting substance of anaphylaxis. They are most beneficial in treating
1. seasonal rhinitis.
2. pneumonia.
3. COPD.
4. asthma. - ANSWER-4
Respiratory distress syndrome occurs in
1. babies with frequent colds.
2. babies with genetic allergies.
3. premature and low-birth-weight babies.
4. babies stressed during the pregnancy. - ANSWER-3
,.Clients who are using inhalers require careful teaching about which
information?SElect all that apply.
1. Avoiding food 1 hour before and 2 hours after dosing
2. Storage of the drug
3. Administration techniques to promote therapeutic effects and avoid adverse
effects
4. Lying flat for as long as 2 hours after dosing
5. Timing of administration
6. The difference between rescue treatment and prophylaxis - ANSWER-2, 3, 5,
6
A child with repeated asthma attacks may be treated with which drugs?Select all
that apply.
1. A leukotriene receptor antagonist
2. A beta-blocker
3. An inhaled corticosteroid
4. An inhaled beta-agonist
5. A surfactant
6 . A mast cell stabilizer - ANSWER-1, 3, 4, 6
The nurse is discharging a client newly diagnosed with restrictive airway
disease (asthma). Which statement indicates the client understands the discharge
instructions?
1. "I will call 911 if my medications don't control an attack."
2. "I should wash my bedding in warm water."
3. "I can still eat at the Chinese restaurant when I want."
4. "If I get a headache, I should take a nonsteroidal anti-inflammatory drug." -
ANSWER-1
,The long-term alterations in fat, carbohydrate, and protein metabolism
associated with diabetes mellitus result in
1. obesity.
2. thickening of the capillary basement membrane.
3. chronic obstructive pulmonary disease.
4. lactose intolerance. - ANSWER-2
Insulin is available in several forms or suspensions, which differ in their
1. effects on the pancreas.
2. onsets and durations of action.
3. means of administration.
4. tendencies to cause adverse effects. - ANSWER-2
Which would be the first choice for a newly diagnosed client with diabetes
mellitus type II who does not have any other health problems?
1. Canagliflozin
2. Liraglutide
, 3. Pioglitazone
4. Metformin - ANSWER-4
Miglitol differs from the sulfonylureas in that it
1. greatly stimulates pancreatic insulin release.
2. greatly increases the sensitivity of insulin receptor sites.
3. delays the absorption of glucose, leading to lower glucose levels.
4. cannot be used in combination with other antidiabetic agents. - ANSWER-3
Teaching subjects for the patient with diabetes should include
1. diet and exercise changes that are needed.
2. the importance of avoiding exercise and eating one meal a day.
3. protection from exposure to any infection and avoiding tiring activities.
4. avoiding pregnancy and taking hygiene measures. - ANSWER-1
Treatment of diabetes may include which? Select all that apply
1. Replacement therapy with insulin