TEST BANK FOR PHARMACOLOGY AND
THE NURSING PROCESS 10TH EDITION
BY LINDA LILLEY, SHELLY COLLINS,
JULIE SNYDER CHAPTER 1-58 GRADE
A+ COMPLETE EXAM QUESTIONS AND
100% VERIFIED ANSWERS (2026/2027)
PASS GUARANTEE
bronchodilatorsRoverviewR-
RCORRECTRANSWERBronchodilatorsRareRanRimportantRpartRofRtheRpharmacotherapyRforRallRrespir
atoryRdiseases.RTheseRdrugsRrelaxRbronchialRsmoothRmuscle,RwhichRcausesRdilationRofRtheRbronchi
RandRbronchiolesRthatRareRnarrowedRasRaRresultRofRtheRdiseaseRprocess.RThereRareRthreeRclassesRofR
suchRdrugs:RbetaRadrenergicRagonists,Ranticholinergics,RandRxanthineRderivatives.
betaRandregenicRdrugRoverviewR-RCORRECTRANSWERTheRbeta-
adrenergicRagonistsRareRaRgroupRofRdrugsRthatRareRcommonlyRusedRduringRtheRacuteRphaseRofRanRa
sthmaticRattackRtoRquicklyRreduceRairwayRconstrictionRandRrestoreRairflowRtoRnormal.RTheyRareRag
onistsRofRtheRadrenergicRreceptorsRinRtheRsympatheticRnervousRsystem.RTheRbetaRandRalphaRadren
ergicRreceptorsRareRdiscussedRinRChaptersR18RandR19.RTheRbetaRagonistsRimitateRtheReffectsRofRnor
epinephrineRonRbetaRreceptors.RForRthisRreason,RtheyRareRalsoRcalledRsympathomimeticRbronchodi
lators.RTheRbetaRagonistsRareRcategorizedRbyRtheirRonsetRofRaction.RShort-
actingRbetaRagonistR(SABA)RinhalersRincludeRalbuterolR(Ventolin),RlevalbuterolR(Xopenex),Rpirbuter
olR(Maxair),RterbutalineR(Brethine),RandRmetaproterenolR(Alupent).RLong-
actingRbetaRagonistR(LABA)RinhalersRincludeRarformoterolR(Brovana),RformoterolR(Foradil,RPerforo
mist),RandRsalmeterolR(Serevent).RTheRnewestRlong-
actingRbetaRagonistsRareRindacterolR(ArcaptaRNeohaler);RvilanterolRinRconjunctionRwithRfluticasone
R(BreoREllipta);RandRvilanterolRinRconjunctionRwithRtheRanticholinergicRumeclidiniumR(AnoroREllipta
).RTheRtermRElliptaRrefersRtoRaRnewRdeliveryRsystem.RBecauseRtheRlong-
actingRbetaRagonistsR(LABAs)RhaveRaRlongerRonsetRofRaction,RtheyRmustRneverRbeRusedRforRacuteRtr
,eatment.RPatientsRmustRbeRtaughtRtoRuseRtheRshort-
actingRbetaRagonistR(SABA)RasRrescueRtreatment.
shortRactingRbetaRagonistR-
RCORRECTRANSWERalbuterolR(Ventolin),RlevalbuterolR(Xopenex),RpirbuterolR(Maxair),RterbutalineR
(Brethine),RandRmetaproterenolR(Alupent).
AlbuterolR-RCORRECTRANSWERClassR:RbetaR2RagonistR(shortRacting)R
IndicationsRandRmechanismsRofRaction:RisRaRshort-actingRbeta2-
specificRbronchodilatingRbetaRagonist.ROtherRsimilarRdrugsRincludeRbitolterolR(Tornalate),Rlevalbut
erolR(Xopenex),RpirbuterolR(Maxair),RandRterbutalineR(Brethine).RAlbuterolRisRtheRmostRcommonlyR
usedRdrugRinRthisRclass.RIfRalbuterolRisRusedRtooRfrequently,Rdose-
relatedRadverseReffectsRmayRbeRseen,RbecauseRalbuterolRlosesRitsRbeta2-
specificRactions,RespeciallyRatRlargerRdosages
ContraindicationsR:.RAsRaRconsequence,RtheRbeta1RreceptorsRareRstimulated,RwhichRcausesRnausea
,RincreasedRanxiety,Rpalpitations,Rtremors,RandRanRincreasedRheartRrate.
Route:RpoRandRinhalationR
OtherRfacts:RlevorotatoryRisomericRformRofRalbuterol,Rlevalbuterol,RisRsometimesRprescribedRasRanR
albuterolRalternativeRforRpatientsRwithRcertainRriskRfactorsR(e.g.,Rtachycardia,RincludingRtachycardi
aRassociatedRwithRalbuterolRtreatment).R(LilleyR583)
Lilley,RLinda,RShellyRCollins,RJulieRSnyder.RPharmacologyRandRtheRNursingRProcess,R8thREdition.RMos
by,R022016.RVitalBookRfile.
,longRactingRbetaRagonistR-
RCORRECTRANSWERarformoterolR(Brovana),RformoterolR(Foradil,RPerforomist),RandRsalmeterolR(S
erevent).RTheRnewestRlong-
actingRbetaRagonistsRareRindacterolR(ArcaptaRNeohaler);RvilanterolRinRconjunctionRwithRfluticasone
R(BreoREllipta);RandRvilanterolRinRconjunctionRwithRtheRanticholinergicRumeclidiniumR(AnoroREllipta
)
betaRandregenicRmechanismRofRactionRandRdrugReffectR-
RCORRECTRANSWERTheRbetaRagonistsRrelaxRandRdilateRairwaysRbyRstimulatingRtheRbeta2-
adrenergicRreceptorsRlocatedRthroughoutRtheRlungs.
582
ThereRareRthreeRsubtypesRofRtheseRdrugs,RbasedRonRtheirRselectivityRforRbeta2Rreceptors:
1.RNonselectiveRadrenergicRdrugs,RwhichRstimulateRtheRbeta,Rbeta1R(cardiac),RandRbeta2R(respirat
ory)Rreceptors.RExample:Repinephrine.R(NOTE:REpinephrineRinhalersRwereRtakenRoffRtheRmarketRinR
2012RbecauseRtheyRdidRnotRcomplyRwithRFDARrequirements).REpinephrineRisRavailableRasRaRprefille
dRsyringeRforRself-
administrationRbyRpatientsRwithRsevereRallergicRreactionsRandRisRcalledREpiPenR(FigureR37-2).
2.RNonselectiveRbeta-
adrenergicRdrugs,RwhichRstimulateRbothRbeta1RandRbeta2Rreceptors.RExample:Rmetaproterenol.
3.RSelectiveRbeta2Rdrugs,RwhichRprimarilyRstimulateRtheRbeta2Rreceptors.RExample:Ralbuterol.
TheseRdrugsRcanRalsoRbeRcategorizedRaccordingRtoRtheirRroutesRofRadministrationRasRoral,Rinjectabl
e,RorRinhaled.RTheRvariousRbetaRagonistRbronchodilatorsRareRlistedRinRTableR37-
3.RTheRbronchiolesRareRsurroundedRbyRsmoothRmuscle.RWhenRtheRsmoothRmuscleRcontracts,RtheR
airwaysRareRnarrowedRandRtheRamountRofRoxygenRandRcarbonRdioxideRexchangedRisRreduced.RTheR
actionRofRbetaRagonistRbronchodilatorsRbeginsRatRtheRspecificRreceptorRstimulatedRandRendsRwithRt
heRrelaxationRandRdilationRofRtheRairways.RHowever,RmanyRreactionsRmustRtakeRplaceRatRtheRcellul
arRlevelRforRbronchodilationRtoRoccur.RWhenRaRbeta2-
, adrenergicRreceptorRisRstimulatedRbyRaRbetaRagonist,RadenylateRcyclaseRisRactivatedRandRproducesR
cyclicRadenosineRmonophosphateR(cAMP).RAdenylateRcyclaseRisRanRenzymeRneededRtoRmakeRcAM
P.RTheRincreasedRlevelsRofRcAMPRcauseRbronchialRsmoothRmusclesRtoRrelax,RwhichRresultsRinRbronc
hialRdilationRandRincreasedRairflowRintoRandRoutRofRtheRlungs.
NonselectiveRadrenergicRagonistRdrugsRsuchRasRepinephrineRalsoRstimulateRalpha-ad
indicationsRofRbetaRandregenicsR-
RCORRECTRANSWERTheRprimaryRtherapeuticReffectRofRtheRbetaRagonistsRisRtheRpreventionRorRrelie
fRofRbronchospasmRrelatedRtoRbronchialRasthma,Rbronchitis,RandRotherRpulmonaryRdiseases.RHow
ever,RtheyRareRalsoRusedRforReffectsRoutsideRtheRrespiratoryRsystem.RBecauseRsomeRofRtheseRdrugsR
haveRtheRabilityRtoRstimulateRbothRbeta1-RandRalpha-
adrenergicRreceptors,RtheyRmayRbeRusedRtoRtreatRhypotensionRandRshockR(seeRChapterR18).
contraindicationsRforRbetaRandregenicsR-
RCORRECTRANSWERdrugRallergy,RuncontrolledRhypertensionRorRcardiacRdysrhythmias,RandRhighRris
kRforRstrokeR(becauseRofRtheRvasoconstrictiveRdrugRaction)
adverseReffectsRofRbetaRandregenicsR-
RCORRECTRANSWERMixedRalpha/betaRagonistsRproduceRtheRmostRadverseReffectsRbecauseRtheyRa
reRnonselective.RTheseRincludeRinsomnia,Rrestlessness,Ranorexia,RcardiacRstimulation,Rhyperglyce
mia,Rtremor,RandRvascularRheadache.RTheRadverseReffectsRofRtheRnonselectiveRbetaRagonistsRareRli
mitedRtoRbeta-
adrenergicReffects,RincludingRcardiacRstimulation,Rtremor,RanginalRpain,RandRvascularRheadache.RT
heRbeta2RdrugsRcanRcauseRbothRhypertensionRandRhypotension,RvascularRheadaches,RandRtremor.R
OverdoseRmanagementRmayRincludeRcarefulRadministrationRofRaRbetaRblockerRwhileRtheRpatientRisR
underRcloseRobservationRdueRtoRtheRriskRforRbronchospasm.RBecauseRtheRhalf-
lifeRofRmostRadrenergicRagonistsRisRrelativelyRshort,RtheRpatientRmayRjustRbeRobservedRwhileRtheRbo
dyReliminatesRtheRmedication.
interactionsRwithRbetaRandregenicsR-
RCORRECTRANSWERWhenRnonselectiveRbetaRblockersRareRusedRwithRtheRbetaRagonistRbronchodila
THE NURSING PROCESS 10TH EDITION
BY LINDA LILLEY, SHELLY COLLINS,
JULIE SNYDER CHAPTER 1-58 GRADE
A+ COMPLETE EXAM QUESTIONS AND
100% VERIFIED ANSWERS (2026/2027)
PASS GUARANTEE
bronchodilatorsRoverviewR-
RCORRECTRANSWERBronchodilatorsRareRanRimportantRpartRofRtheRpharmacotherapyRforRallRrespir
atoryRdiseases.RTheseRdrugsRrelaxRbronchialRsmoothRmuscle,RwhichRcausesRdilationRofRtheRbronchi
RandRbronchiolesRthatRareRnarrowedRasRaRresultRofRtheRdiseaseRprocess.RThereRareRthreeRclassesRofR
suchRdrugs:RbetaRadrenergicRagonists,Ranticholinergics,RandRxanthineRderivatives.
betaRandregenicRdrugRoverviewR-RCORRECTRANSWERTheRbeta-
adrenergicRagonistsRareRaRgroupRofRdrugsRthatRareRcommonlyRusedRduringRtheRacuteRphaseRofRanRa
sthmaticRattackRtoRquicklyRreduceRairwayRconstrictionRandRrestoreRairflowRtoRnormal.RTheyRareRag
onistsRofRtheRadrenergicRreceptorsRinRtheRsympatheticRnervousRsystem.RTheRbetaRandRalphaRadren
ergicRreceptorsRareRdiscussedRinRChaptersR18RandR19.RTheRbetaRagonistsRimitateRtheReffectsRofRnor
epinephrineRonRbetaRreceptors.RForRthisRreason,RtheyRareRalsoRcalledRsympathomimeticRbronchodi
lators.RTheRbetaRagonistsRareRcategorizedRbyRtheirRonsetRofRaction.RShort-
actingRbetaRagonistR(SABA)RinhalersRincludeRalbuterolR(Ventolin),RlevalbuterolR(Xopenex),Rpirbuter
olR(Maxair),RterbutalineR(Brethine),RandRmetaproterenolR(Alupent).RLong-
actingRbetaRagonistR(LABA)RinhalersRincludeRarformoterolR(Brovana),RformoterolR(Foradil,RPerforo
mist),RandRsalmeterolR(Serevent).RTheRnewestRlong-
actingRbetaRagonistsRareRindacterolR(ArcaptaRNeohaler);RvilanterolRinRconjunctionRwithRfluticasone
R(BreoREllipta);RandRvilanterolRinRconjunctionRwithRtheRanticholinergicRumeclidiniumR(AnoroREllipta
).RTheRtermRElliptaRrefersRtoRaRnewRdeliveryRsystem.RBecauseRtheRlong-
actingRbetaRagonistsR(LABAs)RhaveRaRlongerRonsetRofRaction,RtheyRmustRneverRbeRusedRforRacuteRtr
,eatment.RPatientsRmustRbeRtaughtRtoRuseRtheRshort-
actingRbetaRagonistR(SABA)RasRrescueRtreatment.
shortRactingRbetaRagonistR-
RCORRECTRANSWERalbuterolR(Ventolin),RlevalbuterolR(Xopenex),RpirbuterolR(Maxair),RterbutalineR
(Brethine),RandRmetaproterenolR(Alupent).
AlbuterolR-RCORRECTRANSWERClassR:RbetaR2RagonistR(shortRacting)R
IndicationsRandRmechanismsRofRaction:RisRaRshort-actingRbeta2-
specificRbronchodilatingRbetaRagonist.ROtherRsimilarRdrugsRincludeRbitolterolR(Tornalate),Rlevalbut
erolR(Xopenex),RpirbuterolR(Maxair),RandRterbutalineR(Brethine).RAlbuterolRisRtheRmostRcommonlyR
usedRdrugRinRthisRclass.RIfRalbuterolRisRusedRtooRfrequently,Rdose-
relatedRadverseReffectsRmayRbeRseen,RbecauseRalbuterolRlosesRitsRbeta2-
specificRactions,RespeciallyRatRlargerRdosages
ContraindicationsR:.RAsRaRconsequence,RtheRbeta1RreceptorsRareRstimulated,RwhichRcausesRnausea
,RincreasedRanxiety,Rpalpitations,Rtremors,RandRanRincreasedRheartRrate.
Route:RpoRandRinhalationR
OtherRfacts:RlevorotatoryRisomericRformRofRalbuterol,Rlevalbuterol,RisRsometimesRprescribedRasRanR
albuterolRalternativeRforRpatientsRwithRcertainRriskRfactorsR(e.g.,Rtachycardia,RincludingRtachycardi
aRassociatedRwithRalbuterolRtreatment).R(LilleyR583)
Lilley,RLinda,RShellyRCollins,RJulieRSnyder.RPharmacologyRandRtheRNursingRProcess,R8thREdition.RMos
by,R022016.RVitalBookRfile.
,longRactingRbetaRagonistR-
RCORRECTRANSWERarformoterolR(Brovana),RformoterolR(Foradil,RPerforomist),RandRsalmeterolR(S
erevent).RTheRnewestRlong-
actingRbetaRagonistsRareRindacterolR(ArcaptaRNeohaler);RvilanterolRinRconjunctionRwithRfluticasone
R(BreoREllipta);RandRvilanterolRinRconjunctionRwithRtheRanticholinergicRumeclidiniumR(AnoroREllipta
)
betaRandregenicRmechanismRofRactionRandRdrugReffectR-
RCORRECTRANSWERTheRbetaRagonistsRrelaxRandRdilateRairwaysRbyRstimulatingRtheRbeta2-
adrenergicRreceptorsRlocatedRthroughoutRtheRlungs.
582
ThereRareRthreeRsubtypesRofRtheseRdrugs,RbasedRonRtheirRselectivityRforRbeta2Rreceptors:
1.RNonselectiveRadrenergicRdrugs,RwhichRstimulateRtheRbeta,Rbeta1R(cardiac),RandRbeta2R(respirat
ory)Rreceptors.RExample:Repinephrine.R(NOTE:REpinephrineRinhalersRwereRtakenRoffRtheRmarketRinR
2012RbecauseRtheyRdidRnotRcomplyRwithRFDARrequirements).REpinephrineRisRavailableRasRaRprefille
dRsyringeRforRself-
administrationRbyRpatientsRwithRsevereRallergicRreactionsRandRisRcalledREpiPenR(FigureR37-2).
2.RNonselectiveRbeta-
adrenergicRdrugs,RwhichRstimulateRbothRbeta1RandRbeta2Rreceptors.RExample:Rmetaproterenol.
3.RSelectiveRbeta2Rdrugs,RwhichRprimarilyRstimulateRtheRbeta2Rreceptors.RExample:Ralbuterol.
TheseRdrugsRcanRalsoRbeRcategorizedRaccordingRtoRtheirRroutesRofRadministrationRasRoral,Rinjectabl
e,RorRinhaled.RTheRvariousRbetaRagonistRbronchodilatorsRareRlistedRinRTableR37-
3.RTheRbronchiolesRareRsurroundedRbyRsmoothRmuscle.RWhenRtheRsmoothRmuscleRcontracts,RtheR
airwaysRareRnarrowedRandRtheRamountRofRoxygenRandRcarbonRdioxideRexchangedRisRreduced.RTheR
actionRofRbetaRagonistRbronchodilatorsRbeginsRatRtheRspecificRreceptorRstimulatedRandRendsRwithRt
heRrelaxationRandRdilationRofRtheRairways.RHowever,RmanyRreactionsRmustRtakeRplaceRatRtheRcellul
arRlevelRforRbronchodilationRtoRoccur.RWhenRaRbeta2-
, adrenergicRreceptorRisRstimulatedRbyRaRbetaRagonist,RadenylateRcyclaseRisRactivatedRandRproducesR
cyclicRadenosineRmonophosphateR(cAMP).RAdenylateRcyclaseRisRanRenzymeRneededRtoRmakeRcAM
P.RTheRincreasedRlevelsRofRcAMPRcauseRbronchialRsmoothRmusclesRtoRrelax,RwhichRresultsRinRbronc
hialRdilationRandRincreasedRairflowRintoRandRoutRofRtheRlungs.
NonselectiveRadrenergicRagonistRdrugsRsuchRasRepinephrineRalsoRstimulateRalpha-ad
indicationsRofRbetaRandregenicsR-
RCORRECTRANSWERTheRprimaryRtherapeuticReffectRofRtheRbetaRagonistsRisRtheRpreventionRorRrelie
fRofRbronchospasmRrelatedRtoRbronchialRasthma,Rbronchitis,RandRotherRpulmonaryRdiseases.RHow
ever,RtheyRareRalsoRusedRforReffectsRoutsideRtheRrespiratoryRsystem.RBecauseRsomeRofRtheseRdrugsR
haveRtheRabilityRtoRstimulateRbothRbeta1-RandRalpha-
adrenergicRreceptors,RtheyRmayRbeRusedRtoRtreatRhypotensionRandRshockR(seeRChapterR18).
contraindicationsRforRbetaRandregenicsR-
RCORRECTRANSWERdrugRallergy,RuncontrolledRhypertensionRorRcardiacRdysrhythmias,RandRhighRris
kRforRstrokeR(becauseRofRtheRvasoconstrictiveRdrugRaction)
adverseReffectsRofRbetaRandregenicsR-
RCORRECTRANSWERMixedRalpha/betaRagonistsRproduceRtheRmostRadverseReffectsRbecauseRtheyRa
reRnonselective.RTheseRincludeRinsomnia,Rrestlessness,Ranorexia,RcardiacRstimulation,Rhyperglyce
mia,Rtremor,RandRvascularRheadache.RTheRadverseReffectsRofRtheRnonselectiveRbetaRagonistsRareRli
mitedRtoRbeta-
adrenergicReffects,RincludingRcardiacRstimulation,Rtremor,RanginalRpain,RandRvascularRheadache.RT
heRbeta2RdrugsRcanRcauseRbothRhypertensionRandRhypotension,RvascularRheadaches,RandRtremor.R
OverdoseRmanagementRmayRincludeRcarefulRadministrationRofRaRbetaRblockerRwhileRtheRpatientRisR
underRcloseRobservationRdueRtoRtheRriskRforRbronchospasm.RBecauseRtheRhalf-
lifeRofRmostRadrenergicRagonistsRisRrelativelyRshort,RtheRpatientRmayRjustRbeRobservedRwhileRtheRbo
dyReliminatesRtheRmedication.
interactionsRwithRbetaRandregenicsR-
RCORRECTRANSWERWhenRnonselectiveRbetaRblockersRareRusedRwithRtheRbetaRagonistRbronchodila