NR 293: PHARMACOLOGY EXAM 2: QUESTIONS
&100% VERIFIED ANSWERS 2025 / GRADED A+ /
GUARANTEED PASS
Pseudoephedrine: Contraindication
- answer-Sudafed is contraindicated in patient with dx of HTN. Rationale because
of the potential for vasoconstriction which could aggravate the HTN condition,
Nasal Decongestant Administration
- answer-Before administering, have the patient blow their nose before placing the
drops. This allows any secretions or crust that could interfere with the distribution
and absorption of the medication
Diphenhydramine: Side Effects
- answer-- dry mouth, nose, and throat
- drowsiness
- dizziness
- nausea
- vomiting
- loss of appetite
- constipation
Albuterol: Patient Teaching
- answer-- hold their breath for 10 seconds after inhaling the albuterol inhaler
- pt teaching:
1. have the pt exhale normally
2. then just prior to releasing the medication, have them inhale as deeply as the
medication is released
3. hold for 10 seconds
Albuterol and Other Medications Via Nebulizer
- answer-- with using 2 medications for asthma in a nebulizer.
-Need to use the Albuterol 1st then use a leukotriene modifier (like cromolyn).
- Using the bronchodilator first to allow the airways to be open, ensuring that the
max dose of the medication will get to the patient's lungs.
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, Status Asthmaticus: Medication and Nursing Priority
- answer-- prolonged asthma attack that does not respond to typical drug therapy
- medical emergency
- Use the urgent vs non- urgent approach to patient care
- The priority action is to administer a nebulized high- dose SABA (short acting B2
agonist) to relieve bronchoconstriction and improve ventilation.
- The medication needs to be given via jet nebulizer
Asthma & Prednisone: Adverse Effects with Sudden Discontinuation
- answer-- Prednisone withdrawal occurs when a person stops taking prednisone
abruptly or reduces their dose too quickly.
-Symptoms of prednisone withdrawal can include body aches, mood swings, and
extreme fatigue
Asthma: Patient Teaching
- answer--Avoid triggers
-If relievers are used more than 2 days/week - needs new controller medication
-*Drink 10-14 8oz glasses of fluid/daily*
-Use metered-dose inhalers correctly
Inhalers: Patient Education
- answer-- for any inhaler prescribed, ensure that the patient is able to self-
administer the medication
- provide demonstration and return demonstration
- ensure the pt knows the correct time intervals for inhalers
- provide a spacer if the pt has difficulty breathing with inhaler activation
- ensure that the pt knows how to keep track of # of doses in the inhaler device
Asthma: Theophylline and Adverse Effects
- answer-- Theophylline should be administered slowly on an infusion pump.
Rapid administration may cause hypotension and death.
Asthma: Montelukast Granules and Adverse Effects
- answer--The medication is generally given at the night every 24 hours, with the
exception if it is being used as a exercise- induced bronchospasm. If should be
administered 2 hours before exercises and not again for 24 hours
Asthma Attack: Hypoxemia
- answer-- during an asthma attack patients often manifests agitation, this is
expected due to the neurological changes from poor oxygen exchange
2|Page
&100% VERIFIED ANSWERS 2025 / GRADED A+ /
GUARANTEED PASS
Pseudoephedrine: Contraindication
- answer-Sudafed is contraindicated in patient with dx of HTN. Rationale because
of the potential for vasoconstriction which could aggravate the HTN condition,
Nasal Decongestant Administration
- answer-Before administering, have the patient blow their nose before placing the
drops. This allows any secretions or crust that could interfere with the distribution
and absorption of the medication
Diphenhydramine: Side Effects
- answer-- dry mouth, nose, and throat
- drowsiness
- dizziness
- nausea
- vomiting
- loss of appetite
- constipation
Albuterol: Patient Teaching
- answer-- hold their breath for 10 seconds after inhaling the albuterol inhaler
- pt teaching:
1. have the pt exhale normally
2. then just prior to releasing the medication, have them inhale as deeply as the
medication is released
3. hold for 10 seconds
Albuterol and Other Medications Via Nebulizer
- answer-- with using 2 medications for asthma in a nebulizer.
-Need to use the Albuterol 1st then use a leukotriene modifier (like cromolyn).
- Using the bronchodilator first to allow the airways to be open, ensuring that the
max dose of the medication will get to the patient's lungs.
1|Page
, Status Asthmaticus: Medication and Nursing Priority
- answer-- prolonged asthma attack that does not respond to typical drug therapy
- medical emergency
- Use the urgent vs non- urgent approach to patient care
- The priority action is to administer a nebulized high- dose SABA (short acting B2
agonist) to relieve bronchoconstriction and improve ventilation.
- The medication needs to be given via jet nebulizer
Asthma & Prednisone: Adverse Effects with Sudden Discontinuation
- answer-- Prednisone withdrawal occurs when a person stops taking prednisone
abruptly or reduces their dose too quickly.
-Symptoms of prednisone withdrawal can include body aches, mood swings, and
extreme fatigue
Asthma: Patient Teaching
- answer--Avoid triggers
-If relievers are used more than 2 days/week - needs new controller medication
-*Drink 10-14 8oz glasses of fluid/daily*
-Use metered-dose inhalers correctly
Inhalers: Patient Education
- answer-- for any inhaler prescribed, ensure that the patient is able to self-
administer the medication
- provide demonstration and return demonstration
- ensure the pt knows the correct time intervals for inhalers
- provide a spacer if the pt has difficulty breathing with inhaler activation
- ensure that the pt knows how to keep track of # of doses in the inhaler device
Asthma: Theophylline and Adverse Effects
- answer-- Theophylline should be administered slowly on an infusion pump.
Rapid administration may cause hypotension and death.
Asthma: Montelukast Granules and Adverse Effects
- answer--The medication is generally given at the night every 24 hours, with the
exception if it is being used as a exercise- induced bronchospasm. If should be
administered 2 hours before exercises and not again for 24 hours
Asthma Attack: Hypoxemia
- answer-- during an asthma attack patients often manifests agitation, this is
expected due to the neurological changes from poor oxygen exchange
2|Page
