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1. A patient is prescribed salmeterol with dosage on 30 minutes before exercise to
a 4 to 6 hours schedule for treatment of exercise prevent this during exercise
induced asthma. What is the recommended dosing
schedule of asthma experts regarding this drug?
2. A 29 years old female patient has sinusitis, so the Increase fluids to 2 L/ day
physician orders a topical nasal decongestant. What
instructions should be given?
3. 71 year old man with a history of heart disease and Cardiac arrhythmias
diabetes, has had an antihistamine prescribed. The
nurse is concerned with this prescription because of
the risk of what?
4. The nursing instructor is discussing bronchodila- Epinephrine
tors with a group of nursing students. The stu-
dents understand the instruction when they identify
what drug is most effective in treating acute bron-
chospasm?
5. The nurse is caring for a patient who is taking Monoamine oxidase in-
the dextromethorphan for cough suppression. The hibitors (MAO)
nurse will assess this patient for hypotension if he
also takes which order medication?
6. A patient with chronic obstructive pulmonary dis- An allergy to soy products
ease (COPD), presents at the emergency depart-
ment in acute respiratory distress. The patient's fam-
ily told the nurse that the patient's problems began
right after the patient took his first dose of Ipratropi-
um (Atrovent). What would the nurse suspect be the
problem?
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, NUR 600 exam 4 yo
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7. What disorder would the pharmacology instructor Hypothyroidism
tell the nurses students may be exacerbated by the
use of nasal decongestant?
8. A patient presents at the clinic with sign and symp- It may take up to two weeks
toms of seasonal allergic rhinitis. The patient is pre- to get full clinical effect. Try
scribed a nasal steroids to relieve symptoms. Two to keep using the drug as or-
days later, the patient call the clinic and tell the nurse dered.
that he's frustrated and wants a new drug. What is
the most appropriate response by the nurse?
9. A patient newly diagnosed with chronic obstructive The medication that has been
pulmonary disease (COPD), call the clinic and ask ordered, for you are to relieve
the nurse to explain what the new prescribed med- the inflammation and pro-
ication are for. What will be the most appropriate mote dilation of the bronchi.
response by the nurse?
10. The nurse is caring for a patient who doesn't have a Antidote for acetaminophen
respiratory disorder, but has been prescribed acetyl- poisoning
cysteine. What is an additional indication for acetyl-
cysteine?
11. The nurse is caring for a patient who needs educa- It blocks the effects of hista-
tion on his medication therapy for allergic rhinitis. mine
The patient is to take clemastine (tavist) daily. In
providing educational interventions regarding this
medication, what is the most important instruction
on the action of the medication?
12. The nursing instructor is discussing the administra- Overuse of nasal spray may
tion of nasal spray with the nursing students. What cause rebound congestion.
information is most important to include in this dis-
cussion?
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