NURS 615 2027 Exam 4 Questions and Answers
Question 1.
Tiotropium
Correct Answer: long acting 24-hour anticholinergic bronchodilator. Act on m3
receptor located in smooth muscle cells that leads to reduction of smooth
muscle contraction = bronchodilation
Question 2.
Tiotropium treats:
Correct Answer: COPD
Question 3.
montelukast
Correct Answer: non-steroid preventer
Question 4.
adverse action of montelukast (singular)
Correct Answer: anxiety, aggression, depression, and SI
Question 5.
Pt teaching for montelukast
Correct Answer: watch for signs of anxiety, depression, and SI and report
immediately
Question 6.
Patient teaching for inhaled corticosteroids
Correct Answer: taken twice daily, used to prevent asthma exacerbation. does
not replace rescue inhaler. wash mouths out after use
Question 7.
Who should not be given long acting beta agonist?
Correct Answer: African Americans: due to stimulation of beta receptors in
certain populations such as African Americans
Question 8.
Who medications would you use with a patient taking propranolol?
, Correct Answer: Ipratropium
• Mechanism of action for albuterol -✓✓Activation of beta adrenergic
receptors leads to a relaxation of smooth muscle in the lung and dilation and
opening of the airways.
Question 9.
What is the mechanism of action of inhaled corticosteroids?
Correct Answer: Anti- inflammatory and vasoconstrictor effects; inhibit mast
cell, and inflammation mediators. Topical effects on lung without significant
systemic effects
Question 10.
Appropriate use of a short acting bet agonist
Correct Answer: relief of acute asthma attacks. Long acting beta agonist are
used for prevention in contrast
Question 11.
mechanism of action of inhaled muscarinic receptor antagonist
Correct Answer: acts on M3 receptors in smooth muscle cells and submucosal
glands and leads to smooth muscle contraction and mucus secretion and
produces bronchodilatory effects
Question 12.
Adverse effects of inhaled muscarinic receptor antagonists?
Correct Answer: cough, hoarseness, rare allergic reactions, dry mouth,
anticholinergic effects (urinary retention, dizziness, drowsiness, and
constipation
Question 13.
What special population should not be prescribed pseudoephedrine?
Correct Answer: Children younger than 4 years old, and patients with
hypertension
Question 14.
What drug should be used for patients with nasal congestion with hypertension?
Correct Answer: Use chlorphentermine or coricidin HBP
Question 1.
Tiotropium
Correct Answer: long acting 24-hour anticholinergic bronchodilator. Act on m3
receptor located in smooth muscle cells that leads to reduction of smooth
muscle contraction = bronchodilation
Question 2.
Tiotropium treats:
Correct Answer: COPD
Question 3.
montelukast
Correct Answer: non-steroid preventer
Question 4.
adverse action of montelukast (singular)
Correct Answer: anxiety, aggression, depression, and SI
Question 5.
Pt teaching for montelukast
Correct Answer: watch for signs of anxiety, depression, and SI and report
immediately
Question 6.
Patient teaching for inhaled corticosteroids
Correct Answer: taken twice daily, used to prevent asthma exacerbation. does
not replace rescue inhaler. wash mouths out after use
Question 7.
Who should not be given long acting beta agonist?
Correct Answer: African Americans: due to stimulation of beta receptors in
certain populations such as African Americans
Question 8.
Who medications would you use with a patient taking propranolol?
, Correct Answer: Ipratropium
• Mechanism of action for albuterol -✓✓Activation of beta adrenergic
receptors leads to a relaxation of smooth muscle in the lung and dilation and
opening of the airways.
Question 9.
What is the mechanism of action of inhaled corticosteroids?
Correct Answer: Anti- inflammatory and vasoconstrictor effects; inhibit mast
cell, and inflammation mediators. Topical effects on lung without significant
systemic effects
Question 10.
Appropriate use of a short acting bet agonist
Correct Answer: relief of acute asthma attacks. Long acting beta agonist are
used for prevention in contrast
Question 11.
mechanism of action of inhaled muscarinic receptor antagonist
Correct Answer: acts on M3 receptors in smooth muscle cells and submucosal
glands and leads to smooth muscle contraction and mucus secretion and
produces bronchodilatory effects
Question 12.
Adverse effects of inhaled muscarinic receptor antagonists?
Correct Answer: cough, hoarseness, rare allergic reactions, dry mouth,
anticholinergic effects (urinary retention, dizziness, drowsiness, and
constipation
Question 13.
What special population should not be prescribed pseudoephedrine?
Correct Answer: Children younger than 4 years old, and patients with
hypertension
Question 14.
What drug should be used for patients with nasal congestion with hypertension?
Correct Answer: Use chlorphentermine or coricidin HBP
