CHAPTER 8 DRUGS FOR ALLERGY AND RESPIRATORY
PROBLEMS QUESTIONS WITH COMPLETE SOLUTIONS
The wnurse wreceives worders wfor wa wpatient whaving wa wsevere wasthma wattack. wWhich worder wshould wbe
wcarried wout wfirst?
1. wChest wx-ray
2. wAlbuterol w2.5 wmg wsmall-volume wnebulizer
3. w100% woxygen wnonrebreather wmask
4. wHydrocortisone wsodium wsuccinate w100 wmg wintravenously w- w3. w100% woxygen wnonrebreather
wmask
Which wstatements wmade wby wthe wpatient wexhibits wthe wcorrect wuse wof wusing wa wmetered wdose
winhaler? wSelect wall wthat wapply.
1. w"I wwill wwait wat wleast w3 wminutes wbetween wpuffs."
2. w"I wwill wclean wthe wplastic wcase wat wleast wonce wa wday."
3. w"I wwill winhale wslowly wfor w3 wto w5 wseconds."
4. w"I wwill whold wmy wbreath wfor w10 wseconds wafter winhaling."
5. w"I wwill whold wthe wmouthpiece w1 wto w2 winches waway wfrom wmy wmouth."
6. w"Whenever wpossible, wI wwill wuse wa wspacer."
7. w"I wdo wnot wneed wto wshake wthe winhaler wbefore wuse."
8. w"I wwill wclean wthe wspacer wat wleast wonce wa wmonth."
9. w"I wwill wdiscontinue wthe wdrug wif wI wbegin wto wshake." w- w2. w"I wwill wclean wthe wplastic wcase wat wleast
wonce wa wday."
3. w"I wwill winhale wslowly wfor w3 wto w5 wseconds."
4. w"I wwill whold wmy wbreath wfor w10 wseconds wafter winhaling."
5. w"I wwill whold wthe wmouthpiece w1 wto w2 winches waway wfrom wmy wmouth."
6. w"Whenever wpossible, wI wwill wuse wa wspacer."
An w82-year-old wpatient wasks wthe wnurse wwhich wover-the-counter wantihistamine wis wsafest wto wtake.
wWhich wis wthe wbest wresponse wby wthe wnurse?
1. w"Claritin wworks wwell wfor wme, wand wI'm wsure wit wwill wwork wwell wfor wyou wtoo."
2. w"All wantihistamines whave wside weffects, wso wit's wbest wyou wdon't wtake wanything."
, 3. w"Levocetirizine whas wsedative weffects wand wcould wcause wyou wfall."
4. w"Fexofenadine wis wnonsedating, wjust wdon't wtake wit wwith wgrapefruit wjuice." w- w4. w"Fexofenadine wis
wnonsedating, wjust wdon't wtake wit wwith wgrapefruit wjuice."
Which winhaled wcorticosteroids wwould wthe wnurse wexpect wthe whealthcare wprovider wto wprescribe wfor
wCOPD? wSelect wall wthat wapply.
1. wtiotropium
2. wbudesonide
3. wflunisolide
4. wphenylephrine
5. wmometasone
6. wipratropium
7. wlevalbuterol
8. wbeclomethasone
9. woxymetazoline w- w2. wbudesonide
3. wflunisolide
5. wmometasone
8. wbeclomethasone
Which wstatement wis wmost wimportant wto wemphasize wfor wa wpatient wwho whas wrecently wbeen
wdiagnosed wwith wasthma?
1. w"You wshould wwash wyour wbedding wat wleast wthree wtimes wa wweek wto wminimize wallergens."
2. w"You wshould wuse wyour walbuterol winhaler w30 wminutes wbefore wyou wexercise."
3. w"You wshould wuse wyour walbuterol winhaler wbefore wusing wyour wsteroid winhaler."
4. w"You wshould wkeep wyour wrescue winhaler wwith wyou wat wall wtimes." w- w4. w"You wshould wkeep wyour
wrescue winhaler wwith wyou wat wall wtimes."
Which wassessment wwould wwarrant wa wcall wto wthe whealthcare wprovider wbefore wgiving wa wsmall-
volume wnebulizer wwith walbuterol?
1. wThe wpatient's wheart wrate wis w124 wbeats/min.
2. wThe wpatient wis wtaking wan wantihypertensive wdrug.
3. wThe wpatient whas wanxiety.
4. wThe wpatient wdrinks wcoffee. w- w1. wThe wpatient's wheart wrate wis w124 wbeats/min.
PROBLEMS QUESTIONS WITH COMPLETE SOLUTIONS
The wnurse wreceives worders wfor wa wpatient whaving wa wsevere wasthma wattack. wWhich worder wshould wbe
wcarried wout wfirst?
1. wChest wx-ray
2. wAlbuterol w2.5 wmg wsmall-volume wnebulizer
3. w100% woxygen wnonrebreather wmask
4. wHydrocortisone wsodium wsuccinate w100 wmg wintravenously w- w3. w100% woxygen wnonrebreather
wmask
Which wstatements wmade wby wthe wpatient wexhibits wthe wcorrect wuse wof wusing wa wmetered wdose
winhaler? wSelect wall wthat wapply.
1. w"I wwill wwait wat wleast w3 wminutes wbetween wpuffs."
2. w"I wwill wclean wthe wplastic wcase wat wleast wonce wa wday."
3. w"I wwill winhale wslowly wfor w3 wto w5 wseconds."
4. w"I wwill whold wmy wbreath wfor w10 wseconds wafter winhaling."
5. w"I wwill whold wthe wmouthpiece w1 wto w2 winches waway wfrom wmy wmouth."
6. w"Whenever wpossible, wI wwill wuse wa wspacer."
7. w"I wdo wnot wneed wto wshake wthe winhaler wbefore wuse."
8. w"I wwill wclean wthe wspacer wat wleast wonce wa wmonth."
9. w"I wwill wdiscontinue wthe wdrug wif wI wbegin wto wshake." w- w2. w"I wwill wclean wthe wplastic wcase wat wleast
wonce wa wday."
3. w"I wwill winhale wslowly wfor w3 wto w5 wseconds."
4. w"I wwill whold wmy wbreath wfor w10 wseconds wafter winhaling."
5. w"I wwill whold wthe wmouthpiece w1 wto w2 winches waway wfrom wmy wmouth."
6. w"Whenever wpossible, wI wwill wuse wa wspacer."
An w82-year-old wpatient wasks wthe wnurse wwhich wover-the-counter wantihistamine wis wsafest wto wtake.
wWhich wis wthe wbest wresponse wby wthe wnurse?
1. w"Claritin wworks wwell wfor wme, wand wI'm wsure wit wwill wwork wwell wfor wyou wtoo."
2. w"All wantihistamines whave wside weffects, wso wit's wbest wyou wdon't wtake wanything."
, 3. w"Levocetirizine whas wsedative weffects wand wcould wcause wyou wfall."
4. w"Fexofenadine wis wnonsedating, wjust wdon't wtake wit wwith wgrapefruit wjuice." w- w4. w"Fexofenadine wis
wnonsedating, wjust wdon't wtake wit wwith wgrapefruit wjuice."
Which winhaled wcorticosteroids wwould wthe wnurse wexpect wthe whealthcare wprovider wto wprescribe wfor
wCOPD? wSelect wall wthat wapply.
1. wtiotropium
2. wbudesonide
3. wflunisolide
4. wphenylephrine
5. wmometasone
6. wipratropium
7. wlevalbuterol
8. wbeclomethasone
9. woxymetazoline w- w2. wbudesonide
3. wflunisolide
5. wmometasone
8. wbeclomethasone
Which wstatement wis wmost wimportant wto wemphasize wfor wa wpatient wwho whas wrecently wbeen
wdiagnosed wwith wasthma?
1. w"You wshould wwash wyour wbedding wat wleast wthree wtimes wa wweek wto wminimize wallergens."
2. w"You wshould wuse wyour walbuterol winhaler w30 wminutes wbefore wyou wexercise."
3. w"You wshould wuse wyour walbuterol winhaler wbefore wusing wyour wsteroid winhaler."
4. w"You wshould wkeep wyour wrescue winhaler wwith wyou wat wall wtimes." w- w4. w"You wshould wkeep wyour
wrescue winhaler wwith wyou wat wall wtimes."
Which wassessment wwould wwarrant wa wcall wto wthe whealthcare wprovider wbefore wgiving wa wsmall-
volume wnebulizer wwith walbuterol?
1. wThe wpatient's wheart wrate wis w124 wbeats/min.
2. wThe wpatient wis wtaking wan wantihypertensive wdrug.
3. wThe wpatient whas wanxiety.
4. wThe wpatient wdrinks wcoffee. w- w1. wThe wpatient's wheart wrate wis w124 wbeats/min.
