NUR 600 Exam 4 High-Yield Respiratory Pharmacology Review: Comprehensive Clinical Guide Covering Asthma and COPD Management, Bronchodilators (Beta-2 Agonists, Anticholinergics, Theophylline), Anti-Inflammatory Therapies (Inhaled Corticosteroids, Mast Cell

NUR 600 Exam 4 High-Yield Respiratory Pharmacology Review: Comprehensive Clinical Guide Covering Asthma and COPD Management, Bronchodilators (Beta-2 Agonists, Anticholinergics, Theophylline), Anti-Inflammatory Therapies (Inhaled Corticosteroids, Mast Cell Stabilizers, Leukotriene Modifiers), Upper Respiratory Medications (Decongestants, Antihistamines, Antitussives, Mucolytics), Exercise-Induced Asthma Prevention, Drug Interactions, Adverse Effects, Contraindications in Cardiac, Renal, and Hepatic Disorders, Patient Education for Inhaler and Nasal Spray Use, and Special Populations (Elderly, Children, COPD, Asthma, Cystic Fibrosis) Exam Questions Verified and Provided with Complete A+ Graded Rationales Latest Updated 2026 A patient is prescribed salmeterol with dosage on a 4 to 6 hours schedule for treatment of exercise induced asthma. What is the recommended dosing schedule of asthma experts regarding this drug? 30 minutes before exercise to prevent this during exercise A 29 years old female patient has sinusitis, so the physician orders a topical nasal decongestant. What instructions should be given? Increase fluids to 2 L/ day 71 year old man with a history of heart disease and diabetes, has had an antihistamine prescribed. The nurse is concerned with this prescription because of the risk of what? Cardiac arrhythmias The nursing instructor is discussing bronchodilators with a group of nursing students. The students understand the instruction when they identify what drug is most effective in treating acute bronchospasm? Epinephrine The nurse is caring for a patient who is taking the dextromethorphan for cough suppression. The nurse will assess this patient for hypotension if he also takes which order medication? Monoamine oxidase inhibitors (MAO) A patient with chronic obstructive pulmonary disease (COPD), presents at the emergency department in acute respiratory distress. The patient's family told the nurse that the patient's problems began right after the patient took his first dose of Ipratropium (Atrovent). What would the nurse suspect be the problem? An allergy to soy products What disorder would the pharmacology instructor tell the nurses students may be exacerbated by the use of nasal decongestant? Hypothyroidism A patient presents at the clinic with sign and symptoms of seasonal allergic rhinitis. The patient is prescribed a nasal steroids to relieve symptoms. Two days later, the patient call the clinic and tell the nurse that he's frustrated and wants a new drug. What is the most appropriate response by the nurse? It may take up to two weeks to get full clinical effect. Try to keep using the drug as ordered. A patient newly diagnosed with chronic obstructive pulmonary disease (COPD), call the clinic and ask the nurse to explain what the new prescribed medication are for. What will be the most appropriate response by the nurse? The medication that has been ordered, for you are to relieve the inflammation and promote dilation of the bronchi. The nurse is caring for a patient who doesn't have a respiratory disorder, but has been prescribed acetylcysteine. What is an additional indication for acetylcysteine? Antidote for acetaminophen poisoning The nurse is caring for a patient who needs education on his medication therapy for allergic rhinitis. 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? It blocks the effects of histamine The nursing instructor is discussing the administration of nasal spray with the nursing students. What information is most important to include in this discussion? Overuse of nasal spray may cause rebound congestion. A patient presents to the emergency department having an acute asthma attack. An ED physician has ordered a symathomimetic (epinephrine). The nurse expects what as the therapeutic effect of these drug? Cause dilation of the bronchi with increased rate and depth of respiration A patient comes to the clinic with symptoms as seen in a cold. What group of upper respiratory drugs causes local vasoconstriction, which decreases blood flow and shrink swollen membranes to improve airflow? Decongestant Epinephrine, formerly the drug of choice for acute attacks of broncoconstriction has been replaced by what? Nothing has replaced epinephrine as drug of choice A patient is in the clinic to have blood drawn to assess his theophylline level. The patient is taking theophylline and appears to be doing well on the drug. What serum level the nurse expect the patient to have? Between 10 to 20 mcg/ml A patient has an acute asthma attack. A broncodilator is used to bring the exacerbation under control. What drug would be used to prevent acute bronchoconstriction? Salmeterol (serevent) A patient with chronic bronchial asthma has prescribed montelukast (singular). What will the nurse instruct the patient to avoid taking? Aspirin The nurse is writing a plan of care for a patient newly admitted to the floor with asthma attacks that occur while exercising. What would be the most appropriate intervention for this patient? Teach patient to use an inhaler before exercising A patient has been prescribed a nasal steroids and asked the nurse what's the most common reason that this medication is used to treat. What is the nurse? Best response? Nasal steroids are used to treat allergic rhinitis Is 76 years old man with asthma is being treated with an anticholinergic. What will the nurse be careful to assess for? Prostatic hypertrophy A healthcare provider is providing staff education on the management of acute asthma exacerbation. Which information is most important for the stuff to know Short acting beta-2 agonist are often included in first line treatment