NSG 345 COMPLETE LATEST ACTUAL
TEST 1 BASED WITH QUESTIONS AND
ANSWERS
examples of short acting beta-2 adrenergic agonists - ANSWER-albuterol (ventolin, proair), levalbuterol
indication for SABAs - ANSWER-first line treatment for acute asthma attacks
action of SABAs - ANSWER-relaxes bronchial smooth muscle/ bronchodilation
nursing considerations for SABAs - ANSWER-monitor heart rate, tremors, restlessness, patient teaching
(how to use, how to self monitor heart rate)
examples of long acting beta-2 adrenergic agonists - ANSWER-salmeterol, formoterol
indication for LABAs - ANSWER-long term control of asthma as a maintenance therapy (not for acute
attacks)
nursing considerations for LABAs - ANSWER-monitor heart rate, tremors, QT prolongation, patient
teaching (use inhaled corticosteroids to prevent worsening asthma)
examples of inhaled corticosteroids - ANSWER-fluticasone, budesonide, beclomethasone
indication for ICS - ANSWER-first line long term therapy for asthma/ reduces airway inflammation
nursing considerations for ICS - ANSWER-monitor for thrush, hoarseness, immunosuppression, patient
teaching (rinse mouth after use to prevent thrush, takes weeks to work/not for acute attacks)
examples of leukotrine receptor antagonists - ANSWER-montelukast (singulair)
indication for leukotrine receptor antagonists - ANSWER-allergic asthma, exercise induced asthma
nursing considerations for leukotrine recpetor antagonists - ANSWER-monitor for mood changes, suicidal
ideation, liver function tests, patient teaching (take one daily in evening for best results)
mast cell stabilizer example - ANSWER-cromolyn sodium
mast cell stabilizer indication - ANSWER-prevents asthma attacks by blocking histamine release
beta-2 agonists (SABA/LABA) examples - ANSWER-albuterol, salmeterol
SABA/LABA indication - ANSWER-bronchospasm relief (acute and maintenance)
SABA/LABA nursing considerations - ANSWER-monitor heart rate, tremors, hypokalemia
anticholinergic examples - ANSWER-tiotropium (spiriva), ipratropium (atrovent)
anticholinergic indication - ANSWER-first line treatment for COPD
anticholinergic nursing considerations - ANSWER-monitor dry mouth, urinary retention, glaucoma
methylxanthines examples - ANSWER-theophylline
methlyxanthines indication - ANSWER-last-resort bronchodilatior
methylxanthines nursing considerations - ANSWER-monitor toxicity (N/V, seizures, dysrhythmias)
inhaled corticosteroids examples - ANSWER-fluticasone, budesonide
ICS indications - ANSWER-COPD maintenance therapy and asthma
ICS nursing considerations - ANSWER-monitor thrush, hyperglycemia, osteoperosis
first generation antihistamines example - ANSWER-diphenhydramine (benadryl)
first gen antihistamine considerations - ANSWER-acts on CNS-- causes drowsiness
second generation antihistamine examples - ANSWER-loratadine, cetirizine, fexofenadine
second gen antihistamine considerations - ANSWER-acts on PNS--may cause tremors or urinary retention
metered dose inhaler instructions - ANSWER-shake well before use, exhale completely before use,
breathe in deeply, wait 1-2 minutes between uses
dry powder inhaler instructions - ANSWER-do not shake, inhale deeply and forcefully
sodium normal range - ANSWER-135-145 mEq/L
Hyponatremia monitoring - ANSWER-seizures, confusion
hypernatremia monitoring - ANSWER-thirst, dry mucosa
TEST 1 BASED WITH QUESTIONS AND
ANSWERS
examples of short acting beta-2 adrenergic agonists - ANSWER-albuterol (ventolin, proair), levalbuterol
indication for SABAs - ANSWER-first line treatment for acute asthma attacks
action of SABAs - ANSWER-relaxes bronchial smooth muscle/ bronchodilation
nursing considerations for SABAs - ANSWER-monitor heart rate, tremors, restlessness, patient teaching
(how to use, how to self monitor heart rate)
examples of long acting beta-2 adrenergic agonists - ANSWER-salmeterol, formoterol
indication for LABAs - ANSWER-long term control of asthma as a maintenance therapy (not for acute
attacks)
nursing considerations for LABAs - ANSWER-monitor heart rate, tremors, QT prolongation, patient
teaching (use inhaled corticosteroids to prevent worsening asthma)
examples of inhaled corticosteroids - ANSWER-fluticasone, budesonide, beclomethasone
indication for ICS - ANSWER-first line long term therapy for asthma/ reduces airway inflammation
nursing considerations for ICS - ANSWER-monitor for thrush, hoarseness, immunosuppression, patient
teaching (rinse mouth after use to prevent thrush, takes weeks to work/not for acute attacks)
examples of leukotrine receptor antagonists - ANSWER-montelukast (singulair)
indication for leukotrine receptor antagonists - ANSWER-allergic asthma, exercise induced asthma
nursing considerations for leukotrine recpetor antagonists - ANSWER-monitor for mood changes, suicidal
ideation, liver function tests, patient teaching (take one daily in evening for best results)
mast cell stabilizer example - ANSWER-cromolyn sodium
mast cell stabilizer indication - ANSWER-prevents asthma attacks by blocking histamine release
beta-2 agonists (SABA/LABA) examples - ANSWER-albuterol, salmeterol
SABA/LABA indication - ANSWER-bronchospasm relief (acute and maintenance)
SABA/LABA nursing considerations - ANSWER-monitor heart rate, tremors, hypokalemia
anticholinergic examples - ANSWER-tiotropium (spiriva), ipratropium (atrovent)
anticholinergic indication - ANSWER-first line treatment for COPD
anticholinergic nursing considerations - ANSWER-monitor dry mouth, urinary retention, glaucoma
methylxanthines examples - ANSWER-theophylline
methlyxanthines indication - ANSWER-last-resort bronchodilatior
methylxanthines nursing considerations - ANSWER-monitor toxicity (N/V, seizures, dysrhythmias)
inhaled corticosteroids examples - ANSWER-fluticasone, budesonide
ICS indications - ANSWER-COPD maintenance therapy and asthma
ICS nursing considerations - ANSWER-monitor thrush, hyperglycemia, osteoperosis
first generation antihistamines example - ANSWER-diphenhydramine (benadryl)
first gen antihistamine considerations - ANSWER-acts on CNS-- causes drowsiness
second generation antihistamine examples - ANSWER-loratadine, cetirizine, fexofenadine
second gen antihistamine considerations - ANSWER-acts on PNS--may cause tremors or urinary retention
metered dose inhaler instructions - ANSWER-shake well before use, exhale completely before use,
breathe in deeply, wait 1-2 minutes between uses
dry powder inhaler instructions - ANSWER-do not shake, inhale deeply and forcefully
sodium normal range - ANSWER-135-145 mEq/L
Hyponatremia monitoring - ANSWER-seizures, confusion
hypernatremia monitoring - ANSWER-thirst, dry mucosa
