A patient is admitted to the emergency department with acute, sever exacerbation of asthma.
Which drug should the nurse anticipate being included in the treatment plan?
a. oral theophylline
b. subcutaneous omalizumab
c. inhaled mometasone furoate
d. high-dose albuterol via nebulizer treatment d
Which medication disrupts the inflammatory response and is indicated in the treatment of
asthma?
a. Salmeterol
b. Ipratopium
c. Montelukast
d. Theophylline c
Which instruction should be included in the teaching for a patient for whom a fluticasone
propionate metered-dose inhaler has been ordered?
a. gargle after using your inhaler
b. take the medication immediately at the onset of an attack
c. take your albuterol first, followed by the fluticasone 5 minutes later
d. make sure you monitor your finger-stick blood glucose level each morning a
A patient with a history of asthma is brought into the clinic with acute dyspnea, wheezing,
hypercapnia, and hypoxemia. Which type of medication will be administered first to this
patient?
a. Beta2 agonists
b. glucocorticoids
c. anticholinergics
d. Leukotriene modifiers a
,A patient who is taking ipratropium for asthma is complaining of a dry cough. Which action
should the nurse implement first?
a. administer recue therapy
b. listen to the patient's lungs
c. instruct the patient to drink water
d. administer dextromethorphan 30 mg b
A patient with chronic obstructive pulmonary disease (COPD) is acutely hypercapnic. Which
respiratory therapy should the nurse administer to lower the patient's carbon dioxide
concentration?
a. Salmeterol
b. Albuterol nebulizer
c. Fluticasone propionate
d. Oxygen via a nasal cannula, 2 L/min b
A patient undergoing inhaled ipratropium therapy visits the clinic for a follow-up visit. Which
complaint would the nurse anticipate from the patient?
a. insomnia
b. dry mouth
c. anginal pain
d. vascular headache b
Which statement by a patient indicates understanding of a nurse's teaching about fluticasone
nasal spray?
a. I realize that I only need to take this when my symptoms are really bad
b. I'll gradually stop taking this so I don't have any problems with withdrawal
c. This drug will help prevent the inflammation and irritation caused by my allergies
d. I'll have to be more careful about not falling because my bones may break more easily c
, The nurse is caring for a patient who has tuberculosis. The patient has been treated with
isoniazid and then with rifampin and isoniazid combination therapy with no improvement in
symptoms despite adherence to the medication regimen. Which should the nurse suspect?
a. the patient has a severe tuberculosis infection
b. the patient has multidrug resistant tuberculosis
c. the patient has a Mycobacterium bovids infection
d. the patient has extensively drug resistant tuberculosis b
The nurse develops a care plan for a patient in the continuation phase of treatment for active
tuberculosis. The care plan includes teaching about which medication regimen?
a. isoniazid and rifampin
b. rifampin and ethambutol
c. ethambutol and isoniazid
d. pyrazinamide and ethambutol a
Secondary injury to the spinal cord occurs when excitatory neurotransmitters flood the area of
injury. Which of the following is considered an excitatory neurotransmitter which can kill nerve
cells?
a. acetylcholine
b. dopamine
c. glutamate
d. GABA c
Greg was diving into shallow water which resulted in a sever hyperflexion spinal cord injury at
the level of C3. Which of the following will likely occur immediately following the injury?
a. Greg will experience quadriplegia but will be able to breathe on his own without mechanical
support.
b. Greg will experience paraplegia and will require the use of a wheelchair