NURS 611 PHARM EXAM 4/ DIFFERENT VERSIONS COMBINED WITH
pharm exam 4 nurs 611
QUESTIONS AND CORRECT VERIFIED ANSWERS INCLUSIVE OF
Study online at https://quizlet.com/_52zb9v
RATIONALE RATED A+
1. Digoxin levels need to be monitored closely 4
when the following medication is started: 1.Loratadine
2.Diphenhydramine
3.Ipratropium
4.Albuterol
2. Patients with pheochromocytoma should avoid 2
which of the following classes of drugs because 1.
of the possibility of developing hypertensive Expectorants
crisis? 2.
Beta-2-agonists
3.
Antitussives
4.
Antihistamines
3. Harold, a 42-year-old African American, has 2
moderate persistent asthma. Which of the fol- 1.
lowing asthma medications should be used Betamethasone, an inhaled corti-
cautiously, if at all? costeroid
2.
Salmeterol, an inhaled long-acting
beta-agonist
3.
Albuterol, a short-acting beta-ago-
nist
4.
Montelukast, a leukotriene modifier
4. Long-acting beta-agonists (LTBAs) received a 3
Black Box Warning from the U.S. Food and Drug 1.
Administration due to the: Risk of life-threatening dermatolog-
, pharm exam 4 nurs 611
Study online at https://quizlet.com/_52zb9v
ical reactions
2.
Increased incidence of cardiac
events when LTBAs are used
3.
Increased risk of asthma-related
deaths when LTBAs are used
4.
Risk for life-threatening alterations
in electrolytes
5. The bronchodilator of choice for patients taking 4
propranolol is: 1.
Albuterol
2.
Pirbuterol
3.
Formoterol
4.
Ipratropium
6. James is a 52-year-old overweight smoker tak- 2
ing theophylline for his persistent asthma. He 1.
tells his provider he is going to start the Atkin's Congratulate him on making a pos-
diet for weight loss. The appropriate response itive change in his life.
would be: 2.
Recommend he try stopping smok-
ing instead of the Atkin's diet.
3.
Schedule him for regular testing of
serum theophylline levels during his
diet due to increased excretion of
, pharm exam 4 nurs 611
Study online at https://quizlet.com/_52zb9v
theophylline.
4.
Decrease his theophylline dose be-
cause a high-protein diet may lead
to elevated theophylline levels.
7. Li takes theophylline for his persistent asthma 3
and calls the office with a complaint of nausea, 1.
vomiting, and headache. The best advice for Reassure him this is probably a vi-
him would be to: ral infection and should be better
soon
2.
Have him seen the same day for an
assessment and theophylline level
3.
Schedule him for an appointment in
2 to 3 days, which he can cancel if he
is better
4.
Order a theophylline level at the lab-
oratory for him
8. Tiotropium bromide (Spiriva) is an inhaled anti- 1
cholinergic: 1.
Used for the treatment of chron-
ic obstructive pulmonary disease
(COPD)
2.
Used in the treatment of asthma
3.
Combined with albuterol for treat-
ment of asthma exacerbations
, pharm exam 4 nurs 611
Study online at https://quizlet.com/_52zb9v
4.
Combined with fluticasone for the
treatment of persistent asthma
9. Christy has exercise-induced and mild persis- 2
tent asthma and is prescribed two puffs of 1.
albuterol 15 minutes before exercise and as Use one to two puffs of albuterol
needed for wheezing. One puff per day of be- per day to prevent an attack with no
clomethasone (QVAR) is also prescribed. Teach- more than eight puffs per day
ing regarding her inhalers includes: 2.
Beclomethasone needs to be used
every day to treat her asthma
3.
Report any systemic side effects
she is experiencing, such as weight
gain
4.
Use the albuterol metered-dose in-
haler (MDI) immediately after her
corticosteroid MDI to facilitate bron-
chodilation
10. When prescribing montelukast (Singulair) for 3
asthma, patients or parents of patients should 1.
be instructed: Montelukast twice a day is started
when there is an asthma exacerba-
tion.
2.
Patients may experience weight
gain on montelukast.
3.
Aggression, anxiety, depression,
pharm exam 4 nurs 611
QUESTIONS AND CORRECT VERIFIED ANSWERS INCLUSIVE OF
Study online at https://quizlet.com/_52zb9v
RATIONALE RATED A+
1. Digoxin levels need to be monitored closely 4
when the following medication is started: 1.Loratadine
2.Diphenhydramine
3.Ipratropium
4.Albuterol
2. Patients with pheochromocytoma should avoid 2
which of the following classes of drugs because 1.
of the possibility of developing hypertensive Expectorants
crisis? 2.
Beta-2-agonists
3.
Antitussives
4.
Antihistamines
3. Harold, a 42-year-old African American, has 2
moderate persistent asthma. Which of the fol- 1.
lowing asthma medications should be used Betamethasone, an inhaled corti-
cautiously, if at all? costeroid
2.
Salmeterol, an inhaled long-acting
beta-agonist
3.
Albuterol, a short-acting beta-ago-
nist
4.
Montelukast, a leukotriene modifier
4. Long-acting beta-agonists (LTBAs) received a 3
Black Box Warning from the U.S. Food and Drug 1.
Administration due to the: Risk of life-threatening dermatolog-
, pharm exam 4 nurs 611
Study online at https://quizlet.com/_52zb9v
ical reactions
2.
Increased incidence of cardiac
events when LTBAs are used
3.
Increased risk of asthma-related
deaths when LTBAs are used
4.
Risk for life-threatening alterations
in electrolytes
5. The bronchodilator of choice for patients taking 4
propranolol is: 1.
Albuterol
2.
Pirbuterol
3.
Formoterol
4.
Ipratropium
6. James is a 52-year-old overweight smoker tak- 2
ing theophylline for his persistent asthma. He 1.
tells his provider he is going to start the Atkin's Congratulate him on making a pos-
diet for weight loss. The appropriate response itive change in his life.
would be: 2.
Recommend he try stopping smok-
ing instead of the Atkin's diet.
3.
Schedule him for regular testing of
serum theophylline levels during his
diet due to increased excretion of
, pharm exam 4 nurs 611
Study online at https://quizlet.com/_52zb9v
theophylline.
4.
Decrease his theophylline dose be-
cause a high-protein diet may lead
to elevated theophylline levels.
7. Li takes theophylline for his persistent asthma 3
and calls the office with a complaint of nausea, 1.
vomiting, and headache. The best advice for Reassure him this is probably a vi-
him would be to: ral infection and should be better
soon
2.
Have him seen the same day for an
assessment and theophylline level
3.
Schedule him for an appointment in
2 to 3 days, which he can cancel if he
is better
4.
Order a theophylline level at the lab-
oratory for him
8. Tiotropium bromide (Spiriva) is an inhaled anti- 1
cholinergic: 1.
Used for the treatment of chron-
ic obstructive pulmonary disease
(COPD)
2.
Used in the treatment of asthma
3.
Combined with albuterol for treat-
ment of asthma exacerbations
, pharm exam 4 nurs 611
Study online at https://quizlet.com/_52zb9v
4.
Combined with fluticasone for the
treatment of persistent asthma
9. Christy has exercise-induced and mild persis- 2
tent asthma and is prescribed two puffs of 1.
albuterol 15 minutes before exercise and as Use one to two puffs of albuterol
needed for wheezing. One puff per day of be- per day to prevent an attack with no
clomethasone (QVAR) is also prescribed. Teach- more than eight puffs per day
ing regarding her inhalers includes: 2.
Beclomethasone needs to be used
every day to treat her asthma
3.
Report any systemic side effects
she is experiencing, such as weight
gain
4.
Use the albuterol metered-dose in-
haler (MDI) immediately after her
corticosteroid MDI to facilitate bron-
chodilation
10. When prescribing montelukast (Singulair) for 3
asthma, patients or parents of patients should 1.
be instructed: Montelukast twice a day is started
when there is an asthma exacerba-
tion.
2.
Patients may experience weight
gain on montelukast.
3.
Aggression, anxiety, depression,
