Pharm Nurs 611 Exam 4 Questions And Correct Answers
Digoxin levels should be closely monitored once the following medication is started: -
ANSWER 4
1.Loratadine
2.Diphenhydramine
3.Ipratropium
4.Albuterol
A patient with pheochromocytoma should avoid which of the following classes of
medications because of the risk of hypertensive crisis? - ANSWER 2
1.
Expectorants
2.
Beta-2-agonists
3.
Antitussives
4.
Antihistamines
Harold, a 42-year-old African American, presents with moderate persistent asthma.
Asthma medications that should be used judiciously, if at all, for this patient include
which of the following? - ANSWER 2
1.
Betamethasone, an inhaled corticosteroid
2.
Salmeterol, an inhaled long-acting beta-agonist
,3.
Albuterol is a short-acting beta-agonist
4.
Montelukast is a leukotriene modifier
Long-acting beta-agonists received a Black Box Warning from the U.S. Food and Drug
Administration for the: - ANSWER 3
1.
Risk of life-threatening dermatologic reactions
2.
Increased incidence of cardiac events when LTBAs are administered
3.
Increased risk of asthma-related deaths when LTBAs are administered
4.
Risk for life-threatening electrolyte imbalances
The bronchodilator of choice for patients on propranolol is: - ANSWER 4
1.
Albuterol
2.
Pirbuterol
3.
Formoterol
4.
Ipratropium
James is a 52-year-old overweight smoker taking theophylline for his persistent asthma.
He informs his provider he will be initiating the Atkin's diet for weight loss. The
,appropriate response would be: - ANSWER 2
1.
Kudos to him for taking such a positive life change.
2.
Suggest he attempt to quit smoking versus trying the Atkin's diet.
3.
Schedule him for regular testing of serum theophylline levels during his diet due to
increased excretion of theophylline.
4.
Decrease his theophylline dose because a high-protein diet may result in elevated
theophylline levels.
Li takes theophylline for his chronic asthma and calls the office with a complaint of
nausea, vomiting, and headache. The best advice for him would be to: - ANSWER 3
1.
Reassurance that this is probably a viral infection and should be better soon
2.
Same day to be seen to assess and theophylline level
3.
In 2 to 3 days - to be cancelled if better
4.
Theophylline level to be ordered at laboratory for him
Tiotropium bromide (Spiriva) is an inhaled anticholinergic: - ANSWER 1
1.
Indicated for the maintenance treatment of COPD
2.
Used in the treatment of asthma
3.
, Combined with albuterol for treatment of asthma exacerbation
4.
Combined with fluticasone to treat persistent asthma
Christy has exercise-induced and mild persistent asthma and is prescribed two puffs of
albuterol 15 minutes before exercise and as needed for wheezing. One puff per day of
beclomethasone (QVAR) also is prescribed. Teaching related to her inhalers includes:
-ANSWER 2
1.
Take one to two puffs of albuterol daily to prevent an attack with no more than eight
puffs a day
2.
Beclomethasone should be taken daily for the treatment of her asthma
3.
Inform me regarding the systemic side effects she is experiencing like weight gain
4.
Albuterol MDI should be used after corticosteroid MDI to facilitate bronchodilation
When ordering montelukast (Singulair) for asthma, the patient or patient's parent should
be educated: - ANSWER 3
1.
Montelukast twice a day is started when an asthma exacerbation occurs.
2.
Weight gain may occur while taking montelukast.
3.
Aggression, anxiety, depression, and/or suicidal ideations may occur while taking
montelukast.
4.
Lethargy and hypersomnia may occur while taking montelukast.
Digoxin levels should be closely monitored once the following medication is started: -
ANSWER 4
1.Loratadine
2.Diphenhydramine
3.Ipratropium
4.Albuterol
A patient with pheochromocytoma should avoid which of the following classes of
medications because of the risk of hypertensive crisis? - ANSWER 2
1.
Expectorants
2.
Beta-2-agonists
3.
Antitussives
4.
Antihistamines
Harold, a 42-year-old African American, presents with moderate persistent asthma.
Asthma medications that should be used judiciously, if at all, for this patient include
which of the following? - ANSWER 2
1.
Betamethasone, an inhaled corticosteroid
2.
Salmeterol, an inhaled long-acting beta-agonist
,3.
Albuterol is a short-acting beta-agonist
4.
Montelukast is a leukotriene modifier
Long-acting beta-agonists received a Black Box Warning from the U.S. Food and Drug
Administration for the: - ANSWER 3
1.
Risk of life-threatening dermatologic reactions
2.
Increased incidence of cardiac events when LTBAs are administered
3.
Increased risk of asthma-related deaths when LTBAs are administered
4.
Risk for life-threatening electrolyte imbalances
The bronchodilator of choice for patients on propranolol is: - ANSWER 4
1.
Albuterol
2.
Pirbuterol
3.
Formoterol
4.
Ipratropium
James is a 52-year-old overweight smoker taking theophylline for his persistent asthma.
He informs his provider he will be initiating the Atkin's diet for weight loss. The
,appropriate response would be: - ANSWER 2
1.
Kudos to him for taking such a positive life change.
2.
Suggest he attempt to quit smoking versus trying the Atkin's diet.
3.
Schedule him for regular testing of serum theophylline levels during his diet due to
increased excretion of theophylline.
4.
Decrease his theophylline dose because a high-protein diet may result in elevated
theophylline levels.
Li takes theophylline for his chronic asthma and calls the office with a complaint of
nausea, vomiting, and headache. The best advice for him would be to: - ANSWER 3
1.
Reassurance that this is probably a viral infection and should be better soon
2.
Same day to be seen to assess and theophylline level
3.
In 2 to 3 days - to be cancelled if better
4.
Theophylline level to be ordered at laboratory for him
Tiotropium bromide (Spiriva) is an inhaled anticholinergic: - ANSWER 1
1.
Indicated for the maintenance treatment of COPD
2.
Used in the treatment of asthma
3.
, Combined with albuterol for treatment of asthma exacerbation
4.
Combined with fluticasone to treat persistent asthma
Christy has exercise-induced and mild persistent asthma and is prescribed two puffs of
albuterol 15 minutes before exercise and as needed for wheezing. One puff per day of
beclomethasone (QVAR) also is prescribed. Teaching related to her inhalers includes:
-ANSWER 2
1.
Take one to two puffs of albuterol daily to prevent an attack with no more than eight
puffs a day
2.
Beclomethasone should be taken daily for the treatment of her asthma
3.
Inform me regarding the systemic side effects she is experiencing like weight gain
4.
Albuterol MDI should be used after corticosteroid MDI to facilitate bronchodilation
When ordering montelukast (Singulair) for asthma, the patient or patient's parent should
be educated: - ANSWER 3
1.
Montelukast twice a day is started when an asthma exacerbation occurs.
2.
Weight gain may occur while taking montelukast.
3.
Aggression, anxiety, depression, and/or suicidal ideations may occur while taking
montelukast.
4.
Lethargy and hypersomnia may occur while taking montelukast.
