GKA APEA- Pharm Respiratory Objective final exam A+graded 100% guaranteed Passupdated syllabus; Newest version

GKA APEA- Pharm Respiratory Objective final exam A+graded 100% guaranteed Passupdated syllabus; Newest version Which of the following scenarios would NOT warrant monitoring of a serum theophylline level? Exacerbation of chronic bronchitis New diagnosis of diabetes Prior to initiating therapy Prior to a routine pulmonary function test - ANSWER Prior to a routine pulmonary function test In the treatment of pneumonia, a macrolide such as clarithromycin should NOT be coadministered with: acetaminophen. atorvastatin. furosemide. propanolol. - ANSWER atorvastatin. coadministration of a HMG-CoA reductase inhibitor & certain macrolide antibiotics, like clindamycin, can lead to debilitating myelopathy and rhabdo Robitussin DM is a combination of dextromethorphan and: benzonatate. benzocaine. guaifenesin. phenylephrine. - ANSWER guaifenesin. + dexamethasone Xanthines such as theophylline, used in the treatment of COPD, cause bronchodilation by: blocking the action of acetylcholine. decreasing the activity of inflammatory mediators. relaxing the smooth muscles of the bronchi. stimulating beta 2 receptors. - ANSWER relaxing the smooth muscles of the bronchi. When considering the use of theophylline to treat chronic bronchitis, its use is limited due to: low-risk profile. minimal effects on lung function. wide therapeutic window. frequent drug-drug interactions. - ANSWER frequent drug-drug interactions. For asthma symptoms occurring daily with nighttime symptoms greater than one time per week, the preferred daily treatment is a: long-acting bronchodilator. long-acting bronchodilator and an inhaled corticosteroid. long-acting bronchodilator and a leukotriene receptor antagonist. high-dose inhaled corticosteroid and theophylline. - ANSWER long-acting bronchodilator and an inhaled corticosteroid. For complaints of dysphonia related to the use of mometasone (Asmanex), the patient should be advised to: stop the inhaler immediately. decrease the dosage. apply an oropharyngeal analgesic prior to use. utilize a spacer for administration. - ANSWER Utilize a spacer for administration. Doxycycline (Vibramycin) is the preferred treatment of pneumonia caused by: Haemophilus influenzae. Mycoplasma pneumoniae. Staphylococcus aureus. Streptococcus pneumoniae. - ANSWER Mycoplasma pneumoniae. Long-acting bronchodilators, such as salmeterol (Serevent Diskus), are indicated in the treatment of: intermittent asthma in patients 12 years and older. exercise-induced asthma when the short-acting bronchodilator is ineffective. mild persistent asthma in ages 5-11 years. moderate persistent asthma in 5-11-year-olds, when combined with low-dose inhaled steroid. - ANSWER moderate persistent asthma in 5-11-year-olds, when combined with low-dose inhaled steroid. Patient instructions for the use of inhaled steroids would NOT include to: hold breath for 5-10 seconds after deeply inhaling the medication. store the inhaler at room temperature. float the canister in water to determine whether it is empty. rinse mouth with water, gargle and spit after inhalation. - ANSWER float the canister in water to determine whether it is empty. Tiotropium (Spiriva HandiHaler), used in the treatment of chronic bronchitis,: does not cause paradoxical bronchospasm. is contraindicated in patients with hypersensitivity to ipratropium (Atrovent HFA). should not be combined with an inhaled steroid due to adverse reactions. requires dosage adjustment in geriatrics and hepatically impaired patients. - ANSWER is contraindicated in patients with hypersensitivity to ipratropium (Atrovent HFA). A patient who is receiving warfarin (Coumadin) requires the initiation of doxycycline (Doryx) for the treatment of pneumonia. The nurse practitioner knows that: this may cause a severe drug-drug interaction. the warfarin (Coumadin) dose may need to be decreased. the warfarin (Coumadin) dose may need to be increased. this is one of the few drugs that warfarin (Coumadin) does not interact with. - ANSWER the warfarin (Coumadin) dose may need to be decreased. With the use of tiotropium (Spiriva HandiHaler), the patient should be instructed that: contents are under pressure and may explode. the inhaler has a dose counter to alert when empty. a capsule that contains a dry powder is activated inside the inhaler. it delivers a fine mist that should be breathed in slowly. - ANSWER a capsule that contains a dry powder is activated inside the inhaler. Which of the following medications is slowly and incompletely metabolized by the liver and excreted largely unchanged in the urine within 24 hours of oral administration?