Deck 37: Bronchodilators and Other Respiratory Drugs

Question 1

Montelukast (Singulair)is used for which of the following?

A)Acute bronchospasm
B)Exacerbation of chronic obstructive pulmonary disease (COPD)
C)Long-term treatment of emphysema
D)Prophylaxis of asthma in children

Answer 1

Prophylaxis of asthma in children

Question 2

Which of the following drugs are used for acute asthma attacks? Select all that apply.

A)zafirlukast (Accolate)tablet
B)salbutamol (Ventolin)nebulizer solution
C)cromolyn metered-dose inhaler (MDI)
D)Intravenous (IV)epinephrine
E)fluticasone (Flovent Rotadisk)
F)beclomethasone (Rivanase AQ)MDI
G)aminophylline IV infusion

Answer 2

salbutamol (Ventolin)nebulizer solution
Intravenous (IV)epinephrine
aminophylline IV infusion

Question 3

Which of the following is an adverse effects associated with the use of xanthine derivatives?

A)Diarrhea
B)Palpitations
C)Bradycardia
D)Drowsiness

Answer 3

Palpitations

Question 4

After receiving a nebulizer treatment with a β-agonist,the patient complains of feeling slightly nervous and wonders whether her asthma is getting worse.What is the nurse's best response to the patient?

A)"Feeling a little nervous is an expected adverse effect.Let me take your pulse to check it."
B)"The next scheduled nebulizer treatment should be skipped."
C)"I will notify the physician about this adverse effect."
D)"We will hold the treatment for 24 hours."

Question 5

A patient is taking aminophylline (Phyllocontin)intravenously for a severe exacerbation of chronic obstructive pulmonary disease (COPD).Which of the following assessments does the nurse expect when evaluating for a therapeutic response to the medication?

A)Drowsiness
B)Increased heart rate
C)Increased respiratory rate
D)Increased ease of breathing

Question 6

A patient has recently been placed on inhaled corticosteroids.Which of the following common adverse effects should the nurse discuss with the patient?

A)Fatigue and depression
B)Anxiety and peripheral vasoconstriction
C)Headache and rapid heart rate
D)Oral candidiasis and dry mouth

Question 7

Which of the following drugs is used in the treatment of acute attacks of bronchial asthma?

A)nedocromil
B)salbutamol (Ventolin)
C)zafirlukast (Accolate)
D)triamcinolone (Nasacort AQ)

Question 8

A patient has been prescribed an inhaled respiratory medication.What should the nurse tell this patient about the proper method for taking this medication?

A)Rinsing of the mouth after using the inhaler or nebulizer is recommended.
B)Nebulizer tubings and mouthpieces should be cleaned only with hot water.
C)Inhale the medication deeply, with the head tipped forward to maximize opening of the airway.
D)After administering an inhaler medication,patients should remove the inhaler and hold their breath for at least 20 seconds.

Question 9

A patient has prescriptions for two inhalers.One inhaler is a bronchodilator,and the other is a corticosteroid.Which instruction should the nurse give the patient regarding these inhalers?

A)The corticosteroid should be taken first.
B)The bronchodilator should be taken first.
C)The two drugs should be taken at least 2 hours apart.
D)The order of administration does not matter with these two drugs.

Question 10

The physician has prescribed fluticasone (Flovent)to treat a patient's asthma.What important information should the nurse emphasize when teaching the patient about this medication?

A)The proper technique for inhalation
B)The patient should keep the medication with her at all times to treat acute asthma attacks.
C)Take the medication every day on a continuous schedule, even if symptoms improve.
D)When the asthma symptoms improve,the dosage schedule can be tapered and eventually discontinued.

Question 11

Which of the following is the rationale for using inhaled budesonide (Pulmicort)?

A)It causes bronchodilation.
B)It thins bronchial secretions.
C)It inhibits the activity of β-agonists.
D)It provides an anti-inflammatory response.