A patient with asthma is admitted to an emergency department with a respiratory rate of 22
breaths/minute, a prolonged expiratory phase, tight wheezes, and an oxygen saturation of 90%
on room air. The patient reports using fluticasone [Flovent HFA] 110 μg twice daily and has
used 2 puffs of albuterol [Proventil HFA], 90 mcg/puff, every 4 hours for 2 days. The nurse will
expect to administer which drug?
B.
A patient with stable COPD is prescribed a bronchodilator medication. Which type of bronchodilator is preferred for this patient?
D.
A patient with COPD is prescribed tiotropium [Spiriva]. After the initial dose, the patient
reports only mild relief within 30 minutes. What will the nurse tell the patient?
B.
A patient with asthma comes to a clinic for treatment of an asthma exacerbation. Thepatient’s
medication history lists an inhaled glucocorticoid, montelukast [Singulair], and a SABA as
needed via MDI. The nurse assesses the patient and notes a respiratory rate of 18
breaths/minute, a heart rate of 96 beats/minute, and an oxygen saturation of 95%. The nurse
auscultates mild expiratory wheezes and equal breath sounds bilaterally. What will the nurse
do?
C.
A parent asks a nurse about growth suppression resulting from the use of an inhaled glucocorticoid in children. What will the nurse tell the parent?
C.
A patient who uses an inhaled glucocorticoid for chronic asthma calls the nurse to report
hoarseness. What will the nurse do?
A.
A young adult woman will begin using an inhaled glucocorticoid to treat asthma. The nurse will teach this patient about the importance of which action?
D.
A 7-year-old child with asthma uses a daily inhaled glucocorticoid and an albuterol MDI as
needed. The provider has added montelukast [Singulair] to the child’s regimen. Which
statement by the child’s parent indicates understanding of this medication?
B.
A child is receiving a combination albuterol/ipratropium [DuoNeb] inhalation treatment. The patient complains of a dry mouth and sore throat. What will the nurse do?
A.
A patient with stable COPD receives prescriptions for an inhaled glucocorticoid and an inhaled
beta2-adrenergic agonist. Which statement by the patient indicates understanding of this
medication regimen?
A.
A patient with severe, chronic COPD uses an inhaled LABA/glucocorticoid but continues to have frequent exacerbation of symptoms. The nurse will contact the provider to discuss:
A. Roflumilast is a selective phosphodiesterase-4 inhibitor indicated to decrease the risk of exacerbations in patients with severe chronic obstructive pulmonary disease (COPD)
Which medication should be used for asthma patients as part of step 1 management?
C.
A nurse is teaching a group of nursing students about the different formulations of beta2-
adrenergic agonist medications. Which statement by a student indicates understanding of the
teaching?
B.
A nurse and a nursing student are reviewing the care of a 30-kg patient who will receive
intravenous aminophylline. Which statement by the student indicates an understanding of the administration of this medication?
C.
A patient with persistent, frequent asthma exacerbations asks a nurse about a long-acting beta2-agonist medication. What will the nurse tell this patient?
B.
A patient who has been newly diagnosed with asthma is referred to an asthma clinic. The patient reports daily symptoms requiring short-acting beta2-agonist treatments for relief. The patient has used oral glucocorticoids three times in the past 3 months and reports awakening at night with symptoms about once a week. The patient’s forced expiratory volume in 1 second (FEV1) is 75% of predicted values. The nurse will expect this patient to be started on which regimen?
B. This patient has moderate persistent asthma, which requires step 3 management for initial
treatment. Step 3 includes daily inhalation of a low-dose glucocorticoid/LABA combination
supplemented with a SABA as needed.
A patient has just received a prescription for fluticasone/salmeterol [Advair Diskus]. What will the nurse include as part of the teaching for this patient about the use of this device?
B.
A patient with asthma will be using a metered-dose inhaler (MDI) for delivery of an inhaled medication. The provider has ordered 2 puffs to be given twice daily. It is important for the nurse to teach this patient that:
C.
A patient who takes oral theophylline [Theochron] twice daily for chronic stable asthma develops an infection and will take ciprofloxacin. The nurse will contact the provider to discuss:
C. Fluoroquinolone antibiotics increase theophylline levels, so the dose of theophylline may need to
be reduced to prevent theophylline toxicity.
A patient who has seasonal allergies in the spring and fall asks the nurse about oral
antihistamines. Which response by the nurse is correct?
A.
A patient admitted to the hospital has been using phenylephrine nasal spray [Neo- Synephrine], 2 sprays every 4 hours, for a week. The patient complains that the medication is not working, because the nasal congestion has increased. What will the nurse do?
A.
A nurse provides teaching to a patient with allergic rhinitis who will begin using an intranasal glucocorticoid. Which statement by the patient indicates understanding of the teaching?
B.
A patient with allergic rhinitis is taking a compound product of loratadine/pseudoephedrine
[Claritin-D] every 12 hours. The patient complains of insomnia. The nurse notes that the patient is restless and anxious. The patient’s heart rate is 90 beats/minute, and the blood pressure is 130/85 mm Hg. The nurse will contact the provider to:
B.
A child who has perennial allergic rhinitis has been using an intranasal glucocorticoid. The
provider has ordered montelukast [Singulair] to replace the glucocorticoid because the child
has frequent nosebleeds. When teaching this child’s parents about montelukast, the nurse will
include which statement?
B.
A patient who has a viral upper respiratory infection reports having a runny nose and a cough
that prevents sleep and asks the nurse to recommend an over-the-counter medication. Which
medication will the nurse recommend?
D.
A child with seasonal rhinitis has used budesonide [Rhinocort Aqua] for several years. The parents are concerned that the child’s rate of growth has slowed. What will the nurse do?
A.
A parent asks a nurse to recommend an intranasal decongestant for a 6-year-old child. Which response by the nurse is correct?
A.
A 7-year-old child has a cough, runny nose, congestion, and fever, and the parents ask the nurse to recommend an over-the-counter product. Which response by the nurse is correct?
D.
Which medication used for asthma has off-label uses to treat allergic rhinitis?
D.
A patient with a cough has been advised to use guaifenesin. The patient asks the nurse to explain the purpose of the drug. The nurse will explain that guaifenesin:
B.
A parent asks a nurse about giving diphenhydramine [Benadryl] to a child to relieve cold symptoms. Which response by the nurse is correct?
C.
What is ipratropium bromide [Atrovent]?
D.
Author
BodeS
ID
363736
Card Set
CH 62-63
Description
Drugs for Asthma and Chronic Obstructive Pulmonary Disease
Drugs for Allergic Rhinitis, Cough, and Colds
