Practice Respiratory Questions

NUR 1141C

Spring 2004

 

 

  1. The physician is considering changing Patty’s medication regimen to include the antileukotriene zileuton to treat her asthma.  What is important to emphasize when teaching her about this medication?

 

A.     She needs to be aware of the proper technique for inhalation.

B.     She should keep it will her at all times to treat acute asthma attacks.

C.     It should be taken every day on a continuous schedule, even if symptoms improve.

D.    When her asthma symptoms improve, the dosage schedule can be tapered and eventually discontinued.

 

  1. 8 year old Sara is taking Cromolyn by nebulizer as part of the treatment for asthma.  She complains to her mother that her mouth tastes ‘awful” every time she takes the medicine.  What should be included in her teaching plan for this medication?

 

A.     There is not much that can be done about this problem.

B.     Se should be switched to an oral form of this medication.

C.     She should rinse her moth with water after taking the medicine.

D.    She should avoid liquids for up to 1 hour after inhalation of this medicine.

 

  1. David is taking an antihistamine.  What instruction is correct for him?

 

A.     He should eat candy bars to ease the discomfort of dry mouth.

B.     Antihistamines are generally safe to take with over the counter medications.

C.     He should take the medication on an empty stomach to minimize absorption of the agent.

D.    He should take them education with food, even though this may slightly reduce the absorption of the agent.

 

  1. The antitussive dextromethorphan suppresses the cough reflex:

 

A.     B causing CNS depression

B.     By anesthetizing the stretch receptors.

C.     Through a direct action on the cough center.

D.    By decreasing the viscosity of the bronchial secretions.

 

 

 

5. Which antihistamine is commonly used in the treatment of vertigo?

 

A. meclizine

B. doxylamine

C. Promethazine

D Dimenhydrinate

 

  1. Mr. Jefferson is taking IV aminophylline for a sever exacerbation of COPD.  Which of the following would you 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

 

  1. Which agent is used in the treatment of acute attacks of bronchial asthma?

A.     nedocromil (Tilade)

B.     albuterol (Proventil)

C.     zafirlukast (Accolate)

D.    triamcinolone (Azmacort)

 

  1. Side effects associated with the use of xanthine derivative include all of the following except:

A.     Anorexia

B.     Palpitations

C.     Bradycardia

D.    Transient increased urination

 

  1. Mr. Jackson is taking albuterol by metered-dose inhaler.  He asks you, “How do I know when this thing is empty?”  The best reply would be:

A.     Check the indicator line on the side of the canister.

B.     You can’t tell when it is empty; it should be replaced every month.

C.     If the canister (without the mouthpiece) floats in a container of water, it is probably empty.

D.    If the canister (without the mouthpiece) falls to the bottom when placed in a container of water, it is probably empty.

 

  1. Your are teaching Jenny about the proper method for taking an inhaled respiratory medication.  Which of the following should be included in her teaching plan?

A.     Rinsing of the mouth after using the inhaler or nebulizer is recommended.

B.     Nebulizer tubing 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, she should remove the inhaler and hold her breath for at least 20 seconds.

 

  1. During a routine checkup, Mrs. Evans states that she is unable to take the prescribed antihistamine, loratadine.  What side effect has probably been bothering Mrs. Evans?

A.     Diarrhea

B.     Urticaria

C.     Drowsiness

D.    Decreased libido

 

  1. Johnnie needs a decongestant because of seasonal allergy problems.  One of the benefits of orally administered decongestants is that:

A.     Onset is immediate.

B.     The effect is more potent.

C.     Rebound congestion is almost nonexistent.

D.    The side effects of restlessness and nervousness are reduced.

 

  1. Mrs. Johnson is taking guaifenesin as part of the treatment for influenza.  She should also be instructed to:

A.     Force fluids in order to help loosen and liquefy secretions.

B.     Report a fever to the doctor if her temperature is above 101.0F.

C.     Avoid driving a car or operating heavy machinery because of the sedating effects.

D.    Avoid coughing to retain the effects of the medication for a longer period of time.

 

  1. What systemic effect may occur with the administration of a topically applied adrenergic nasal decongestant?

A.     Diarrhea

B.     Bradycardia

C.     Hypotension

D.    Nervousness

 

  1. Which drug would be chosen to aid in the removal of excessive mucus in the respiratory tract?

A.     guaifenesin

B.     benzonatate

C.     hydrocodone

D.    dextromethorphan