Pharmacology Quiz 3

Which statement about antitussives is CORRECT?

a. Both codeine and dextromethorphan (DXM, DM) are the local anesthetic agents that decrease the sensitivity of stretch receptors in the upper airways, thereby reducing cough.
b. Only codeine has potential risk for abuse.
c. Concurrent Administration of dextromethorphan (DXM) and Monoamine oxidase inhibitors (MAOI) could potentially cause high fever due to serotonin syndrome.
d. Both codeine and dextromethorphan (DXM, DM) are used to treat productive cough

c. Concurrent Administration of dextromethorphan (DXM) and Monoamine oxidase inhibitors (MAOI) could potentially cause high fever due to serotonin syndrome.

Dextromethorphan (DXM or DM) is used for nonproductive cough, while guaifenesin (Mucinex) is used for productive cough.

True or False?

True

For the cystic fibrosis patients having large amount of mucus secretion, there is no risk to use acetylcysteine (Mucomyst, mucolytic agent) at home.

True or False

False

Beclomethasone (Beconase) has been prescribed for a client with allergic rhinitis. Which is the most common side effect from continuous use?

a. Dizziness
b. Rhinorrhea
c. Hallucinations
d. Dry nasal mucosa

d. Dry nasal mucosa

A nurse is caring for a client who states she has been taking phenylephrine (Neo-Synephrine) nasal drops for the past 10 days for her upper respiratory symptoms. For which of the following adverse effects should the nurse assess?

a. Sedation
b. Nasal congestion
c. Productive cough
d. Constipation

b. Nasal congestion

All the statements regarding the inhaled SABA bronchodilator is correct EXCEPT

a. It is the “rescue” drug for asthma attacks
b. It reduces heart rates (bradycardia)
c. It should be cautiously used in patients with hyperthyroidism.
d. Asthma patients should carry SABA inhaler with them all the time, use the spacer for drug administration.

b. It reduces heart rates (bradycardia)

Diphenhydramine (Benadryl) is mainly used for the following health conditions:

a. Allergic Rhinitis
b. Bacterial Pneumonia
c. Viral sinusitis
d. Chronic obstructive pulmonary disease (COPD)

a. Allergic Rhinitis

Which statement is true for anticholinergics:

a. The “rescue” drugs for asthma attack
b. Can be used for patients having peanut allergy
c. Used for patients having emphysema or chronic bronchitis
d. The receptor agonists

c. Used for patients having emphysema or chronic bronchitis

The class of drugs used for the acute management of asthma attack:

a. Steroids
b. Mucolytics
c. SABA bronchodilators
d. Mast cell stabilizers

c. SABA bronchodilators

A patient with asthma is prescribed albuterol (Proventil) as needed and salmeterol (Serevent) every 12 hours. When the patient asks the nurse why two inhaler drugs are needed, what is the nurse’s best response?

a. “Albuterol opens your airways and salmeterol decreases the inflammation.”
b. “I will check with the prescriber to determine whether you can just use one drug.”
c. “Albuterol is a rescue drug to stop asthma attacks and salmeterol prevents attacks.”
d. “Salmeterol helps you breathe better and albuterol opens alveoli for gas exchange.”

c. “Albuterol is a rescue drug to stop asthma attacks and salmeterol prevents attacks.”

Which response is not the side effects of SABA bronchodilators?

a. Difficulty sleeping
b. Rapid heart rate
c. Hypertension
d. Diarrhea

d. Diarrhea

A patient has been prescribed an aerosol inhaler with a spacer. In what order does the nurse teach the patient to perform these steps?
1. Hold breath >10 seconds with closed lips, then breathe normally
2. Insert into the mouth, make good seal
3. Remove cap, attach spacer, and shake vigorously
4. Squeeze the canister and breathe in deeply and slowly, no whistling sound

a. 1, 3, 2, 4
b. 3, 2, 4, 1
c. 1, 2, 3, 4
d. 2, 1, 3, 4

b. 3, 2, 4, 1

A home care patient with chronic obstructive pulmonary disease (COPD) has a thick white coating on the tongue and patches on the inside cheeks. What additional information does the nurse obtain from this patient?

a. “How often are you using your steroid inhaler?”
b. “Do you share a toothbrush with any members of your family?”
c. “When was the last time your inhaler drug prescriptions were filled?”
d. “Have you taken any over-the-counter drugs for a cold or flu lately?”

a. “How often are you using your steroid inhaler?”

ALL of the following drugs reduce the inflammation by inhibiting histamine release EXCEPT:

a. Loratadine (Claritin)
b. Fluticasone (Flonase)
c. Cromolyn sodium (NasalCrom)
d. Acetylcysteine (Mucomyst, Acetadote)

d. Acetylcysteine (Mucomyst, Acetadote)

The patient is using both Ipratropium bromide (Atrovent) and fluticasone (Flovent) inhalers to control his chronic asthma. Which following instruction should be given to this patients?

a. Use Atrovent first, wait at least 5 minutes, then use Flovent
b. Use Atrovent alone is as effective as using both Atrovent and Flovent to control chronic asthma.
c. Use Flovent 10 minutes before Atrovent
d. Use Flovent immediately after using Atrovent

a. Use Atrovent first, wait at least 5 minutes, then use Flovent

A patient with chronic asthma is prescribed the steroids inhaler. He reports hating the inhaler and asks why the drug can’t be taken as a pill. What is your best response?

a. “Inhaled drugs work more slowly.”
b. “Inhaled drugs have no side effects.”
c. “Oral drugs are usually more expensive.”
d. “Oral drugs have more systemic side effects.”

d. “Oral drugs have more systemic side effects.”

All of the following drugs can cause sedation or potentiate sedation when co-administered with other central nervous system depressants, EXCEPT:

a. Pseudoephedrine (Sudafed, Triaminic)
b. Diphenhydramine (Benadryl)
c. Dextromethorphan (DM, DMX)
d. Guaifenesin (Mucinex)

a. Pseudoephedrine (Sudafed, Triaminic)

Which statement is true?

a. Diphenhydramine (Benadryl) causes less drowsiness than cetirizine (Zyrtec)
b. Patients with hypertension may avoid to take monoamine oxidase inhibitor (MAOI, antidepressant) and non-steroidal decongestant together.
c. Montelukast (Singulair) can be given to children for asthmatic attacks
d. Protein meal and caffeinated drinks should be avoided when taking theophylline

b. Patients with hypertension may avoid to take monoamine oxidase inhibitor (MAOI, antidepressant) and non-steroidal decongestant together.

A client is prescribed the decongestant oxymetazoline (Afrin) nasal spray. What should you teach the client?

a. Take this drug at bedtime as a sleep aid.
b. Report fever, cough, or nasal congestion lasting longer than 1 day
c. This drug may be used in maintenance treatment for asthma.
d. Limit the drug to 5 days of use to prevent rebound nasal congestion.

d. Limit the drug to 5 days of use to prevent rebound nasal congestion.

A nurse is caring for a 6-year-old child who has just been diagnosed with influenza and bilateral otitis media. The child’s parent asks the nurse, “Why didn’t the doctor want to give my child antibiotics for her ear infection? I think she’d get better sooner if she had them.” Which of the following response from the nurse is most appropriate?

a. Ear infections caused by a virus are not cured by antibiotics.
b. Antibiotic-resistant bacteria can be treated by anti-viral drugs
c. The doctor knows what he is doing, you should not have doubt.
d. I completely agree with you, let me go ask the doctor to prescribe the antibiotics for your child.

a. Ear infections caused by a virus are not cured by antibiotics.

A health care professional is caring for a patient who is having difficulty mobilizing thick respiratory secretions. which of the following drugs should the health care professional expect to administer? -Acetylcysteine A health care professional is advising a patient about …

Which of the following information should you include when teaching a patient about using an albuterol (Proventil) inhaler for asthma? Use it periodically to prevent exercise-induced asthma. Albuterol is a short-acting beta2 agonist and should be used only as needed …

What is Viral Rhinitis and what are its symptoms? The Common Cold – virus invades mucosa of upper respiratory tract sneezing, coughing, sore throat, runny nose, congestion What is Allergic Rhinitis and how is it different than Viral Rhinitis? Airborne …

Antitussives – Opioids are also known as? codeine and hydrocodone What is the expected action of codeine? Suppresses cough through its action on the central nervous system. WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY FOR YOU …

Antihistamines MOA also known as histamine antagonists block the histamine receptors Histamine: dilates blood vessels, allergic reactions, stimulates secretions Antihistamine: reduces dilation of blood vessels, inhibit allergic reaction, reduces secretions Antihistamines Indications nasal allergies seasonal allergic rhinitis common cold allergic …

A health care professional is caring for a patient who is having difficulty mobilizing thick respiratory secretions. which of the following drugs should the health care professional expect to administer? -Acetylcysteine A health care professional is monitoring plasma drug levels …

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