Antihistamines
Which antagonists antihistamine is used to reduce gastric acid in peptic ulcer disease?
A. H1
B. H2
C. H3
D. H4
B. H2
A patient is diagnosed with Rhinitis and prescribed Afrin which causes nervousness, palpitations, rebound congestion which drug class was he prescribed?
A. Decongestant
B. Antihistamine
C. Antitussives
D. Expectorants
A. Decongestant
Which of the following groups of medications are Non-bronchodilators: SELECT ALL THAT APPLY.
A. Corticosteroids
B. Xanthine Derivatives
C. Leukotriene Receptor Antagonists
D. Beta Adrenergic Agonists
A. Corticosteroids
C. Leukotriene Receptor Antagonists
The lower respiratory tract includes the trachea, bronchus, lungs, and the what?
alveoli
All of the following groups of medications are Bronchodilators except:
A. Beta Adrenergic Agonists
B. Anticholinergics
C. Beta Adrenergic Antagonists
D. Xanthine Derivatives
C. Beta Adrenergic Antagonists
A nurse receives an order to give an antihistamine for a patient with allergies but holds the medication and calls the physician which scenario best describes the reason the nurse held the medication?
A. The patient has signs of a "wet cough"
B. The patient as asthma
C. The patient states he has a cold
D. The patient has Oral candidiasis
B. The patient has asthma
A nurse is teaching a patient about expectorants which statement would indicate the nurse would need more teaching.
A. "Take with a full glass of water"
B. "Expectorants make your cough more productive"
C. "Side effects include GI Upset and Dizziness"
D. "Avoid foods/drinks with caffeine"
D. "Avoid foods/drinks with caffeine"
A patient is taking a Leukotriene Receptor Antagonists and the nurse is teaching the patient about this group of drug which statement does the nurse makes that implies accurate teaching was done.
A. "Take 2 hours before exercise"
B. "This could cause dry mouth"
C. "Monitor disease at home with peak flow meter"
D. "Rinse mouth with water after administration"
A. "Take 2 hours before exercise"
Function of the respiratory system is to: SELECT ALL THAT APPLY!
Trap particles
Deliver oxygen
Warm and Humidify air
Remove carbon dioxide
All are correct!
Match the MOA (method of Action)
1. Beta Adrenergic Agonists 2. Anticholinergics 3. Xanthine Derivatives
A. activates cAMP, relaxes smooth muscle bronchodilation
B. Increased cAMP - bronchodilation, CNS stimulation, increased cardiac output
C. blocks Ach receptors in the lungs bronchoconstriction is prevented
1-3-2
Some antihistamines also have what type of effect? SELECT ALL THAT APPLY!
A. Cholinergic
B. Antihistaminic
C. Anticholinergic
D. Sedative
C. Anticholinergic
B. Antihistaminic
D. Sedative
After administering a medication a nurse checks on patient and they inform the nurse of Dizziness, nausea, respiratory depression, and sedation the nurse understands these are side effects of which group of medication.
A. Antihistamines
B. Antitussives
C. Decongestants
D. Mucolytic
B. Antitussives
A patient stated he needs a medication to prevent exercise-induced bronchoconstriction when he exercises. The nurse knows which group of medication this patient will be prescribed and should assess his health history due to this medication contraindicates to which disease?
A. Coronary artery disease
B. GI disease
C. Kidney disease
D. Liver disease
D. Liver disease
Which drugs are considered first-line drugs for the treatment of nasal congestion? Select all that apply!
A. antihistamines
B. Decongestants
C. Antitussives
D. Expectorants
E. Inhaled corticosteroids
B,E
A nurse assess patient for Glaucoma and BPH because both contraindicate which group of bronchodilators?
A. Nasal Anticholinergics
B. Beta Adrenergic Agonists
C. Xanthine Derivatives
D. Theophylline Caffeine
A. Nasal Anticholinergics
Which is NOT a contraindication of antihistamine?
A. Acute asthma attacks
B. Pregnancy
C. pneumonia
D. Liver disease
D. Liver disease
Which antitussives acts on cough center in the medulla or by numbing stretch receptors in the respiratory tract?
A. Opioid
B. cAMP
C. Non-opioid
D. Glucocorticoids
C. Non-opioid
opioid antitussives suppresses cough reflex in the medulla
Which group of Non-bronchodilators decreases airway inflammation, stabilize cells that release bronchoconstriction substances, increase responsiveness to beta2 agonists?
A. Leukotriene Receptor Antagonists
B. Glucocorticoids
C. Leukotriene Receptor agonists
D. Beta2 Adrenergic Agonists
B. Glucocorticoids
muscle that separates the chest and abdominal cavities and aids in breathing is called the
Diaphragm
A patient is admitted for a Asthma attack and is given a Beta Adrenergic Agonists Bronchodilator. After the attack the nurse goes to assess and the patient is complaining of chest pain and pulse rate is 104bpm. What action should the nurse take?
A. Notify Physician of chest pain and increased heart rate
B. Administer a short-acting beta2 specific agonist
C. Inform patient this is normal and return to assess later
D. Get an order for oxygen and administer until heart rate decreases
C. Inform patient this is normal side effects of beta adrenergic agonists.
Which Antihistamine work peripherally, eliminate sedation, and has a longer duration of action.
A. Anticholinergic
B. H1 antagonists
C. Traditional Antihistamines
D. Non-sedating
D. Non-sedating
A patient has a viral infection of the upper respiratory tract causing symptoms like mucus production, nasal congestion, sore throat, and cough. Which group of medications can relieve symptoms of this infection.
A. Antitussives
B. Decongestants
C. Expectorants
D. Antihistamines
D. Antihistamines
After the patient is prescribed a corticosteroid he then states he is also on a bronchodilator at home. What is the appropriate action the nurse should do next?
A. Hold the medication and inform the physician
B. State "They are synergetic medications and work best when they are taken together"
C. Inform patient that bronchodilator increases the effect of corticosteroid
D. State "Take bronchodilator first then the corticosteroid"
D. State "take bronchodilator first then the corticosteroid"
Which of the following diseases are categorized as COPD? SELECT ALL THAT APPLY!
A. Emphysema
B. Cystic fibrosis
C. Chronic asthma
D. Chronic bronchitis
E. Acute asthma
A,B,C,D
A patient is admitted for Chronic bronchitis and is given an anticholinergic the nurse is teaching the patient about the side effects of inhaled anticholinergics. Which statement does the nurse make that indicate proper teaching was given?
A. "Cigarette smoking increases anticholinergic metabolism"
B. "Nausea, Dry mouth, and Bitter taste are common side effects"
C. "Charcoal broiled, high protein, and low-carbohydrate foods reduce the effects of anticholinergics"
D. "Suck on candy to help dry mouth"
D. Suck on candy to help dry mouth