Upper respiratory
What is the primary expected therapeutic action of diphenhydramine?
A. Improved sleep
B. Reduce allergies
C. Thinning secretions
D. Decreasing cough
B. Reducing allergies
Tiotropium is used for COPD, what is the therapeutic effect of this medicaiton?
A. Dilates the bronchioles
B. Breaks up secretions
C. Decreases cough
D. Increases respiratory drive
A. Dilates bronchioles
Which antitubercular can stain urine, tears and secretions a red orange color?
A. INH
B. Rifampin
C. Pyrazinamide
D. Ethambutol
B. Rifampin can change the color of secretions causing staining
Fluticasone/ salmetrol inhaler is prescribed for a patient with COPD, what will the therapeutic effect of this medication be?
A. Bronchoconstriction and improved immune response
B. Bronchodilation and decreased inflammation
C. Reduced mucus vicosity
D. Reduced coughing
B. Bronchodilation and decreased inflammation
Albuterol is a Beta 2 agonist, this will dilate the lungs, what side effect can happen to the heart as well?
A. Decreased heart rate
B. Increased cardiac oxygen supply
C. Increased heart rate
D. Increased cardiac output
C. Albuterol can stimulate B1 in the heart causing tachycardia or palpitations
Which organ system is imperitive to moniter often while taking antituberculars?
A. Pancreas function
B. Liver function
C. Urinary residual
D. Gallbladder
B. Liver damage can occur, educate to avoid alcohol and have blood work done frequently
Dextromethorphan is used to decrease cough when it is productive and excessive.
A. True
B. False
B. False, this medication is used to decrease non-productive cough
A patient has exercise induced asthma, how long before exercise is it recommended to take this medication to prevent bronchospasm?
A. 6 hours
B. 2 hours
C. Immediately before
D. After exercise
B. 2 hours
INH is best absorbed with food.
A. True
B. False
B. False, best to take on empty stomach, 1 hr before meals or 2 hrs after
Guaifenesin draws fluid into mucus to help thin secretions. What is an important education to offer a client taking this medication?
A. Take on an empty stomach
B. Take with grapefuit juice
C. Drink extra water while taking this medication
D. Increase potassium intake
C. Extra water will help the medication work more efficiently
A patient is prescribed albuterol and fluticasone for advanced COPD. What order should the nurse direct the patient to take these medications?
A. Fluticasone first, wait 2 min then albuterol
B. Albuterol first, wait 2 min then fluticasone
C. Fluticasone first, wait 5 min then albuterol
D. Albuterol first, wait 5 min then fluticasone
D. Take albuterol bronchodilator first, then 5 min later take the antiinflammatory