*NURSING > EXAM > NURSING 6005 CHAPTER 76: DRUGS FOR ASTHMA | VERIFIED ANSWERS (All)

NURSING 6005 CHAPTER 76: DRUGS FOR ASTHMA | VERIFIED ANSWERS

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NURSING 6005 CHAPTER 76: DRUGS FOR ASTHMA Test Bank MULTIPLE CHOICE 1. 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: a. a chlorofluorocarbon (CFC) propellant is superior to a hydrofluoroalkane (HFA) propellant. b. the patient should activate the device and then inhale. c. the patient should store the MDI in the refrigerator between doses. d. the patient should wait 1 minute between puffs. 2. A patient newly diagnosed with asthma receives prescriptions for an inhaled glucocorticoid and an inhaled beta2-adrenergic agonist. Which statement by the patient indicates understanding of this medication regimen? a. “I should use the glucocorticoid as needed when symptoms flare.” b. “I will need to use the beta2-adrenergic agonist drug daily.” c. “The beta2-adrenergic agonist suppresses the synthesis of inflammatory mediators.” d. “The glucocorticoid is used as prophylaxis to prevent exacerbations.” 3. A patient who uses an inhaled glucocorticoid for chronic asthma calls the nurse to report hoarseness. What will the nurse do? a. Ask whether the patient is gargling after each dose of the glucocorticoid. b. Request an order for an antifungal medication. c. Suggest that the patient be tested for a bronchial infection. d. Tell the patient to discontinue use of the glucocorticoid. 4. A patient with asthma is admitted to an emergency department with a respiratory rate of 22 breaths per minute, a prolonged expiratory phase, tight wheezes, and an oxygen saturation of 90% on room air. The patient reports using fluticasone (Flovent HFA) 110 mcg 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? a. Four puffs of albuterol, oxygen, and intravenous theophylline b. Intramuscular glucocorticoids and salmeterol by metered-dose inhaler c. Intravenous glucocorticoids, nebulized albuterol and ipratropium, and oxygen d. Intravenous theophylline, oxygen, and fluticasone (Flovent HFA) 220 mcg 5. 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? a. Growth may be slowed, but eventual adult height will not be reduced. b. The growth rate is not impaired, but overall height will be reduced. c. The growth rate slows while the drug is used but resumes when the drug is stopped. d. Long-term use of the drug results in a decrease in adult height. [Show More]

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