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Respiratory Drugs

Total questions: 62

Worksheet time: 2hrs 42mins

Name
Class
Date
1.

What are the beta 2 adrenergic agonist?

a)

Albuterol

b)

Theophylline

c)

Salmeterol

d)

Prednisone

2.

What Classes Of Respiratory Drugs Purpose is Bronchodilation?

a)

Beta 2 Adrenergic Agonist

b)

Methylxanthines

c)

Glucocorticoids

d)

Inhaled- Anticholinergics

3.

What are the uses for albuterol and salmeterol?

a)

Prevention of Asthmatic Episodes

b)

Treatment of Bronchospasms

c)

Long term control of chronic asthma and COPD

d)

Long Term Control of Asthma

4.

True or False: Beta 2 Adrenergic Agonist should be used after medications

a)

true

b)

false

5.

What are some complications for Beta 2 Adrenergic Agonist?

a)

Dyspnea

b)

Tachycardia

c)

Tremors

d)

Angina

6.

What is a Methylxanthine?

a)

Albuterol

b)

Prednisone

c)

Theophylline

d)

Ipratropium

7.

What is Theophylline used for?

a)

Acute Asthma Attacks

b)

Long Term Control of Asthma and COPD

c)

Relieve Bronchospasms

d)

Prophylaxis of Asthma

8.

What would you do if the client has angina or tachycardia with albuterol?

a)

observe the client for jaw, chest pain or palpitations

b)

Avoid Caffeine

c)

Check pulse and report increase of grater than 20 to 30 min

d)

Rinse mouth after inhalation

9.

Mild Toxicity Complications of theophylline?

a)

Nausea/Vomiting/Diarrhea/Abdominal Distention or Pain/Constipation

b)

Restlessness

c)

Seizures

d)

Dysrhythmias

10.

Severe Toxicity Complications of Theophylline are?

a)

GI distress

b)

Restlessness

c)

Seizures

d)

Dysrhythmias

11.

What are the Therapeutic levels for Theophylline?

a)

0.5-2 mcg/mL

b)

5-15mcg/mL

c)

15-25mcg/mL

d)

10-15mcg/mL

12.

Theophylline administered?

a)

PO

b)

Inhaled

c)

injection

d)

IV

13.

What should you avoid when taking theophylline not to exacerbate complications?

a)

NSAIDs

b)

Grapefruit Juice

c)

Caffeine

d)

St. Johns Wart

14.

What should you report if the client takes theophylline because it is a sign of Toxicity?

a)

Nausea

b)

Diarrhea

c)

Restlessness

d)

Headaches

15.

Use theophylline cautiously in those who have?

a)

HTN/Heart Disease

b)

liver and kidney dysfunction

c)

Diabetes Mellitus

d)

Respiratory Failure

16.

If adverse effects were to occur with theophylline, what do I do?

a)

Stop Medication

b)

Give activated charcoal

c)

Give Lidocaine

d)

Give Diazepam

17.

What are the inhaled anticholinergics?

a)

Theophylline

b)

Ipratropium

c)

Prednisone

d)

Tiotropium

18.

What are inhaled anticholinergics used for?

a)

long-term control of chronic asthma/copd

b)

Prevention of asthma episode, treatment of Bronchospasm, Long-term control of asthma

c)

Relieve Bronchospasms associated with COPD

d)

Prophylaxis of asthma

19.

What is a complication of Inhaled Anticholinergic Effects?

a)

Diahrrea

b)

Dry Mouth

c)

Headache

d)

Restlessness

20.

What will we teach patients who take anticholinergic?

a)

sip fluids, suck on sugar-free candy

b)

rinse mouth, oral swabs/glycerin swabs, clean mouth

c)

Rinse Mouth After Inhalation

d)

if two medications are prescribed Wait 5 minutes between medication

e)

Weight Client Daily

21.

Those who take inhaled anticholinergics are at risk for what?

a)

Joint Pain

b)

Infections

c)

Fatigue

d)

Palpitations

22.

Ipratropium or Tiotropium is contraindicated in those with?

a)

Diabetes Mellitus

b)

Allergy to Shellfish

c)

Heart Failure

d)

Peanut Allergy

23.

Ipratropium or Tiotropium Use cautiously in those with?

a)

CAD

b)

Narrow-Angle Glaucoma

c)

BPH

d)

Diabetes Mellitus

24.

What are the Glucocorticoids?

a)

Prednisone

b)

Ipratropium

c)

Fluticasone

d)

Zafirlukast

25.

What is glucocorticoids used for?

a)

prophylaxis of asthma

b)

long-term therapy of asthma, used in children

c)

decrease congestion

d)

cystic fibrosis, antidote for acetaminophen poisoning

26.

What is the purpose of prednisone?

a)

Relieve Bronchospasm

b)

Prevent Inflammation

c)

Thin Secretions

d)

Reduce Edema

27.

What are some complications of Using Glucocorticoids?

a)

Bone Loss

b)

Increased Risk of Infection

c)

Hyperglycemia

d)

Peptic Ulcer Disease

28.

What should we teach the client to do to prevent bone loss with Prednisone?

a)

Consume Diet of Calcium and Vitamin D

b)

Range of Motion

c)

Weight Bearing Exercise

d)

Bed Rest

29.

Nursing Interventions For Clients with Prednisone?

a)

Monitor Adrenal Gland Function

b)

Monitor Glucose

c)

Use this Last

d)

Do Not Stop Abrubtly

30.

True or False: Prednisone needs to be used short term

a)

True

b)

False

31.

True or False: With Glucocorticoids you can use NSAIDs

a)

True

b)

False

32.

Is there an increased risk for Infection with glucocorticoids?

a)

True

b)

FAlse

33.

Should glucocorticoids be given with food?

a)

True

b)

FAlse

34.

What is a Leukotriene Modifier?

a)

Prednisone

b)

Montelukast

c)

Albuterol

d)

Ipratropium

35.

What is the Purpose for using a Leukotriene Modifier?

a)

Reduce Inflammation

b)

Suppress Cough

c)

Reduce Airway Edema

d)

Reduce Mucus Reduction

36.

What is Montelukast used for?

a)

Long term Asthma Treatment for Children

b)

Prevent Exercise induced bronchospasm

c)

Long term Prophylaxis of Asthma

d)

Decrease Cough

37.

What are the Complications of Montelukast?

a)

Restlessness

b)

Depression

c)

Suicidal Ideation

d)

Palpitations

38.

What are expectorants?

a)

Montelukast

b)

Codeine

c)

Dextromethorphan

d)

Guaifenesin

39.

Guaifenesin aims to thin out secretions and increase cough production to remove mucus.

a)

True

b)

False

40.

Guaifenesin aims to decrease congestion

a)

True

b)

False

41.

What are the complications of Guaifenesin?

a)

GI Upset

b)

Drowsiness/dizzy

c)

Rebound Congestion

d)

Vasoconstriction

42.

How should we take Guaifenesin?

a)

Full Glass of orange Juice

b)

Take with food

c)

Increase fluid intake

d)

Take with full glass of water

43.

What is a mucolytic?

a)

Guaifenesin

b)

Phenylephrine

c)

Acetylcysteine

d)

Diphenhydramine

44.

What is the purpose of acetylcysteine?

a)

Chronic Nonproductive Cough

b)

Thin Secretions

c)

Treat allergic rhinitis

d)

Reduce Inflammation

45.

What can you use acetylcysteine for?

a)

Acetaminophen Poisioning

b)

Prophylaxis of Asthma

c)

Cystic Fibrosis

d)

Sinusitis

46.

What are the complications of Acetylcysteine?

a)

aspiration, bronchospasms

b)

Tachycardia

c)

hypotension

d)

Hepatotoxicity

47.

True or False: Mucolytics smells like rotten eggs

a)

True

b)

False

48.

What would you teach the client to monitor for with Mucolytics?

a)

Monitor Respiratory Status

b)

Monitor Vital Signs

c)

Monitor AST AND ALT

d)

Use Cautiously in Patients with Asthma

49.

What is a decongestant?

a)

Diphenhydramine

b)

Phenylephrine

c)

Ephedrine

d)

Acetylcysteine

50.

Phenylephrine or Ephedrine is an upper or downer?

a)

Upper

b)

Downer

51.

What is the purpose of decongestants?

a)

Increase Cough Production

b)

Thins Secretions

c)

Blocks histamine

d)

Reduction of inflammation in the nasal membranes

52.

What are some uses for Phenylephrine or Ephedrine?

a)

Common Cold

b)

Sinusitis

c)

Treat Allergic or nonallergic rhinitis (nasal stuffiness)

d)

Insomnia

53.

Decongestants can be used long term

a)

True

b)

False

54.

What are the complications of Phenylephrine and Ephedrine?

a)

Rebound Congestion

b)

Migraines

c)

Seizures

d)

CNS Stimulation

55.

What will report for Decongestants?

a)

Insomnia

b)

Agitation

c)

Agitation

d)

Nervousness

56.

What are Antihistamines?

a)

Diphenhydramine

b)

Loratidine

c)

Cetirizine

d)

Acetylcysteine

57.

The purpose of Antihistamines is to block histamines

a)

True

b)

False

58.

We can give Diphenhydramine, Loratadine, and Cetirizine for what?

a)

Mild Allergic Reactions (urticaria, seasonal rhinitis)

b)

Common Cold

c)

Anaphylaxis (acute Laryngeal edema, bronchospasm)

d)

Insomnia

59.

What complications are associated with Antihistamines?

a)

Excitation in children

b)

Sedation

c)

Anticholinergic Effects

d)

GI Discomfort

60.

When Should you take an Antihistamine

a)

In the morning

b)

At night

61.

What do you teach patients taking antihistamines?

a)

Take sips of water

b)

Suck on candy

c)

take with food

d)

take at night

62.

True or False: Women in their 3rd Trimester or that are breastfeeding cannot take antihistamines

a)

True

b)

False

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