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WorksheetsMS Clinical - Endo/Resp RX
Total questions: 30
Worksheet time: 22mins
Which of the following medications is for use in all stages of asthma?
Serevent (Salmeterol)
Albuterol (Proventil)
Formoterol (Foradil)
Theophylline
Which of the following medications requires close follow up with serum blood levels?
Atrovent (ipratropium)
Tiotropium (Spirit)
Theophylline
Singular (monelukast)
Which of the following drugs can cause neuron-psychiatric side effects?
Albuterol (pro-air)
Monteleukast (Singulair)
Theophylline
Xolair (omalizumab)
A patient is having an acute asthma attack. Which medication should the nurse give FIRST?
Beclomethasone
Aminophylline
Albuterol
Montelukast
A patient is prescribed a corticosteroid. What teaching should the nurse perform to avoid complications associated with this medication?
Notify the doctor if insomnia occurs
Take the medication on an empty stomach
Only use it as needed for acute asthma attacks
Rinse the mouth after using this medication
How do xanthine derivatives work?
Block the body's reaction to allergens and decrease inflammatory processes in the lungs
Stimulated beta2 receptors in the lungs
Stimulate the central nervous system to promote bronchodilation and cause direct relaxation of the smooth muscle to the bronchi
Stabilize mast cells in the lungs
A patient with pneumonia has been prescribed an anti-tussive medication. What statement would warrant intervention from the nurse?
"I will use a humidifier at night"
"I have been having a dry, irritating cough"
"I should increase my fluid intake"
"I work at a dusty construction site, but with this medication I can go back to work tomorrow."
The most used antitussive is :
dextromethorphan
[SELECT ALL THAT APPLY] Which of the following are examples of rapid acting insulin?
Humalog
Apidra
Novolog
Humulin NPH
Humulin R
[SELECT ALL THAT APPLY] What are the most common side effects seen with insulin therapy?
Hyperglycemia
Hypokalemia
Hypoglycemia
Weight gain
Lipoatrophy/lipohypertrophy
What is the onset of Rapid-acting Insulin?
1 hr
15-30 mins
60 minutes-2hrs
3 hrs
What is the duration of Long-acting Insulin?
3 hours
2-6 hours
2-4 hours
18-24 hours
Systematically rotate injection sites and allow 1 inch between injection sites to avoid this complication?
myohypertrophy
concentric hypertrophy
eccentric hypertrophy
lipohypertrophy
Insulin can decrease blood ________ levels? {Hint: an important electrolyte}
Potassium
Sodium
Calcium
Phosphorus
When mixing short-acting insulin with longer-acting insulin, draw the ______ acting insulin up into the syringe first, then the ______acting insulin.
short
long
long
short
intermediate
long
rapid
short
The expected pharmacologic action or purpose of this oral antidiabetic medication causes Insulin release from the pancreas; can increase tissue sensitivity to insulin over time
Biguanides
Sulfonylureas
Meglitinides
Thiazolidinediones
Metformin is the first choice medication for most clients who have type 2 diabetes and belongs to which class of oral antidiabetics?
Alpha‑glucosidase inhibitors
Sulfonylureas
DPP-4 inhibitors (gliptins)
Biguanides
When should you administer the thyroid hormone for hypothyroidism ?
once in the afternoon with lunch
twice a day
in the evening with dinner
once in the morning before breakfast
Which of the following nursing implications is most important in a client being medicated for Addison's disease?
Administer oral forms of the drug with food to minimize its ulcerogenic effect.
Monitor capillary blood glucose for hypoglycemia in the diabetic client.
Instruct the client to never abruptly discontinue the medication.
Teach the client to consume a diet that is high in potassium, low in sodium, and high in protein.
A provider orders prednisone (Deltasone) 10 mg qDay for a client with exacerbation of COPD. Which statement by the patient indicates a need for further teaching?
I should weight myself every day and report any excessive weight gain or swelling to my provider
I should eat a diet low in sodium.
I may have episodes of low blood sugar, so I should increase my carbohydrate intake.
I should be sure to wash my hands frequently because I'm more likely to get an infection on this medication.
Adverse effect see with desmopressin administration
Dehydration
Hyperglycemia
Water Intoxication
Hypotension
Standard treatment for patient with hypoglycemia who is unresponsive
NPH
octreotide
vasopressin
glucagon
Adverse effect seen with corticosteroid administration
hypoglycemia
Weight loss
hypercalcemia
hyperglycemia
Which Medication would Caffeine elevate the serum level and possibly show toxicity?
Theophylline a Xanthine Bronchodilator
Loratadine a Second Generation Antihistamine
Guaifenesin an expectorant
Dextromethorphan an Anti-Tussive
How should we take Guaifenesin?
Full Glass of orange Juice
Take with food
Increase fluid intake
Take with full glass of water
When Should you take an Antihistamine
In the morning
At night
A client tells the nurse that he has started to take an over-the-counter antihistamine, diphenhydramine. In teaching about side effects, what is most important for the nurse to tell the client?
To avoid insomnia, do not take this drug at bedtime.
Avoid driving a motor vehicle until stabilized on the drug.
Nightmares and nervousness are more likely in an adult.
Medication may cause excessive secretions.
A client has been prescribed guaifenesin. The nurse understands that the purpose of the drug is to accomplish what?
Treat allergic rhinitis and prevent motion sickness
Loosen bronchial secretions so coughing can eliminate them
Compete with histamine for receptor sites, thus preventing a histamine response
Stimulate alpha-adrenergic receptors, thus producing vascular constriction of capillaries in nasal mucosa
Beclomethasone has been prescribed for a client with allergic rhinitis. What should the nurse teach the clinet regarding this medication?
This may be used for an acute attack
An oral form is available if the patient prefers to use it
Avoid large amounts of caffeine intake because an increased heart rate may occur.
With continuous use, dryness of the nasal mucosa/lining may occur.
Ipratropium bromide
ICS/LABA
LAMA/LABA
Anticholinergics
SABA
LABA
