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WorksheetsQuiz on Short-Acting Bronchodilators
Total questions: 86
Worksheet time: 43mins
Which of the following is an example of a short-acting bronchodilator?
Albuterol
Salmeterol
Ipratropium
Montelukast
What is the primary use of short-acting bronchodilators like Albuterol?
To treat bacterial infections
To dilate airways and facilitate respiration
To reduce inflammation in the lungs
To suppress the immune system
Which of the following is a potential side effect of short-acting bronchodilators?
Drowsiness
Fear, anxiety, and restlessness
Weight gain
Skin rash
What is the role of beta-adrenergic agents in short-acting bronchodilators?
To suppress the immune system
To dilate bronchi and increase the rate of respiration
To reduce mucus production
To treat bacterial infections
What is the indication for using short-acting bronchodilators like Albuterol?
To treat chronic bronchitis
To quickly relieve acute manifestations of asthma
To prevent lung cancer
To reduce allergic reactions
How are short-acting bronchodilators like Albuterol usually administered?
Via oral tablets
Via a metered-dose inhaler or dry powder inhaler
Via intravenous injection
Via nasal spray
What is the primary use of long-acting bronchodilators like Salmeterol?
To facilitate respiration by dilating airways
To treat bacterial infections
To suppress the immune system
To reduce mucus production
Which of the following is true about the onset of action of short-acting bronchodilators?
They have a slow onset of action and long half-life
They have a fast onset of action and short half-life
They have a fast onset of action and long half-life
They have a slow onset of action and short half-life
What is the recommended use of Albuterol before exercising?
Use 2 puffs before exercising
Use 1 puff after exercising
Use 3 puffs during exercising
Use 4 puffs before sleeping
What is the primary purpose of LABAs (Long-Acting Beta Agonists)?
Immediate relief of asthma symptoms
Long-term management of asthma and COPD
Treating bronchospasm caused by coffee consumption
Increasing calcium mobilization in the body
Which of the following is a common side effect of LABAs?
Increased appetite
Dizziness and tachycardia
Decreased heart rate
Improved calcium absorption
What is the therapeutic action of Theophylline?
Decreases vital capacity
Directly relaxes bronchial smooth muscle
Causes hypersensitivity reactions
Reduces nighttime manifestations of asthma
Which of the following is a contraindication for Theophylline use?
Coffee consumption
Use of rescue medications
Peak flow readings
Metered-dose inhalers
What is the toxic level of Theophylline in the blood?
Anything greater than 10 mcg/mL
Anything greater than 20 mcg/mL
Anything less than 10 mcg/mL
Anything less than 20 mcg/mL
What is the role of activated charcoal in Theophylline toxicity?
It increases calcium mobilization
It prevents Theophylline absorption in the intestine
It enhances lung function
It dilates airways
What are the early signs of theophylline toxicity?
GI distress, insomnia, restlessness, and tachycardia
Headache, sedation, diarrhea, and constipation
Nausea, vomiting, and dizziness
Increased intraocular pressure and hypertension
Which of the following decongestants should be avoided in patients with hypertension?
Ondansetron
Pseudoephedrine
Guaifenesin
Loratadine
What is the therapeutic action of Guaifenesin?
Treats nausea related to chemotherapy
Enhances output of respiratory tract fluids by reducing their adhesiveness and surface tension
Causes vasoconstriction to the nasal mucosa
Decreases blood flow to the upper respiratory tract
Which of the following is a contraindication for the use of Guaifenesin?
Persistent cough in pregnant and lactating patients
Nausea related to chemotherapy
Hypertension and diabetes
Common cold and sinusitis
What is a rare but potentially fatal side effect of Zofran?
Torsades des pointes
GI distress
Increased intraocular pressure
Dizziness
Which of the following is NOT a side effect of Zofran?
Headache
Sedation
Diarrhea
Hypertension
What is the primary function of aluminum hydrochloride and water in antacids?
To reduce gastric acid production
To neutralize acid in the stomach and prevent the activity of pepsin
To increase bile salt production
To promote the growth of H. pylori
Which of the following is NOT a potential risk associated with antacids containing calcium?
Hypercalcemia
Autodigestion
Increased bile salt production
Elevated calcium levels
What are antacids commonly indicated for?
Dyspepsia, heartburn, GERD, PUD
Constipation and nausea
Elevated phosphorus levels
Kidney stones
Which of the following patients should avoid antacids?
Patients with mild heartburn
Patients allergic to any component of antacids
Patients with normal calcium levels
Patients with no history of renal disease
What is a common side effect of antacids?
Increased bile salt production
Constipation, nausea, vomiting, abdominal cramping, and flatulence
Reduced frequency of heartburn
Healing of irritated tissues
What is the purpose of simethicone?
To neutralize stomach acid
To break up gas bubbles in the stomach, reducing stomach distention and heartburn
To increase bile salt production
To prevent kidney stones
What is the recommended pH level for not needing antacid treatment?
Below 1.5
1.5 to 3.5
Above 3.5
4.0 to 5.0
What adverse effect is associated with antacids?
Prolonged QT intervals
Elevated calcium level, phosphorus levels, and renal calculi
Increased bile salt production
Reduced frequency of heartburn
What is a key patient education point for antacid use?
Take antacids with a full glass of water and avoid taking them within 1 to 2 hours of other medications
Take antacids immediately after eating
Avoid hydration balance to prevent kidney stones
Take antacids only when symptoms are severe
What is the generic name for the drug Singular?
Montelukast
Cromolyn
Omeprazole
Lansoprazole
What is the primary therapeutic action of Montelukast?
Block or antagonize receptors for the production of leukotrienes
Increase the production of leukotrienes
Reduce the frequency of rhinorrhea and sneezing
Decrease blood flow to the upper respiratory tract
Which of the following is a side effect of Montelukast?
Upper respiratory infection
Increased appetite
Weight gain
Hair loss
What is the usual course duration for Cromolyn?
2-4 weeks
1 week
6-8 weeks
3 months
How is Cromolyn administered?
Intranasally
Orally
Intravenously
Subcutaneously
Which of the following drugs is a Proton Pump Inhibitor (PPI)?
Omeprazole
Montelukast
Cromolyn
Aspirin
What is the therapeutic use of Omeprazole and Lansoprazole?
Treating heartburn and acid reflux
Managing asthma symptoms
Reducing inflammation in the airways
Treating upper respiratory infections
Which of the following drugs can be used with antihistamines and decongestants?
Cromolyn
Montelukast
Omeprazole
Lansoprazole
What should a nurse monitor for when administering Cromolyn?
Frequency of rhinorrhea, itching, and sneezing
Elevated liver enzyme concentrations
Increased appetite and weight gain
Decreased blood flow to the lower respiratory tract
What happens when the ATPase enzyme is blocked by a proton pump inhibitor (PPI)?
Increased acid production
Decreased acid production
Increased bile secretion
Decreased bile secretion
Which of the following is an indication for the use of PPIs?
Treatment of hypertension
Treatment of erosive esophagitis from GERD
Management of diabetes
Prevention of kidney stones
Which of the following is a contraindication for the use of PPIs?
Patients with hypersensitivity to benzimidazoles
Patients with a history of GERD
Patients with peptic ulcers
Patients with hypertension
Which of the following is a common side effect of PPIs?
Increased appetite
Dizziness and headaches
Weight gain
Improved digestion
Which drugs interact with PPIs?
Ibuprofen, acetaminophen, aspirin
Phenytoin, warfarin, diazepam
Metformin, insulin, statins
Amoxicillin, penicillin, erythromycin
What is the generic name for Tagamet?
Famotidine
Ranitidine
Cimetidine
Sucralfate
Which of the following is a side effect of Tagamet?
Drowsiness, constipation, diarrhea, headaches, abdominal pain, fatigue
Increased appetite, weight gain, improved digestion
Nausea, vomiting, and fever
Hypertension and tachycardia
Which of the following drugs are used to treat GERD and peptic ulcers in critically ill patients?
Famotidine (Pepcid) and Ranitidine (Zantac)
Ibuprofen and acetaminophen
Metformin and insulin
Amoxicillin and penicillin
What is the function of Sucralfate (Carafate)?
Proton pump inhibitor
Mucosal protectant
Antacid
Antibiotic
What is the primary function of medications like sucralfate in the treatment of duodenal ulcers?
To block the action of angiotensin-converting enzyme (ACE)
To coat the ulcer and create a barrier for treatment
To prevent vasoconstriction of blood vessels
To increase the absorption of sodium and water
Which of the following drugs can decrease the effect of sucralfate?
Antacids
Lisinopril
Fluoroquinolone antibiotics
Valsartan
What is the therapeutic range for Digoxin?
0.5-2.0
1.0-3.0
0.2-1.0
2.0-4.0
Which of the following is a contraindication for ACE inhibitors like Lisinopril?
History of arrhythmias
History of angioedema
GI upset and anorexia
Vision changes
What is a common side effect of Digoxin toxicity?
Increased blood pressure
Seeing halos around lights
Severe renal dysfunction
Vasoconstriction of blood vessels
What is the mechanism of action of Angiotensin receptor blockers (ARBs) like Valsartan?
Blocking the action of ACE to prevent conversion of angiotensin I to angiotensin II
Blocking the effects of angiotensin II to prevent vasoconstriction and absorption of water and sodium
Coating the ulcer to create a barrier
Increasing the effect of antacids
Which of the following is a common side effect of ACE inhibitors?
Headache and weakness
GI upset and anorexia
Hypersensitivity and angioedema
Visual disturbances
What is the antidote for Digoxin toxicity?
Antacids
Dig immune fab
Lisinopril
Valsartan
What class of medications can be used in pregnancy?
Beta Blocker, ex: Labetalol
Calcium Channel Blockers
ACE Inhibitors
NSAIDs
What medication is used in diabetic gastroparesis?
Metoclopramide (Reglan)
Cetirizine (Zyrtec)
Loratadine (Claritin)
Codeine
What are Zyrtec, Claritin, and Allegra used for?
Relief of symptoms associated with seasonal and perennial allergic rhinitis, allergic conjunctivitis, uncomplicated urticaria, and angioedema
Treatment of diabetic gastroparesis
Depression of the cough reflex
Treatment of hypertension
Which of the following is a traditional antitussive?
Codeine
Benzonatate (Tessalon)
Loratadine (Claritin)
Metoclopramide (Reglan)
What is the therapeutic action of Benzonatate (Tessalon)?
Acts as a local anesthetic on respiratory passages, lungs, pleura, and blocks the effectiveness of stretch receptors
Acts directly on the medullary cough center of the brain to depress the cough reflex
Stimulates gastric emptying and intestinal transit
Relieves symptoms of allergic rhinitis
What is the indication for antitussives?
Treat uncomfortable, unproductive cough
Treat seasonal allergic rhinitis
Treat diabetic gastroparesis
Treat high blood pressure
Which of the following is a contraindication for antitussives?
Patients who need to cough to maintain the airway
Patients with seasonal allergies
Patients with high blood pressure
Patients with diabetes
Which opioid antitussive is associated with upper respiratory disorders?
Codeine
Benzonatate (Tessalon)
Loratadine (Claritin)
Metoclopramide (Reglan)
What is the primary mechanism of action of codeine in the body?
It binds to opioid mu receptors in the medulla, reducing the transmission of nerve signals that trigger the cough reflex.
It inhibits the receptor of serotonin and catecholamines.
It activates sigma-1 receptors in the medullary cough center.
It suppresses the cough reflex by acting on the brainstem.
Which of the following is a contraindication for codeine use?
Patients with compromised respiratory function.
Patients with mild nausea and vomiting.
Patients experiencing drowsiness and dizziness.
Patients with a history of substance misuse.
What is a rare adverse effect of codeine?
Drowsiness.
Allergic reactions.
Mild nausea.
Headache.
What is the mechanism of action of dextromethorphan?
It binds to opioid mu receptors in the medulla.
It acts as an NMDA receptor antagonist, non-selectively inhibiting the receptor of serotonin and catecholamines.
It suppresses the cough reflex by acting on the brainstem.
It reduces the transmission of nerve signals that trigger the cough reflex.
Which of the following is a side effect of dextromethorphan?
Drowsiness and dizziness.
GI discomfort and nausea.
Allergic reactions.
Respiratory depression.
What is a potential adverse effect of excessive dextromethorphan use?
Serotonin syndrome and anaphylaxis.
Mild nausea and vomiting.
Drowsiness and dizziness.
Constipation and headache.
What should client education for medications like codeine and dextromethorphan include?
Purpose of the medication, method of administration, side and adverse effects, prescription parameters, and any special instructions.
Only the purpose of the medication and method of administration.
Only the side effects and adverse effects.
Only the prescription parameters and special instructions.
What is the generic name for Metamucil, and what is its primary use?
Psyllium; relief of constipation
Bisacodyl; treatment of occasional constipation
Dextromethorphan; cough relief
Fluticasone; asthma treatment
Which of the following statements is true about Bisacodyl (Dulcolax)?
It is a bulk-forming laxative used for relief of constipation
It is a stimulant laxative used for treatment of occasional constipation
It is a mucolytic used for therapeutic actions
It is a steroid hormone used to treat inflammation
What are glucocorticoids primarily used for?
Treating arrhythmias
Treating inflammation and autoimmune diseases
Relieving constipation
Reducing drowsiness caused by antihistamines
Which of the following medications is a glucocorticoid used for asthma and COPD?
Beclomethasone
Amiodarone Hydrochloride
Psyllium
Adenosine
What should a nurse monitor for in a patient on glucocorticoids?
Sedation and drowsiness
Hyperglycemia, fluid retention, and Cushing Syndrome
Relief of constipation
Treatment of arrhythmias
What is the difference between first-generation and second-generation antihistamines?
First-generation antihistamines cause sedation, while second-generation antihistamines do not cause as much drowsiness
First-generation antihistamines treat arrhythmias, while second-generation antihistamines treat asthma
First-generation antihistamines are used for constipation, while second-generation antihistamines are used for inflammation
First-generation antihistamines are glucocorticoids, while second-generation antihistamines are mucolytics
Which of the following medications is used to treat arrhythmias?
Beta Blockers (Metoprolol, Propranolol)
Psyllium
Dextromethorphan
Fluticasone
What is the primary action of Acetylcysteine?
Mucolytic
Stimulant laxative
Antihistamine
Glucocorticoid
What is the primary function of splitting apart disulfide bonds in mucous material?
To protect liver cells from acetaminophen effects
To decrease the viscosity of secretions
To treat atelectasis from thick mucus secretions
To metabolize the material in the liver
Which of the following is an indication for the use of a medication that decreases the viscosity of secretions?
Treatment of heart failure
Liquefaction and clearing of secretions
Prevention of angina
Treatment of erectile dysfunction
What is a contraindication for the use of medications that decrease the viscosity of secretions?
History of hypersensitivity reactions
Patients with asthma
Patients with cystic fibrosis
Patients with acetaminophen toxicity
Which of the following adverse effects is associated with medications that decrease the viscosity of secretions?
Hypertension
GI upset, stomatitis, rhinorrhea, bronchospasm, and rashes
Increased heart rate
Liver failure
What is the first-line treatment and prevention of angina?
Hydralazine
Nitroglycerin
Beta blockers
Anticholinergic drugs
Which medication is used to treat heart failure?
Nitroglycerin
Hydralazine
Tizanidine
Acetaminophen
Which of the following should be avoided when taking nitroglycerin or hydralazine?
Anticholinergic drugs, including some antidepressants and antihistamines
Antibiotics
Antiviral medications
Antifungal medications
