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Respiratory Medications

Total questions: 78

Worksheet time: 1hrs 3mins

Name
Class
Date
1.

Beta 2 Adrenergic Agonists Indications

a)

Asthma

b)

Long term Asthma

c)

COPD

d)

Rhinitis

e)

Nasal Congestion

2.

What does Beta 2 Adrenergic Agonist end

(a)  

3.

What is the mode of action for Beta 2 Adrenergic Agonist?

a)

Binds to beta 2 receptors in the lungs, causing bronchodilation

b)

↑\uparrow cAMP, causing bronchodilation

c)

Blocks ACh receptors in lungs, causing bronchodilation

d)

↓\downarrow Airway inflammation

4.

What are Beta 2 Adrenergic Agonists side effects

a)

Palpitations

b)

Tremors

c)

Chest pain

d)

Pharyngitis

e)

Bradycardia

5.

What are other Beta 2 Adrenergic Agonists side effects

a)

Tachycardia

b)

Bradycardia

c)

Anxiety

d)

Sore throat

6.

If using along with an inhaled glucocorticoid, use bronchodilator first, wait for _ minutes, then use glucocorticoid. (B before G)

(a)  

7.

Short acting beta 2 adrenergic agonist ( (a)   ) are the only treatment for acute asthma attacks!

8.

Short acting beta 2 adrenergic agonist ( (a)   ) are the only treatment for acute asthma attacks!

9.

Which is the medications for Beta 2 Adrenergic Agonist?

a)

Albuterol

b)

Salmeterol

c)

Theophylline

d)

Aminophylline

e)

Tiotropium

10.

Long acting forms beta 2 adrenergic agonist ( (a)   ) should be taken daily for control of asthma!

11.

Which are Xanthine Derivatives?

a)

Theophylline

b)

Aminophylline

c)

Ipratropium

d)

Tiotropium

12.

What does Xanthine Derivative end?

(a)  

13.

What the indications of Xanthine Derivatives

a)

Acute asthma

b)

Long term asthma

c)

COPD

d)

Tuberculosis

14.

What is the mode of action for Xanthine Derivatives

a)

↑\uparrow cAMP, causing bronchodilation

b)

Blocks ACh receptors in lungs, causing brochodilation

c)

Cough suppression

d)

Low thickness of respiratory secretions, makes cough more productive

15.

What are the contraindications of taking theophylline and aminophylline?

a)

Coronary artery disease (CAD)

b)

Deep Vein Thrombosis (DVT)

c)

Peripheral Vascular Disease (PVD)

d)

Endocarditis

16.

The interactions with Xanthine Derivatives is

(a)  

17.

What are the side effects of Theophylline and Aminophylline?

a)

GI upset

b)

Headache

c)

Arrhythmias

d)

Seizures

e)

Throat irritation

18.

What should the nurse be look out for Xanthine Derivatives?

a)

Arrhythmias

b)

Seizures

c)

Report levels above 50 mcg/mL of theophylline

d)

Report levels above 20 mcg/mL of theophylline

e)

Hepatoxicity

19.

Therapeutic serum theophylline level is (a)   mcg/mL.

20.

Xanthine Derivative (Theophylline and Aminophylline) patient teaching....

a)

Periodic blood draws are required during treatment to check serum levels.

b)

Avoid foods/drinks with caffeine.

c)

Increase fluids.

d)

Suck on candy to help decrease dry mouth.

21.

Anticholinergics inhaled/nasal (Ipratropium and tiotropium) indications are for

a)

COPD

b)

Rhinitis

c)

SOB

d)

Asthma

e)

Pneumonia

22.

What ends with Anticholinergics?

(a)  

23.

What is the mode of action for anticholinergics (Ipratropium & tiotropium)?

a)

Blocks ACh receptors in lungs, causing bronchodilation

b)

Reduce airway inflammation

c)

Reduce effect of leukotrienes, which reduces airway inflammation and bronchoconstriction

d)

Cough suppression

24.

What are the side effects of Ipratropium and Tiotropium?

a)

Dry mouth

b)

Bitter taste

c)

Throat/Nasal irritation

d)

Immunosuppression

e)

Pharyngitis

25.

What are the medications for Anticholinergics (inhaled/Nasal)

a)

Intratropium

b)

Tiotropium

c)

Beclomethasone

d)

Mometasone

e)

Budesonide

26.

Anticholinergics patient education

a)

Increase fluids

b)

Suck on candy to help reduce dry mouth

c)

Take montelukast 2 hours before exercise

d)

Medication smells like rotten eggs, an expected finding

e)

Because of the risk of rebound congestion, use sparingly

27.

What ends with corticosteroids?

(a)  

28.

Which are the corticosteroids (inhaled/nasal) medications?

a)

Beclomethasone

b)

Mometasone

c)

Budesonide

d)

Fluticasone

e)

Guaifenesin

29.

What are the indications for inhaled/nasal Corticosteroids (Beclomethasone, mometasone, budesonide, fluticasone)?

a)

Asthma

b)

Rhinitis

c)

Pharyngitis

d)

COPD

e)

Allergies

30.

What is the mode of action for inhaled/nasal Corticosteroids (Beclomethasone, mometasone, budesonide, fluticasone)?

Reduce (a)   Inflammation

31.

What are the side effects of inhaled/nasal Corticosteroids (Beclomethasone, mometasone, budesonide, fluticasone)?

a)

Pharyngitis

b)

Oral candidiasis

c)

Bone demineralization with long term use

d)

Immunosuppression

e)

Dizziness

32.

If used with a bronchodilator, administer bronchodilator first, wait _ minutes, then administer the corticosteroid.

(a)  

33.

What are the patient education for inhaled/nasal Corticosteroids (Beclomethasone, mometasone, budesonide, fluticasone)?

a)

Rinse mouth with water after administration.

b)

Clean mouthpiece weekly.

c)

Do not use to treat asthma attacks.

d)

Do not stop this medication abruptly; it must be tapered.

e)

Because of the risk of rebound congestion, use sparingly.

34.

What does Leukotriene Receptor Antagonists end?

(a)  

35.

Which is the medications for Leukotriene Receptor Antagonists?

a)

Montelukast

b)

Zafirlukast

c)

Benzonatate

d)

Codeine

e)

Dextromethorphan

36.

What is the indications for Leukotriene Receptor Antagonists (Montelukast & Zafirlukast)?

a)

Asthma

b)

Prevention of exercise-induced bronchoconstriction

c)

Dry cough

d)

Cough associated with respiratory infections

e)

Pulmonary disorders with thick mucous secretions

37.

What is the mode of action for Leukotriene Receptor Antagonists (Montelukast & Zafirlukast)

a)

Reduce effect of leukotrienes

b)

Reduces air way inflammation

c)

Reduces bronchoconstrictions

d)

Reduces thickness of respiratory secretions

e)

Reduces dry mouth

38.

Leukotriene Receptor Antagonists (Montelukast & Zafirlukast) are contraindications for (a)   disease.

39.

Serious side effects of Leukotriene Receptor Antagonists (Montelukast & Zafirlukast) is ....

a)

Hepatotoxicity

b)

Ototoxicity

c)

Nephrotoxicity

d)

Lithium nephrotoxicity

40.

Monitor for liver (a)   for Leukotriene Receptor Antagonists

41.

Take montelukast _ hours before exercise.

(a)  

42.

What are the medications for Antitussives?

a)

Benzonatate

b)

Benzodiazepines

c)

Codeine

d)

Dextromethorphan

e)

Turpentine

43.

What is the indications for Antitussives (Benzonatate, Codeine, Dextromethorphan)?

(a)  

44.

What is the mode of action for Antitussives (Benzonatate, Codeine, Dextromethorphan)

a)

Cough suppression

b)

Wet cough

c)

Increased cough

d)

Reduce airway inflammation

e)

Oral candidiasis

45.

What are the side effects of Antitussives (Benzonatate)?

a)

Sedation

b)

GI upset

c)

Constipation

d)

Respiratory depression

e)

Hypotension

46.

What are the side effects of Antitussives (Codeine)

a)

Sedation

b)

Respiratory depression

c)

Hypotension

d)

Constipation

e)

GI upset

47.

What are the side effects of Antitussives (Dextromethorphan)?

a)

Dizziness

b)

Sedation at high doses

c)

GI upset

d)

Constipation

e)

Respiratory depression

48.

For Antitussives (Benzonatate, Codeine, Dextromethorphan): Use a measuring spoon, not a (a)   spoon, to measure doses.

49.

Which of these medication is expectorants?

a)

Guaifenesin

b)

Dextromethorphan

c)

Diphenhydramine

d)

Pseudoephedrine

e)

Acetylcysteine

50.

What are the indications for expectorants (Guaifenesin)?

a)

Cough associated with respiratory infections

b)

Dry cough

c)

Asthma

d)

Prevention of exercise-induced bronchoconstriction

51.

What is the mode of action for expectorants (Guaifenesin)?

a)

Reduce thickness of respiratory secretion

b)

Makes cough more productive

c)

Reduce airway inflammation

d)

Vasoconstriction of respiratory tract mucosa

e)

Breaks up mucus

52.

What are the side effects of expectorants (Guaifenesin)?

a)

GI upset

b)

Constipation

c)

Dizziness

d)

Hypotension

e)

Bronchospasm

53.

For expectorants (Guaifenesin): To improve cough suppression and thin secretions take a (a)   glass of water and increase fluid intake.

54.

Which of these is Mucolytics medications?

a)

Acetylcysteine

b)

Cetrizine

c)

Theophylline

d)

Tiotropium

e)

Fluticasone

55.

What are the indications for Mucolytics (Acetylcysteine)?

a)

Pulmonary disorders with thick mucous secretions

b)

Cystic fibrosis

c)

Antidote for acetaminophen poisoning

d)

Reduce thickness of respiratory

e)

Cough associated with respiratory infections

56.

The mode of action for Mucolytics (Acetylcysteine) are?

a)

Breaks up mucus

b)

Cough more productive

c)

Cough suppression

d)

Reduce airway inflammation

e)

Bronchodilation

57.

Contraindications for Mucolytics (Acetylcysteine) are used CAUTIOUSLY patients with (a)  

58.

Side effects of Mucolytics (Acetylcysteine) are

a)

Bronchospasm

b)

Nausea

c)

Vomiting

d)

Rash

e)

GI upset

59.

Mucolytics (Acetylcysteine) medication smells like _____ ____ an expecting finding

(a)  

60.

Which is a decongestants?

a)

Pseudoephedrine

b)

Phenylephrine

c)

Guaifenesin

d)

Ipratropium

e)

Tiotropium

61.

What are the indications for decongestants (Pseudoephedrine & Phenylephrine)?

(a)  

62.

What is the mode of action for decongestants (Pseudoephedrine & Phenylephrine)?

a)

Vasoconstriction of respiratory tract mucosa

b)

Increase cAMP, causing bronchodilation

c)

Reduce airway inflammation

d)

Reduce bronchoconstriction

e)

Cough suppresion

63.

What ends for decongestants?

(a)  

64.

What disorders are contraindications for decongestants (Pseudoephedrine & Phenylephrine)?

a)

Hypertension

b)

Coronary Artery Disease (CAD) 

c)

Deep Vein Thrombosis (DVT) 

d)

Hypotension

e)

Contraceptive vaginal ring

65.

The side effects of decongestants (Pseudoephedrine & Phenylephrine) are

a)

Nervousness

b)

Insomnia

c)

Palpitations

d)

Nausea

e)

Vomiting

66.

Decongestants (Pseudoephedrine & Phenylephrine) side effect can cause a rebound (a)  

67.

What interactions can effect decongestants (Pseudoephedrine & Phenylephrine)?

a)

Caffeine

b)

Stimulants

c)

Alcohol

d)

Gamma-aminobutyric acid (GABA)

e)

Benzodiazepines

68.

When client use decongestants (Pseudoephedrine & Phenylephrine) nurse should monitor for

a)

HR

b)

BP

c)

Temp

d)

RR

e)

O2

69.

Because decongestants (Pseudoephedrine & Phenylephrine) risk of rebound (a)   , use sparingly.

70.

What ends with antihistamines?

(a)  

71.

Which is a 1st Generation antihistamine?

a)

Diphenhydramine

b)

Loratadine

c)

Cetirizine

d)

Pseudoephedrine

e)

Guaifenesin

72.

Which are 2nd Generation antihistamine?

a)

Diphenhydramine

b)

Loratadine

c)

Cetrizine

d)

Psuedoephedrine

e)

Phenylephrine

73.

Antihistamine blocks the action of (a)   .

74.

The indications for antihistamines (Diphenhydramine, Loratadine, Cetirizine) are for

a)

Allergies

b)

Motion sickness

c)

Urticaria

d)

Long term sleep

e)

SOB

75.

Contraindications for antihistamines (Diphenhydramine, Loratadine, Cetirizine) are used cautiously in patients with (a)  

76.

Implement fall precautions for antihistamines (Diphenhydramine, Loratadine, Cetirizine) due to (a)  

77.

Do not drive or operate heavy machinery when taking ___ generation antihistamines

a)

1st

b)

2nd

c)

3rd

d)

4th

78.

Side effects of antihistamines (Diphenhydramine 1st Gen) are

a)

Sedation

b)

Anticholinergic effects

c)

Hepatoxicity

d)

Weight loss

e)

Dementia