1 NURS 615 PHARM EXAM 4 LATEST 2023 REAL EXAM QUESTIONS AND CORRECT ANSWERS COMPLETE EXAM |AGRADE (MARYVILLE UNIVERSITY ) 1. Digoxin levels need to be monitored closely when the following medication is started: 1 . Loratadine 2 . Diphenhydramine 3 . Ipratropium 4 . Albuterol Albuterol 2. Patients with pheochromocytoma should avoid which of the following classes of drugs because of the possibility of developing hypertensive crisis? 1 . Expectorants 2 . Beta -2-agonists 3 . Antitussives 4 . Antihistamines Beta 2-agonists 3. Stan, a 42-year -old African American, has moderate persistent asthma. Which of the following asthma medications should be used cautiously, if at all? 1 . Betamethasone, an inhaled corticosteroid 2 . Salmeterol, an inhaled long -acting beta -agonist 3 . Albuterol, a short -acting beta -agonist 4 . Montelukast, a leukotriene modifier 2 Salmeterol, an inhaled long -acting beta -agonist 4. Long -acting beta -agonists (LTBAs) received a Black Box Warning from the U.S. Food and Drug Administration due to the: 1 . Risk of life-threatening dermatological reactions 2 Increased incidence of cardiac events when LTBAs are used 3 . 3 . Increased risk of asthma -related deaths when LTBAs are used 4 . Risk for life-threatening alterations in electrolytes Increased risk of asthma -related deaths when LTBAs are used 5. The bronchodilator of choice for patients taking propranolol is: 1 . Albuterol 2 . Pirbuterol 3 . Formoterol 4 . Ipratropium Ipratropium 6. Mathew is a 52-year -old overweight smoker taking theophylline for his persistent asthma. He tells his provider he is going to start the Atkin’s diet for weight loss. The appropriate response would be: 1 . Congratulate him on making a positive change in his life. 2 . Recommend he try stopping smoking instead of the Atkin’s diet. 3 . Schedule him for regular testing of serum theophylline levels during his diet due to increased excretion of theophylline. 4 . Decrease his theophylline dose because a high -protein diet may lead to elevated theophylline levels. Recommend smoking cessation 7. Marty takes theophylline for his persistent asthma and calls the office with a complaint of nausea, vomiting, and headache. The best advice for him would be to: 1 . Reassure him this is probably a viral infection and should be better soon 2 . Have him seen the same day for an assessment and theophylline level 3 . Schedule him for an appointment in 2 to 3 days, which he can cancel if he is better 4 . Order a theophylline level at the laboratory for him Schedule him an appointment in 2-3 days
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