2024 NURS 251 EXAM 5 WITH
CORRECT ANSWERS
Alveoli are responsible for the exchange of what two gases? - CORRECT-
ANSWERSO and CO2
Select the respiratory medication that is recommended as first line for the
treatment of persistent asthma.
Albuterol
Theophylline
Tiotropium
Fluticasone - CORRECT-ANSWERSfluticasone
what would be the most appropriate add on therapy for a patient with
persistent asthma who is taking a high dose ICS and a high dose LABA -
CORRECT-ANSWERSoral corticosteroids
What is a sign that a pt asthma is uncontrolled? - CORRECT-
ANSWERSshortness of breath and having to use their rescue inhaler more
than 2x week
T/F: an example of a preferred therapy for persistent asthma is the combo of
fluticasone and tiotropium - CORRECT-ANSWERSFalse
T/F: low dose fluticasone would be an appropriate first line treatment option
for a pt with copd in need of a long term controller - CORRECT-
ANSWERSFalse, unlike asthma ICS are not recc. as monotherapy for
treatment of COPD
Select the regimen below that would not be appropriate for COPD
management.
Mometasone and albuterol
Tiotropium and salmeterol
Tiotropium and theophylline
Formoterol and albuterol - CORRECT-ANSWERSMometasone and albuterol
A patient comes in complaining of some sort of infection in his mouth. After
recent exacerbation of COPD his regime now includes salmeterol, fluticasone
and tiotropium. Which of the meds is the most likely cause of his infections
and what would you recc. to the pt to prevent this from happening in the
, future - CORRECT-ANSWERSfluticasone- ICS are known to cause oral thrush
and its important to educate the pt on rinsing their mouth out w/ water after
each use
which of the following is NOT a possible result of taking corticosteroids
systematically
fluid retention
muscle wasting
metabolic improvements
inc. risk of infections - CORRECT-ANSWERSmetabolic improvements
what medication is known to have the quickest onset of action and therefore
is often referred to as a rescue inhaler - CORRECT-ANSWERSalbuterol
Match the following drugs with their pharmacological class
1. mometasone
2. formoterol
3. montelukast
4. theophylline
5. ipratropium - CORRECT-ANSWERS1. corticosteroid
2. BAA
3. leukotriene inhibitor
4. xanthine derivative
5. anticholinergic
name one medication that involves the chemical mediator leukotriene -
CORRECT-ANSWERSzileuton, Montelukast, zafirlukast
a pt is complaining of a slight skeletal muscle tremor and a racing heart,
which of the following meds would be most likely to cause
what meds should every pt with asthma have as a part of their regimen -
CORRECT-ANSWERSalbuterol as needed
T/F: tiotropium is absorbed significantly when taken via inhalation and
therefore there are many side effects - CORRECT-ANSWERSFalse
name the microscopic sacs within the lings that are the sites where oxygen
is exchanged for CO2 - CORRECT-ANSWERSalveoli
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