Exam (elaborations)
NUR 3145 Pharmacotherapeutics 2024
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NUR 3145 Pharmacotherapeutics 2024
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NUR 3145Pharmacotherapeutics
2024
,1. Patient presents to ED with dry, non-productive cough. Patient has been diagnosed with
bronchitis, and it has been determined medicine is needed to initiate sputum so the
cough will be productive. Which medication does the nurse anticipate the physician
will prescribe? a. Guaifenesin (correct answer)
b. Sucralfate
c. H2 receptor agonist
d. Diphenhydramine
2. A patient has been diagnosed with asthma and prescribed an inhaled corticosteroid
(ICS). The nurse providing discharge teaching should state that: a. Inhaled ICS are not
for use for acute asthma attacks or status asthmaticus. (correct answer)
b. ICS can be used as rescue medications.
c. ICS will cure asthma.
d. ICS are inhaled once a week.
3. A patient with asthma has been prescribed an anti-inflammatory medication. The
patient asks the nurse how this medication works. The nurse should respond: a.
Increases ability to metabolize medication in lower bronchioles
b. Decreases ability of mucus secretion (correct answer)
c. Decreases airway inflammation
d. Increases uptake of corticosteroids
4. A nurse is providing discharge teaching to a patient with an order for chemical
stimulant laxatives as needed. The nurse cautions the patient about which possible
adverse effect? a. Abdominal cramping (correct answer)
, b. Dizziness
c. Diarrhea
d. Nausea
5. A patient with hypertension and asthma can have an adverse reaction to which class of
drugs? a. Aspirin and NSAIDs may cause bronchoconstriction in sensitive patients
(correct answer)
b. Non-selective beta-adrenergic antagonists such as propranolol or carvedilol may
cause bronchoconstriction.
c. SAMAs and LAMAs may cause vasoconstriction in sensitive patients.
d. ACE inhibitors can cause angioedema.
6. Deaths due to the delayed bronchial effects of improper use have a black box warning
for which medication? a. Salmeterol (correct answer)
b. Albuterol
c. Beclomethasone
d. Ipratropium
7. Which of the following medications provides the best anti-inflammatory effect for the
treatment of asthma? a. Fluticasone and salmeterol (correct answer)
b. Montelukast
c. Theophylline
d. Cromolyn
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