Question

Name: 14. Xanthine derivatives elicit their effect by which of the following mechanisms? a. Stimulation of B-adrenergie receptors b. Stimulation of the central nervous system c. Reduction of airway hyperresponsiveness d. Stabilization of mast cell membranes Multiple Response Identify one or more choices that has complete the statement or the question 15. A home care surse is preparing a teaching plan for a caregiver regarding an antitussive drug for an older patient. Which of the following tractices should the nurse include in the teaching plan? Take the medication one hour before meals b. Avoidimas, such as cigarettes, dust or fumes Avold drinking fulds for 30 minutes after taking the drug Take medication with milk to chance absorption c. Avoid chewing or breaking open the oral capsule 16. A long term care patient with a cough is prescribed an expectorant, What ongoing assessments should the nurse perform for this patient Ask the patient about that infections b. Assess the respiratory status of the client C. Document the lung sounds of the patient d. Examine the pulse rate every 30 minutes e Document the consistency of the sputum 17. A patient is prescribed a decongestant for allergic rhinitis. In which patient condition should the nurse administer the drug cautiously? Hypertensie b. Hyperthyroidim c. Conjunctivitis & Nephropathy e. Glavna 18. A mure caring for a patient in the hospital who is being discharged today with a prescription for benzoate 200 mg only three times daily. What would thene sell the patient about the prescription during discharge of a Becca Gl edation b e capsules shocked like a lepe Consumption of alcohol should be avoided while on the this medicatie d B e can be the more frequently if needed 19. A patient with asthma has been prescribed a corticosteroid agent by whalatice for the rest inflammation in the airways. Which of the following drugs are corticosteroida ? Chomolyn Flunsolide Beclomethasone d ipratropium

Answer 1

Q14.caffeine ,theobromine and theophylline are naturally occuring xanthine derivatives which act by.........

Though these are not used as a first line antiasthma drug but theophylline decrease release of histamine from mast cells (therapeutic effect in asthma)

Caffeine and theophylline are CNS stimulant

They are beta agonist and activation of β₂-adrenoceptors in the lungs causes bronchodilation

and the airway hyperresponsiveness also diminished

Q15.

Antitussives such as opioids Codeine, non opioids like noscapine,Dextromethorphan etc should not be taken with irritants which aggravate cough

q16. EXPECTORANTS E.G GUAIFENESIN is used to thinning the mucus as they are supposed to enhance bronchial secretion and mucociliarry function so sputum should be checked if stickiness is lessened

q17.Decongestants are phenylephrine it should be contraindicated in hypertension and should be cautiously used in hyperthyroidism,

Q18, Gi upset is possible

To swallow the medication wholely to avoid allergic reaction. No sucking like lozengesand not more than 200 mg as prescribed .

q19,   the Corticosteroids are

Flunisolide

Triamcinolone

Beclomethasone