Question

o CHAPTER 7 Examinationl-cont'd 123. Mucolytic drugs thin secretions and must be taken with water and increased fhuids Teach patients to use cough suppressants only an oeeded to prevent secretions from building up Cough suppressants can cause CNS depression A patent ks the m oe hs cortioonte a why he munt une the bronchodtor s What s the muns o 1 There is mo rigk of an the bronchodlator i g eaction ocoumng renponse? Review Questions for the NCLEX Examination Ag frst 2. the bronchodlator inection of the mouth n first, a fungal 3 Opening up the bronch to occur Which antibody is produced in response to a able allergen? 1. IgE 2. IgG 3. IgA 4. IgM 2. Which antihistamine should be used only when necessary in the geriatric population? 1. levocetirizine 0yza 2. diphenhydramine (Benadry 3. fexofenadine (Allegra) 4. loratadine (Claritin) a Which drug mimics the effect of the sympathetic with the bronchodlator dven frst heips the coticosterd inhaer be more effective 4 The side effects of te bronchodunor are educed it is given first Why should quatenesin Mucnes be gven with a ful at glass of water 1. To prevent the side efect of naunea and vomiting 2. To assinst in iquetying secretions 3 To prevent the side effect of constipation 4. To prevent increased stomach acid from caauning an ulcer 10. The order reads "diphenhydramine Benadry 75 mg IM stat Diphenhydramine (Benadry is supplied as 50 mg/1 m ampules. How many m df diphenhydramine should be given? nervous system? 1. fluticasone furoate (Flonase Sensimist) 2. nedocromil sodium (Tilade) 3. phenylephrine (Sudafed PE 4. ipratropium (Atrovent) A Which drugs are most effective for an acute asthma attack? (Select all that apply.) 1, beclomethasone (QVAR) 2. albuterol (Ventolin) 3. salmeterol (Serevent) 4. levalbuterol (Xopenex) 5. pirbuterol (Maxair) 6. cromolyn sodium (Intal) 5. A patient received an albuterol (Ventolin) small-yolume nebulizer treatment 15 minutes ago. Which symptom Case Study Mary Brady, age 32 years, comes to the clinic today with an exacerbation of her asthma. She reports having coldlike symptoms for several days and has been using her albuterol inhaler every 4 hours She is short of breath and has a nonproductive cough. Her controller drug is salmeterol (Serevent) 1 puff twice daily Mary is anoious, tremulous, and sitting on the edge of the chair as she leans forward. She has audible wheezes. and when she answers your questions, she does so at just four words at time before she has to take a breath. Heart rate: 110 Respiratory rate: 34 SoO 90% on FIO, 0.21 (room air) Blood pressure: 140/90 mm Hg Temperature: 37 C Breath sounds: diminished with expiratory wheezes warrants a call to the healthcare provider? 1, Increase in heart rate from 72 to 90 2. Increase in oxygen saturation from 88% to 94% 3. Increas in hand tremors 4. Chest diaomfort 6. Which dns ue considered long-acting beta agonists (LABAS)? oct all that apply.) 1. arform 2. cromo dium (Intal) 3. formoteForadil, Oxeze, Perforomist) 4. levalb l Kopenex) 5. salmeteral (Serevent) 6. albutero (Ventolin) throughout all lung fields. 1. What is your priority concen for Mary Brady? 2. The healthcare provider orders oxygen via nasal cannula at 3L and albuterol 2.5 mg small-volume nebulizer. The albuterol you have on hand is packaged as 1.25/3 mL. How many mL of albuterol will you give to the patient? (Brovana) 3. What nursing actions will you take before giving the albuterol? 7. Which symptoms can be expected when using a cholinergic antagonist like tiotropium (Spiriva)? (Select all that apply) 1. Constipation 2. Dry mouth 3. Diarrhea 4. Watery eyes 5. Dry eyes

Answer 1

1.When a host is invaded by a foreign organism or a new antigen immune system come in response to fight it and prevent it from causing any harm to the host.IgM is the first antibody which comes in response and rescue. IgE is released to an allergic trigger.IgA is released when there is respiratory and gastrointestinal problems .IgG is the last response on immune system to fight an infection

Ans:4.IgM

2.The drugs like fexofenadine can be used in older population, loratadine and cetrizine are safer to use.Diphenhydramine is a drug which can cause sedation ,so it has to be used in caution in older adults.The levocetrizine is a drug which can cause heart,lung and liver problems generally it is not the preferred medication unless benefits outweighs side effects

Ans:1.Levocetrizine (Xyzal)

3.The drugs like phenylephyrine after ingestions binds with the adrenergic receptors and produces similar effects on each organ..The drugs donor mimic the effect os sympathetic nervous system.

Ans:3.Phenylephyrine

4.The drugs like bronchodilator are the best drug to treat acute asthmatic attach by dilating the constricted bronchial tubes and making breathing easier

Ans:2.Albuterol,4.Salmetrol,Pirbuterol,levalbuterol