Download Pharm final exam questions 25 questions Chapters 32, 33, 34 5

Pharm final exam questions
25 questions
Chapters 32, 33, 34
5 select all that apply, the rest free game
Chapter 32 Antitussives, Mucolytic, expectorants
1. The nursing instructor is teaching the students about antitussive and their side effects. What
ingredient is found in antitussives does the instructor tell students sometimes can cause
drowsiness.
A. Acetaminophen
B. Eucalyptus
C. Advil
D. Antihistamine
2. True or false the mucolytic acetylcysteine is used to treat atelectasis due to mucus obstruction?
True
3. A patient with a cough visits a health care facility and is prescribed an expectorant. What
preadministration assessment should the nurse perform? Select all that apply.
A. Ask the patient about throat infections
B. Assess the respiratory status of the patient
C. Document the lungs sounds of the patient
D. Examine the pulse rate every 30 minutes
E. Document the consistency of sputum
4. Ms. Thomas, age 45, is being seen in the physician’s office today for complaints of a dry, hacking
cough that is keeping her up at night. The physician prescribes Dextromethorphan for the
cough. Which statement is true about dextromethorphan?
A. It works on the receptors in the throat to prevent a cough.
B. It works by relaxing the smooth muscles in the bronchioles.
C. It works in the medulla to suppress the cough reflex.
D. It works by inhibiting allergen response.
5. A patient with a cough visits a health care facility and is prescribed an antitussive. Which of the
following reactions associated with the antitussive administration should the nurse monitor for
in the patient?
A. Diarrhea
B. Sedation
C. Somnolence
D. Dehydration
6. What information be obtained from the client by the nurse and documented prior to the
administration of antitussive? Select all that apply.
A. Type of cough
B. Presence of sputum
C. Color and amount of sputum
D. Home remedies used to treat the cough
E. Vital signs
7. A patient with a respiratory tract infection is prescribed expectorants by a physician. In which of
the following types of patients should a nurse administer expectorants cautiously?
A. Patients with sinus bradycardia
B. Patients with persistent cough
C. Patients with psychosis
D. Patients with oral ulcers
8. A client taking levothyroxine 150 mcg daily hypothyroidism. Which of the following medications
should be avoided in this client?
A. Potassium iodine
B. Dextromethorphan
C. Codeine
D. Benzonatate
E. Guaifenesin
Chapter 33 antihistamines and decongestants
1. Which diseases should you take precautions before using a decongestant? Select all that apply
A. CAD
B. HTN
C. Psoriasis
D. Diabetes Mellitus
2. Which of the following is not a common adverse reactions seen when administering an
antihistamine?
A. Sedation
B. Blurred vision
C. Drowsiness
D. Disturbed coordination
3. Uses for antihistamines? Select all that apply
A. Allergic conjunctivitis
B. Relief of nonproductive cough
C. Hay fever
D. Treatment of parkinsonism
E. Adjunctive therapy in anaphylactic shock
4. Older adults are at an increased risk for experiencing adverse reactions when taking
decongestants. Over dosage of the decongestants may cause?
A. Hallucinations
B. HTN
C. Hypotensive crisis
D. Migraine headaches
5. True or false When antihistamines are administered to patient receiving CNS depressants, the
nurse monitors the patient for excessive sedation
True
6. Promethazine is prescribed to a patient who is also receiving an opioid analgesic. Which of the
following factors should the nurse assess in the patient before administering Promethazine?
A. Bone density
B. Urine output
C. Blood pressure
D. Skin turgidity
7. A patient has been prescribed an antihistamine drug to be given parenterally. Which of the
following parenteral roots of drug administration should the nurse prefer?
A. Intravenous
B. Intramuscular
C. Subcutaneous
D. Intradermal
8. A 70 yr. old patient with acute sinusitis has been prescribed decongestant medication. At this
age, he is at a greater risk for developing side effects due to over dosage. Which of the following
symptoms of over dosage should the nurse monitor for when caring for the patient? Select all
that apply
A. Hallucination
B. Dyspnea
C. Convulsion
D. Depression
E. Fatigue
9. Decongestants elicit their effect by which of the following mechanisms?
A. Selectively binding to peripheral H 1 receptors
B. No selectively binding to central and peripheral H 1 receptors
C. Anesthetizing stretch receptors in the respiratory passages
D. Vasoconstriction of small blood vessels of the nasal membranes
Chapter 34 bronchodilators and antiasthma drugs
1.
True or false Methylxanthines stimulate the central nervous system to promote constriction of
the bronchi?
False
2. A nurse teaching a patient newly diagnosed with asthma about the disease. Which of the
following should the nurse instruct this patient to avoid because it may cause
bronchoconstriction?
A. Fatigue
B. Direct sunlight
C. Extremely cold temperatures
D. Food high in sodium
3. When educating a group of students on the mechanism of action of various anti-asthma drugs,
the nurse identifies which of the following drugs as inhibiting the formation of leukotriene?
A. Zafirlukast
B. Budesonide
C. Montelukast
D. Zileuton
4. True or false Leukotriene receptor antagonists are administered orally?
True
5. a patient is prescribed salmeterol. The nurse would expect this drug to be administered by
which route?
A. Oral
B. Subcutaneous
C. Inhalation
D. Intravenous
6. A patient is started on albuterol. What reaction should the patient be instructed on?
A. Tachycardia will occur
B. Polydipsia will occur
C. Hypotension will occur
D. Diarrhea will occur
7. A patient with asthma has been prescribed a corticosteroid agent by inhalation for the reduction
inflammation in the airways. Which of the following drugs are corticosteroid agents? Select all
that apply
A. Cromolyn
B. Flunisolide
C. Ipratropium
D. Triamcinolone
E. Beclomethasone
8. Xanthine derivatives elicit their effect by which of the following mechanisms?
A. Stimulation of beta-adrenergic receptors
B. Stimulation of the CNS
C. Reduction of airway hyper-responsiveness
D. Stabilization of mast cell membranes