Pharma-The Respiratory System

A healthcare professional is caring for a patient who is having difficulty mobilizing thick respiratory secretions. Which of the following drugs should the healthcare professional expect to administer?

Acetylcysteine (a mucolytic)

What would you use for someone who is suffering from acute bronchospasm?

Albuterol

When talking to a patient who is prescribed albuterol via inhaler and fluticasone (Advair) via inhaler for asthma management, you should tell the patient to use the albuterol inhaler before the fluticasone inhaler for which of the following reasons?

Albuterol will increase the absorption of fluticasone.

You are advising a patient about using intranasal glucocorticoids. What instructions should you include?

Allow at least 2 weeks for the full therapeutic effect

You are caring for a patient who is taking ipatropium (Atrovent). You should explain which of the following adverse effects to the patient?

Anticholinergic effects... Urinary retention Dry mouth

When advising a patient about taking prednisone for chronic asthma, a healthcare professional should include which of the following information?

Avoid taking NSAIDs

You should recognize that using pseudoephedrine (Sudafed) to treat allergic rhinitis requires cautious use with patients who have which of the following?

Coronary artery disease

You are advising the patient about the use of beclomethasone (Beconase AQ), an intranasal glucocorticoid, to treat asthma. You should explain that the drug treats asthma because it performs which of the following actions?

Decreases inflammation

Legal restrictions apply to the purchase of pseudoephedrine (Sudafed) because of which of the following risks?

Drug abuse

You should monitor a patient taking dextromethorphan due to the potential for:

Drug abuse

You should recognize that codeine is contraindicated for patients who have which of the following?

Emphysema

You are advising a patient about the use of cromolyn sodium. Which of the following instructions should you include?

Expect a bitter aftertaste

When advising a patient about using zileuton (Zyflo), a healthcare professional should include which of the following instructions?

Have lab tests performed at regular intervals (liver fnx)

When advising a patient who is beginning fluticasone propionate/salmeterol (Advair) therapy, which of the following instructions should a healthcare professional include?

Increase weight-bearing activity

You should instruct a patient using phenylephrine spray for nasal congestion to do which of the following to avoid rebound congestion?

Limit the drug's use to 3-5 days Add an intransal glucocorticoid Taper the dose prior to discontinuation Restrict the drug's use to one nostril at a time

A healthcare professional should tell a patient who is taking albuterol (Proventil) to report which of the following possible indications of a serious adverse effect?

Palpitations

Which of the following information indicates to you that a patient who is taking theophylline needs further instruction?

Patient drinks two cups of coffee

A patient is starting ipretropium inhaler. What is a contraindication?

Peanut allergy Glaucoma

Before prescribing dextromethorphan (Robitussin) to a patient, the primary care provider should know that when given with an opioid, the drug can result in which of the following?

Potentiation of the analgesic effect of the opiod

A healthcare professional who is advising a patient about the use of antihistamines to treat allergic rhinitis should explain that these drugs are effective because they perform which of the following actions?

Prevents histamine from binding to receptors

You are advising the patient on the use of cromolyn sodium to prevent bronchospasm. You should explain that the drug prevents bronchospasm because it performs which of the following actions?

Reduces inflammation (inhibits the inflammatory response)

A healthcare professional who is advising a patient about the use of an expectorant to treat a cough should explain that this type of drug is effective because it performs which of the following actions?

Reduces surface tension

You are caring for a patient who is taking codeine. Which of the following is the most important assessment following the administration of the drug?

Respirations

You are advising a patient about the adverse effects of pseudoephedrine (Sudafed). Which of the following should you include?

Restlessness Insomnia Anxiety

You should explain to a patient who is prescribed diphenhydramine that the most common side effect associated with the drug is:

Sedation

You are monitoring plasma drug levels in a patient who is taking theophylline (a methylxanthine). Which of the following adverse effects should you expect to see if the patient's level indicates toxicity?

Seizures

Which of the following should you include when advising a patient about the use of montelukast (Singulair)?

Take the drug once a day in the evening

A healthcare professional cautions a patient who is taking guaifenesin (Mucinex) about using combination OTC cold products because...

They can also contain guaifenesin

A healhcare professional who is advising a patient about the use of a mucolytic to treat a cough should explain that this type of drug is effective because it performs which of the following actions?

Thins and loosens mucus

For which of the following reasons should a patient attach a spacer to a metered-dose inhaler?

To increase the amount of drug delivered to the lungs

Which of the following information should you include when teaching a patient about using an albuterol (Proventil) inhaler for asthma?

Use for exercise-induced asthma

When explaining how a patient should use ipratropium (Atrovent), you should include which of the following instructions?

Wait 5 mins between using this drug and another inhaled drug to allow for its bronchodilating effects

You are instructing your patient on the use of a MDI, what should you tell them?

Wait at least 1 minute before inhaling the second puff.

You are instructing a patient about using cromolyn via inhalation to treat exercise-induced asthma. You should advise the patient to take the drug

15 minutes before exercise