NUR 2474 Rasmussen Pharm
Exam 2 LATEST QUESTIONS
AND VERIFIED ANSWERS
100% GUARANTEED PASS
Surfactant laxatives - correct answer docusate sodium
Serotonin agonists - correct answer ondansetron
Patient Education on using inhalers - correct answer For any patient prescribed an inhaler, the
RN should ensure the client can self administer the medication.
Teach back needed
The patient should wait 1-2 minutes between puffs
The patient should wait 5 minutes between 2 different inhalers
The patient should take a bronchodilator before a corticosteroid medication (B before C)
The patient must keep track of doses on their inhaler
If opening a new inhaler, the patient should shake it and test before use.
If dexterity is limited, a spacer can be used to get more medication in the airway.
If the patient uses a steroid, they must wash their mouth out after use.
If not, fungal infection may occur
The patient should hold breath 10 seconds after receiving a puff.
short-term asthma treatment - correct answer Bronchodilator: albuterol
,Acts as a rescue inhaler during asthma attacks.
Onset is in 5 minutes and will last longer.
Xanthine Derivatives: theophylline
Dilates airways
Can have high drug interactions in the body
IV/ inhaled glucocorticoids.
long term asthma treatment - correct answer Bronchodilator: salmeterol.
Used to control symptoms of asthma
Never is used alone (often with steroid)
Anticholinergics: ipratropium bromide
For long term asthma prevention
Works very slowly.
Corticosteroids: fluticasone
Non bronchodilation
Can take several weeks to show
COPD treatment - correct answer Bronchodilator- short acting albuterol
Steroid
Must keep o2 saturation between 88-92%
Most asthma treatments require what? - correct answer Combination of medications- most
medications cannot be used alone (need bronchodilator plus steroid)
Rescue inhalers - correct answer Quickly relax airways.
albuterol, epinephrine, metaproterenol, IV steroid
, Long term inhalers - correct answer salmeterol, ipratropium, theophylline,
montelukast ,fluticasone
Treatment of acute asthma attack - correct answer Oxygen use
Short acting bronchodilator- albuterol
Corticosteroid- ipratropium bromide IV
Will relieve hypoxemia, reduce airway inflammation, and relieve obstruction.
Bronchodilator mechanism of action - correct answer mimics the sympathetic NS and opens up
the lungs and stimulates beta receptors
Fast acting vs. long term asthma relief - correct answer Fast acting: used for acute asthma relief,
Long acting is for chronic asthma management and COPD
AE of bronchodilators - correct answer tachycardia, angina, tremors, nervous and shaky feeling,
hyperglycemia.
Pt teaching for bronchodilators - correct answer ensure patient takes medication as prescribed
and does not overuse short acting bronchodilator. Never use it alone with asthma treatment.
Glucocorticoid mechanism of action - correct answer works to stop the inflammatory process in
the lungs, preventing bronchoconstriction. Stabilizes WBC membranes that release bronchial
constricting substances, increases bronchial smooth muscle beta adrenergic stimulation.
Forms of Glucocorticoids - correct answer Inhaled: used for asthma and is the most tolerated
and fast acting, but can also be IV for systemic effects on the body.
Exam 2 LATEST QUESTIONS
AND VERIFIED ANSWERS
100% GUARANTEED PASS
Surfactant laxatives - correct answer docusate sodium
Serotonin agonists - correct answer ondansetron
Patient Education on using inhalers - correct answer For any patient prescribed an inhaler, the
RN should ensure the client can self administer the medication.
Teach back needed
The patient should wait 1-2 minutes between puffs
The patient should wait 5 minutes between 2 different inhalers
The patient should take a bronchodilator before a corticosteroid medication (B before C)
The patient must keep track of doses on their inhaler
If opening a new inhaler, the patient should shake it and test before use.
If dexterity is limited, a spacer can be used to get more medication in the airway.
If the patient uses a steroid, they must wash their mouth out after use.
If not, fungal infection may occur
The patient should hold breath 10 seconds after receiving a puff.
short-term asthma treatment - correct answer Bronchodilator: albuterol
,Acts as a rescue inhaler during asthma attacks.
Onset is in 5 minutes and will last longer.
Xanthine Derivatives: theophylline
Dilates airways
Can have high drug interactions in the body
IV/ inhaled glucocorticoids.
long term asthma treatment - correct answer Bronchodilator: salmeterol.
Used to control symptoms of asthma
Never is used alone (often with steroid)
Anticholinergics: ipratropium bromide
For long term asthma prevention
Works very slowly.
Corticosteroids: fluticasone
Non bronchodilation
Can take several weeks to show
COPD treatment - correct answer Bronchodilator- short acting albuterol
Steroid
Must keep o2 saturation between 88-92%
Most asthma treatments require what? - correct answer Combination of medications- most
medications cannot be used alone (need bronchodilator plus steroid)
Rescue inhalers - correct answer Quickly relax airways.
albuterol, epinephrine, metaproterenol, IV steroid
, Long term inhalers - correct answer salmeterol, ipratropium, theophylline,
montelukast ,fluticasone
Treatment of acute asthma attack - correct answer Oxygen use
Short acting bronchodilator- albuterol
Corticosteroid- ipratropium bromide IV
Will relieve hypoxemia, reduce airway inflammation, and relieve obstruction.
Bronchodilator mechanism of action - correct answer mimics the sympathetic NS and opens up
the lungs and stimulates beta receptors
Fast acting vs. long term asthma relief - correct answer Fast acting: used for acute asthma relief,
Long acting is for chronic asthma management and COPD
AE of bronchodilators - correct answer tachycardia, angina, tremors, nervous and shaky feeling,
hyperglycemia.
Pt teaching for bronchodilators - correct answer ensure patient takes medication as prescribed
and does not overuse short acting bronchodilator. Never use it alone with asthma treatment.
Glucocorticoid mechanism of action - correct answer works to stop the inflammatory process in
the lungs, preventing bronchoconstriction. Stabilizes WBC membranes that release bronchial
constricting substances, increases bronchial smooth muscle beta adrenergic stimulation.
Forms of Glucocorticoids - correct answer Inhaled: used for asthma and is the most tolerated
and fast acting, but can also be IV for systemic effects on the body.
