NURSING 6005 CHAPTER 57: DRUGS FOR DIABETES MELLITUS Test Bank

NURSING 6005 CHAPTER 76: DRUGS FOR ASTHMA Test Bank MULTIPLE CHOICE 1. A patient with asthma will be using a metered-dose inhaler (MDI) for delivery of an inhaled medication. The provider has ordered 2 puffs to be given twice daily. It is important for the nurse to teach this patient that: a. a chlorofluorocarbon (CFC) propellant is superior to a hydrofluoroalkane (HFA) propellant. b. the patient should activate the device and then inhale. c. the patient should store the MDI in the refrigerator between doses. d. the patient should wait 1 minute between puffs. ANS: D When 2 puffs are needed, an interval of at least 1 minute should separate the first puff from the second. CFC propellants will be discontinued because of damage to the environment. The patient should begin inhaling and then activate the device. There is no need to store the drug in the refrigerator. DIF: Cognitive Level: Application REF: Administering Drugs by Inhalation | Metered-Dose Inhalers TOP: Nursing Process: Planning MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies 2. A patient newly diagnosed with asthma receives prescriptions for an inhaled glucocorticoid and an inhaled beta2-adrenergic agonist. Which statement by the patient indicates understanding of this medication regimen? a. “I should use the glucocorticoid as needed when symptoms flare.” b. “I will need to use the beta2-adrenergic agonist drug daily.” c. “The beta2-adrenergic agonist suppresses the synthesis of inflammatory mediators.” d. “The glucocorticoid is used as prophylaxis to prevent exacerbations.” ANS: D Inhaled glucocorticoids are used daily to prevent acute attacks. They are not used PRN. The beta2-adrenergic agonist drugs should not be used daily; they are used to treat symptoms as needed. They do not suppress mediators of inflammation. DIF: Cognitive Level: Application REF: Overview of Drugs for Asthma TOP: Nursing Process: Planning MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies 3. A patient who uses an inhaled glucocorticoid for chronic asthma calls the nurse to report hoarseness. What will the nurse do? a. Ask whether the patient is gargling after each dose of the glucocorticoid. b. Request an order for an antifungal medication. c. Suggest that the patient be tested for a bronchial infection. d. Tell the patient to discontinue use of the glucocorticoid. ANS: A