QUESTIONS AND CORRECT DETAILED ANSWERS LATEST
UPDATES 2024-2025(100% CORRECT VERIFIED
ANSWERS) ALREADY GRADED A+
A patient with DM and COPD is hospitalized for exacerbation, what should the
nurse do after administering prescribed respiratory meds and monitoring O2
sat/vitals? - ANSWER-Fingerstick (short acting beta 2 can cause hyperglycemia)
What meds can decrease the effectiveness of beta-2 agonists? - ANSWER-Beta-
blockers,
A asthmatic teenager is in status asthmatics, his parent states that he was taking
puffs of albuterol several times in the last hour. Connect this finding to his current
state - ANSWER-paradoxical bronchoconstriction results from overusing a short
acting
T/F- It is expected to see a patient lethargic and fatigued after receiving an
albuterol via nebulizer - ANSWER-False- they will be restless and experience
insomnia after a treatment
A patient with post-viral asthma is given salmeterol to help with bronchospasms,
why would the nurse question this order? - ANSWER-Salmeterol is a long acting
,beta 2 meant for chronic pulmonary disorders. This person is having an episode of
bronchospasm after the flu. It is acute and requires albuterol.
Also long acting should never be used alone!
A hypertensive COPD patient may be given which long acting respiratory med? -
ANSWER-Anticholinergic (Atrovent) will provide bronchodilation and not interfere
if pt is on a beta blocker
A long acting b-2 is most likely combined with which med in an inhaler? -
ANSWER-Corticosteroid (Advair)
A short acting b-2 is most likely combined with which med in an inhaler? -
ANSWER-Anticholinergic (Atrovent) because it produces a long acting response
An elderly patient with COPD is taking Atrovent, what else do you ask during
intake? - ANSWER-Eye problems, BPH for males, and bladder obstructions
Which respiratory med requires routine blood monitoring? - ANSWER-Xanthines-
can be toxic if serum levels are too high
A patient taking theophylline at home should be educated about avoiding
__________________ - ANSWER-caffeine, it can intensify side effects
A patient on Montelukast should be counseled to have which blood tests
performed? - ANSWER-Liver enzymes
, T/F: Antihistamines can be given to relieve itching, sneezing, and congestion -
ANSWER-False- it will worsen congestion, it is given for rhinorrhea
A patient on Sudafed should be evaluated for which chronic disease? - ANSWER-
CAD, the vasoconstrictive properties can worsen HTN and cause arrythmias
COPD patients are more likely to develop respiratory infections. If a patient
develops a dry cough, is it safe to recommend an anti-tussive? - ANSWER-It
depends on the type. Opioid types will depress respirations and worsen CO2
retention.
A COPD patient presents with worsening dyspnea due to a URI with chronic
coughing of thick sputum. Which med should be prescribed to prevent this
worsening dyspnea? - ANSWER-Guaifenesin
(A mucolytic is not indicated because it can trigger bronchospasm!!!!!!)
T/F- A patient taking Rifamate should be given pyridoxine - ANSWER-True- this
med contains INH and B6 is needed to prevent neuropathy
TB treatment regimens are about 6-9 months, why would a patient need to take
meds for longer periods? - ANSWER-Immunocompromised or recurrent/resistant
TB
Why would a COPD patient be advised to report sudden weight gain? - ANSWER-
COPD causes pulmonary edema, which leads to right sided heart failure.
The priority nursing intervention for acute pancreatitis is _________________ -
ANSWER-pain relief