Ch 11 Drugs for the Respiratory System Flashcards

(100 cards)

1
Q
  1. Which term is used to define the exchange of gases between blood and air?

Ventilation
Aeration
Respiration
Inhalation

.

A

Respiration

The medical term for breathing is respiration

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2
Q
  1. Which structures warm and moisten the air and trap dust particles and bacteria?

Flagella
Follicles
Cilia
Tresses

A

Cilia

Cilia warm and moisten the air and trap dust particles and bacteria. They line the nasal mucosa.

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3
Q
  1. Which structure has a function in both the respiratory and digestive systems?

Larynx
Pharynx
Esophagus
Trachea

A

Pharynx

The pharynx has both respiratory and digestive functions. It is tubelike structure extending from the base of the skull to the esophagus.

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4
Q
  1. Which structure works to keep food and saliva from entering the lungs?

Epiglottis
Uvula
Frenulum
Larynx

A

Epiglottis

The epiglottis is a leaflike structure on top of the larynx that seals off the air passages to the lungs during swallowing.

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5
Q
  1. Which structures are the functional units of the lung?

Bronchioles
Capillaries
Alveoli
Pleura

A

Alveoli

The alveoli are the functional units of the lungs.

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6
Q
  1. Which term describes a technique whereby a probe is attached to the ear, finger, toe, or bridge of the nose to measure the oxygen concentration of the blood?

Arterial blood gas
Spirometry
Pulse oximetry
Peak flow meter

A

Pulse oximetry

Pulse oximetry is a device that monitors the oxygen saturation by placing a probe on the ear, finger, toe, or bridge of the nose.

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7
Q
  1. Which term describes an abnormally thick fluid formed in the lower respiratory tract that may contain blood, pus, or bacteria?

Mucus
Sputum
Lymph
Plasma

A

Sputum

Sputum is an abnormally thick fluid formed in the lower respiratory tract that may contain blood, pus, or bacteria.

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8
Q
  1. Which is a symptom that is frequently seen with asthma and bronchitis, or in patients with allergies?

Hoarseness
Hemoptysis
Wheezing
Orthopnea

A

Wheezing

Wheezing is a high-pitched, musical sound that occurs through a narrowed airway. It is frequently seen in patients with asthma, bronchitis, or allergies.

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9
Q
  1. Which term describes the cessation of breathing, which may occur during sleep?

Orthopnea
Apnea
Tachypnea
Hyperpnea

A

Apnea

Apnea is the stoppage of breathing, which may occur during sleep; it may be temporary or fatal.

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10
Q
  1. Which term describes a person who has difficulty breathing when lying down?

Orthopnea
Apnea
Tachypnea
Hyperpnea

A

Orthopnea

Orthopnea is an abnormal condition in which the patient has difficulty breathing when lying flat or reclining.

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11
Q
  1. Which term describes an infection of the lower respiratory tract (bronchi, bronchioles, and alveoli)?

Bronchitis
Pneumonia
Emphysema
Pleurisy

A

Pneumonia

All pneumonias are infections of the lower respiratory tract.

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12
Q
  1. Which term describes the inflammation of the air passageways caused by irritants?

Bronchitis
Pneumonia
Emphysema
Pleurisy

A

Bronchitis

Bronchitis is an inflammation of the air passageways caused by irritants.

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13
Q
  1. Which term describes a condition that is the result of the enlargement of, and damage to, the alveolar sacs?

Bronchitis
Pneumonia
Emphysema
Pleurisy

A

Emphysema

Emphysema is a condition in which the air sacs dilate and are unable to contract to their original size.

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14
Q
  1. With which condition may a patient with a “barrel chest” be diagnosed?

Bronchitis
Pneumonia
Emphysema
Pleurisy

A

Emphysema

A patient with a “barrel chest” may be diagnosed with emphysema. The air becomes stale and backs up in the alveoli, which makes it impossible to take in much air on the next breath.

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15
Q
  1. Which condition causes the muscles around the bronchioles to contract, narrowing the air passages and causing the alveoli to become plugged with unusually thick sputum that is hard to cough up?

Bronchitis
Pneumonia
Asthma
Emphysema

A

Asthma

In asthma, the muscles around the bronchioles contract, narrowing the air passages and causing the alveoli to become plugged with an unusually thick sputum that is hard to cough up.

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16
Q
  1. Which are the drugs of choice to treat asthma?

Antibiotics
Expectorants
Bronchodilators
Decongestants

A

Bronchodilators

The drugs of choice to treat asthma are bronchodilators. They relieve the bronchiole constriction.

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17
Q
  1. Which device is used by the patient in the detection and management of asthma attacks?

Pulse oximeter
Peak flow meter
Stethoscope
Ventilator

A

Peak flow meter

A peak flow meter is used by the patient in the detection and management of asthma attacks. It measures the air flowing out of the lungs. The patient forcefully blows into the device.

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18
Q
  1. A persistent, productive cough may be the first symptom of:

asthma.
bronchitis.
lung cancer.
pleurisy.

A

lung cancer.

The first symptom of lung cancer may be a persistent, productive cough.

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19
Q
  1. Which condition has seen a rise in prevalence secondary to HIV infection and new strains that are resistant to drug therapy?

Bronchitis
Tuberculosis
Bacterial pneumonia
Pleurisy

A

Tuberculosis

Tuberculosis has seen a rise in prevalence secondary to HIV infection and new strains that are resistant to drug therapy.

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20
Q
  1. Which term describes an allergic reaction to pollen in the air during late summer and fall?

Asthma
Seasonal rhinitis
Sinusitis
Pneumonia

A

Seasonal rhinitis

Seasonal rhinitis is an allergic reaction to pollen in the air during the late summer and fall.

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21
Q
  1. Which is the greatest at-risk population for nicotine dependence?

Adolescents
Adults 35-45 years of age
Adult 50-60 years of age
Adults older than 60 years of age

A

Adolescents

Adolescents are at a greater risk of nicotine dependency. Over 90 percent of smokers begin smoking between the ages of 18 and 21.

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22
Q
  1. Which works best to prevent tobacco dependence?

Nicotine patch
Antidepressant medication
Not starting to smoke
Commit lozenges

A

Not starting to smoke

The most effective way to prevent tobacco dependency is never to start smoking.

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23
Q
  1. Which category of medications are cough suppressants?

Expectorants
Mucolytics
Antitussives
Antihistamines

A

Antitussives

Antitussives are cough suppressants.

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24
Q
  1. Which term describes a cough that brings up sputum?

Productive cough
Sputum cough
Mucous cough
Wet cough

A

Productive cough

A productive cough brings up mucous or sputum.

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25
``` 25. Which category of drugs liquefy or break down tenacious mucous so it can be coughed up more easily? Antitussives Decongestants Antihistamines Expectorants ```
Expectorants An expectorant or a mucolytic drug liquefies or breaks down tenacious mucous so it can easily be coughed up.
26
26. Which category of drugs are vasoconstrictors used for nasal congestion because they shrink engorged mucous membranes? Antitussives Antihistamines Decongestants Mucolytics
Decongestants Decongestants are used for nasal congestion because they shrink mucous membranes.
27
27. Which term describes the reappearance of symptoms in an even stronger form after a drug has worn off? Reappearance effect Opposite effect Rebound effect Synergistic effect
Rebound effect The rebound effect refers to the reappearance of symptoms in even stronger form after a drug has worn off.
28
28. Which category of drugs is used in allergic conditions such as hay fever? Mucolytics Antitussives Antihistamines Expectorants
Antihistamines Antihistamines are drugs used in allergic conditions such as hay fever. They counteract the effect of histamine.
29
29. Which category of drugs increase the vital capacity of the lungs by dilating the bronchi and relaxing the smooth muscles? Antihistamines Decongestants Antitussives Bronchodilators
Bronchodilators Bronchodilators increase the vital capacity of the lungs by dilating the bronchi and relaxing the smooth muscles.
30
30. Which term describes a physical therapy technique that uses positioning, along with vibration and percussion, to drain secretions from the lungs and bronchi? Vibrational therapy Postural drainage Tracheal drainage Percussion therapy
Postural drainage Postural drainage is a physical therapy technique that uses positioning, along with vibration and percussion, to drain secretions from the lungs and bronchi.
31
31. Which term describes physical therapy for respiratory patients that involves the tapping of various body organs and structures? Palpation Manipulation Percussion Vibration
Percussion Percussion is a type of physical therapy for respiratory patients that involves the tapping of various body organs and structures.
32
32. Which term describes a physical therapy technique for respiratory patients whereby fine, shaking pressure is applied to the chest wall during exhalations? Palpation Manipulation Percussion Vibration
Vibration Vibration is a physical therapy technique for respiratory patients whereby fine, shaking pressure is applied to the chest wall during exhalations.
33
33. Which is NOT a sign of respiratory problems? The soft tissues of the chest retracting with each breath Holding the mouth open while breathing Making barely audible breath sounds Spreading the nostrils
Making barely audible breath sounds Signs of respiratory problems include the soft tissues of the chest retracting with each breath, the patient holding the mouth open while breathing, and the patient spreading the nostrils.
34
34. Which should be given with expectorants and antitussives? Hard candy Demulcents Fluids Food
Fluids Expectorants and antitussives should be given with fluids. Fluids help thin out respiratory secretions so that they can be coughed up.
35
35. Which drug can be administered using a nasal cannula, nasal catheter, or face tent? Oxygen Corticosteroids Antibiotics Beta-agonist
Oxygen Oxygen can be administered using a nasal cannula, nasal catheter, or face tent.
36
36. Which is the goal of oxygen therapy? To relieve hypoxia To relieve orthopnea To relieve dyspnea To relieve hemoptysis
To relieve hypoxia The goal of oxygen therapy is to relieve hypoxia.
37
37. Which is a serious respiratory virus that strikes from November through April, and causes the death of as many as 20,000 people annually? Pneumonia Pneumococcal disease Influenza Respiratory syncytial virus
Influenza Influenza is respiratory disease that strikes from November through April and causes the death of as many as 20,000 people annually.
38
38. People over the age of 65; individuals with weakened immune systems or chronic diseases of the heart, lung, or kidneys; and healthcare workers should receive which of the following vaccines as recommended by the Centers for Disease Control and Prevention (CDC)? Pneumovax Influenza vaccine Pneumococcal vaccine MMR vaccine
Influenza vaccine Because individuals over the age of 65 may have weakened immune systems or chronic diseases of the heart, lungs, or kidneys, the CDC recommends these people receive the influenza vaccine. Healthcare workers should also receive the vaccine.
39
39. Healthcare team members should ask individuals if they are allergic to __________ to prevent an adverse reaction to the influenza vaccine. Shellfish Penicillin Eggs Pollen
Eggs Healthcare workers should ask individuals if they are allergic to eggs to help select the correct vaccination protocol for administration of the influenza vaccine
40
40. Which is a condition treated by a combination of three drugs for two to six months? Tuberculosis Strep throat Sinusitis Bronchitis
Tuberculosis Tuberculosis is treated by a combination of three drugs for two to six months. The drugs are isoniazid, rifampin, and ethambutol for two months, followed by four months of isoniazid and rifampin. After a negative culture, continue therapy for three months.
41
41. Which is a nicotine patch used to promote smoking cessation? Nitro-Dur Habitrol Zyban Proventil
Habitrol Habitrol is a nicotine patch used to promote smoking cessation. It is applied topically.
42
42. Which is an example of a narcotic antitussive? Codeine Dextromethorphan Rifampin Albuterol
Codeine Codeine is a narcotic antitussive.
43
43. Fexofenadine (Allegra), loratadine (Claritin), and cetirizine hydrochloride (Zyrtec) are all examples of which of the following types of medication? Antihistamines Decongestants Antitussives Mucolytics
Antihistamines Fexofenadine (Allegra), loratadine(Claritin), and cetirizine hydrochloride (Zyrtec) are all antihistamines used to treat respiratory problems.
44
44. Which is one of the first signs of upper respiratory cancer? Dyspnea Persistent hoarseness Productive cough Orthostatic hypotension
Persistent hoarseness One of the first signs of upper respiratory cancer is persistent hoarseness.
45
45. Which of the following apply to lung cancer? Inhalation of cigarette smoke is a well-known risk Always spreads to other parts of the body Coughing is part of treatment May only be treated surgically
Inhalation of cigarette smoke is a well-known risk Inhalation of cigarette smoke, including second hand smoke, is a well-known risk for lung cancer.
46
46. The exchange of gases between blood and air is called _______________.
respiration Explanation: The exchange of gases between blood and air is called respiration.
47
47. As air enters the nose, very small hairs called ___________ warm and moisten the air and trap dust particles and bacteria.
cilia Explanation: As air enters the nose, small hairs called cilia warm and moisten the air and trap dust particles and bacteria.
48
48. The _______________ is a tubelike structure that extends from the base of the skull to the esophagus, and serves both the respiratory tract and the digestive tract.
pharynx Explanation: Serving both the respiratory and digestive tracts, the pharynx is a tubelike structure that extends from the base of the skull to the esophagus.
49
49. The __________, or voice box, lies at the upper end of the trachea just below the pharynx.
larynx Explanation: The medical term for voice box is the larynx. It lies at the upper end of the trachea just below the pharynx.
50
50. The ________________ is a leaf-shaped structure on top of the larynx that closes the airway when a person swallows, and keeps food and saliva from entering the lungs.
epiglottis Explanation: The epiglottis is a leaf-shaped structure on top of the larynx that closes the airway when the patient swallows, and keeps food and saliva from entering the lungs.
51
51. The _______________ is also called the windpipe, and connects the larynx to the bronchi.
trachea Explanation: The medical term for windpipe is trachea; it connects the larynx to the bronchi.
52
52. The trachea branches off into two tubes, the right and left _______________, which lead to the right and left lungs.
bronchi Explanation: The trachea branches off into two tubes, the right and left bronchi, which lead to the right and left lungs.
53
53. The ________________ are tiny air sacs in the lungs that permit the exchange of oxygen and carbon dioxide through the capillary walls.
alveoli Explanation: Alveoli are tiny air sacs in the lungs that permit the exchange of oxygen and carbon dioxide through the capillary walls.
54
54. The normal adult respiration rate varies between _________ and ___________ breaths per minute.
12; 20 Explanation: The normal respiratory rate for adults is between 12 and 20 breaths per minute.
55
55. Breathing is accomplished by the muscles around the ribs and by the ___________________, a layer of muscle tissue that separates the chest cavity from other internal organs.
diaphragm Explanation: Breathing is accomplished by the muscles around the ribs and by the diaphragm. The diaphragm is a layer of muscle tissue that separates the chest cavity from other internal organs.
56
56. As a routine part of a physical examination, the doctor examines the patient with a ______________, an instrument that amplifies breathing sounds.
stethoscope Explanation: A stethoscope is an instrument that amplifies breathing sounds and is used as part of a routine physical examination.
57
57. ____________________ is a technique whereby a probe is attached to the ear, finger, toe, or bridge of the nose to measure the oxygen concentration in the blood.
Pulse oximetry Explanation: A technique where a probe is attached to the ear, finger, toe, or bridge of the nose is called a pulse oximetry; it measures the oxygen concentration in the blood.
58
58. ________________ is a protective reflex to clear the trachea, bronchi, and lungs of secretions and irritants.
Coughing Explanation: The protective reflex to clear the trachea, bronchi, and lungs of secretion is termed coughing.
59
59. An abnormally thick fluid formed in the lower respiratory tract that may contain blood, pus, or bacteria is called _____________.
sputum Explanation: Sputum is an abnormally thick fluid formed in the lower respiratory tract that may contain blood, pus, or bacteria.
60
60. A signal that bleeding is occurring in the respiratory tract is blood in the sputum or _________________.
hemoptysis Explanation: Hemoptysis or blood in the sputum is usually a sign that bleeding is occurring in the respiratory tract.
61
61. __________________ is a high-pitched, musical sound that occurs through a narrowed airway. It is frequently seen in patients with asthma, bronchitis, or allergies.
Wheezing Explanation: Wheezing is a high-pitched, musical sound that occurs through a narrowed airway. It is frequently seen in patients with asthma, bronchitis, or allergies.
62
62. Shortness of breath or labored breathing is termed ______________.
dyspnea Explanation: Dyspnea is the medical term for shortness of breath or labored breathing.
63
63. The cessation of breathing, which often occurs during sleep, is termed ____________.
apnea Explanation: The medical term for cessation of breathing, which often occurs while sleeping, is apnea.
64
64. A patient who has great difficulty breathing when lying down, but who can breathe more easily when in a sitting or standing position, demonstrates _____________.
orthopnea Explanation: The medical term for having great difficulty breathing when lying down is called orthopnea. The individual normally can breathe easier when in a sitting or standing position.
65
65. Tachypnea is __________ breathing.
rapid Explanation: The medical term for rapid breathing is tachypnea.
66
66. All pneumonias are ____________ of the lower respiratory tract (bronchi, bronchioles, and alveoli).
infections Explanation: Pneumonia is defined as an infection of the lower respiratory tract (bronchi, bronchioles, and alveoli).
67
67. Bronchitis is a(n) ____________________ of the air passageways caused by irritants.
inflammation Explanation: The definition of bronchitis is an inflammation of the air passageways caused by irritants.
68
68. The term ______________ is used to describe a condition that is long term, usually lasting more than six months.
chronic Explanation: Chronic is defined as a long-term condition usually lasting more than six months.
69
69. A condition in which the air sacs dilate and are unable to contract to their original size, causing residual air to be trapped in them, is _________________.
emphysema Explanation: The condition in which the air sacs dilate and are unable to contract to their original size, causing residual air to be trapped in them, is called emphysema.
70
70. Substances in the environment, food additives, exercise, drug allergies, illness, or emotional upset can cause a(n) _____________ attack. .
asthma Explanation: Causative agents of asthma are substances in the environment, food additives, exercise, drug allergies, illness, or emotional upset
71
71. The goal of asthma treatment is to relieve the constriction of the bronchioles. To do this, the drugs of choice are ___________________.
bronchodilators Explanation: The drugs of choice for asthma are bronchodilators. They relieve the constriction of the bronchioles.
72
72. A(n) ________________ is a device that measures the air flowing out of the lungs, called the peak expiratory flow rate (PEFR), as a patient blows forcefully into the device.
peak flow meter Explanation: A peak flow meter is a device that measures the air flowing out of the lungs, called the peak expiratory flow rate (PEFR), as a patient blows forcefully into the device.
73
73. Cancer of the lung is the most common cancer of the lower respiratory tract; it is the leading cause of all cancer _____________.
deaths Explanation: The leading cause of all cancers is cancer of the lung, the most common cancer of the lower respiratory tract.
74
74. To treat strep throat, the disease-causing bacterium may need to be identified by means of a throat culture. Then, a systemic _________________ is prescribed to kill that specific bacterium.
antibiotic Explanation: To treat strep throat, the disease-causing bacterium may need to be identified by means of a throat culture. Then systemic antibiotic is prescribed to kill that specific bacterium.
75
75. "Seasonal rhinitis" is an allergic reaction to the ____________ in the air during the late summer and fall.
pollen Explanation: Seasonal rhinitis is an allergic reaction to the pollen in the air during the late summer and fall.
76
76. Nicotine ________________, which is brought on by tobacco products, is a physical vulnerability of the body to the chemical nicotine.
dependence Explanation: Nicotine dependence, which is caused by tobacco products, is a physical vulnerability of the body to the chemical nicotine.
77
77. The greatest at-risk population for nicotine dependence is _______________.
adolescents Explanation: Adolescents are at greatest risk for nicotine dependence. Over 90 percent of smokers are between the ages of 18 and 21.
78
78. Smoking cessation generally occurs with nicotine _______________ therapy.
replacement Explanation: Smoking cessation generally occurs with nicotine replacement therapy. Examples are nicotine gum and nicotine lozenges, which are available without a prescription.
79
79. Antitussive drugs are ____________ suppressants.
cough Explanation: Antitussive drugs are cough suppressants.
80
80. A cough that brings up sputum is called a(n) _______________ cough.
productive Explanation: A productive cough brings up sputum.
81
81. A(n) _________________ is a drug that liquefies or breaks down tenacious mucus so it can be coughed up more easily.
mucolytic Explanation: A mucolytic is a drug that liquefies or breaks down tenacious mucus so it can be coughed up more easily.
82
82. Drugs that reduce congestion or swelling, especially in nasal passages, by constricting blood vessels and restricting blood flow to the area are termed _____________________.
decongestants Explanation: Decongestants are vasoconstrictors used for nasal congestion. They decrease swelling, especially in nasal passages, by constricting blood vessels and restricting blood flow to the area.
83
83. The reappearance of symptoms in even stronger form after a drug dose has worn off is termed the ________________ effect.
rebound Explanation: The reappearance of symptoms in even stronger form after a drug dose has worn off is called the rebound effect.
84
84. A drug that counteracts the effects of histamine, thereby relieving allergy symptoms, is a(n) ____________________.
antihistamine Explanation: A drug that counteracts the effects of histamine, relieving symptoms, is called an antihistamine.
85
85. Drugs for the respiratory system are often given in _______________; for example, a medicine might contain a bronchodilator to open the air passages and an expectorant to loosen the sputum so it can be coughed up.
combination Explanation: Drugs for the respiratory system are often given in combination, such as a medicine that might contain a bronchodilator to open the passages and an expectorant to loosen the sputum so it can be coughed up.
86
86. A(n) ___________________ may be needed to help patients breathe regularly by mechanical means.
ventilator Explanation: A ventilator may be needed to help patients breathe regularly by mechanical means.
87
87. The postural drainage technique consists of placing the patient in one of several ________________ so that gravity helps draw secretions from certain areas of the lungs and bronchi into the trachea.
positions Explanation: Postural drainage consists of placing the patient in one of several positions so that gravity helps draw secretions from certain areas of the lungs and bronchi into the trachea.
88
88. Physical therapy for respiratory patients that involves the tapping of various body organs and structures is termed ________________.
percussion Explanation: Percussion is a type of physical therapy for respiratory patients that involves the tapping of various body organs and structures.
89
89. Some respiratory drugs, especially antihistamines, may cause ________________. Warn patients not to drive a car or operate heavy equipment while taking them.
drowsiness Explanation: Some respiratory drugs, especially antihistamines, my cause drowsiness. Warn patients not to drive a car or operate heavy equipment while taking them.
90
90. Lack of oxygen is called _____________.
hypoxia Explanation: The medical term for lack of oxygen is hypoxia.
91
91. Oxygen should be considered a(n) ________________ and should be prescribed and administered as such.
drug Explanation: Oxygen should be considered a drug and should be prescribed and administered as such.
92
92. A serious disease that leads to infections of the lungs (pneumonia), the blood (bacteremia), and the covering of the brain (meningitis) is _____________________ disease. This disease kills more people in the United States every year than any other vaccine-preventable disease.
pneumococcal Explanation: A serious disease that leads to infections of the lungs (pneumonia), the blood (bacteremia), and the covering of the brain (meningitis) is pneumococcal disease. The disease kills more people in the United States every year than any other vaccine-preventable disease.
93
93. The CDC recommends the ________________ vaccine for people over the age of 65 years; individuals with weakened immune systems or chronic diseases of the heart, lungs, and kidneys; and healthcare workers.
influenza Explanation: The CDC recommends the influenza vaccine for people over the age of 65 years; individuals with weakened immune Page 21of 25 systems or chronic diseases of the heart, lungs, and kidneys; and healthcare workers.
94
94. The functional units of the lung are termed the ____________.
alveoli Explanation: The functional units of the lung are called the alveoli.
95
95. During exhalation, _________________ and other waste gases pass out of the body.
carbon dioxide Explanation: During exhalation, carbon dioxide and other waste gases pass out of the body
96
96. A serious respiratory virus that strikes from November to April is _____________________.
influenza Explanation: Influenza is a serious respiratory virus that strikes from November through April.
97
97. Because the causative agent of pneumococcal disease is resistant to medication therapy, at-risk patients should be encouraged to get the __________________________ that prevents this deadly disease.
vaccine Explanation: Because the causative agent of pneumococcal disease is resistant to medication therapy, at-risk patients should be encouraged to get the vaccine that prevents this deadly disease.
98
98. Afrin is an example of a decongestant sprayed into the nasal cavity to reduce ______________.
swelling Explanation: Decongestants such as Afrin are sprayed into the nasal cavity to reduce swelling
99
99. Tremor, anxiety, nervousness, and restlessness are the side effects of albuterol, which is used to treat ________________________.
asthma Explanation: Albuterol is used to treat asthma. The side effects are tremor, anxiety, nervousness, and restlessness.
100
100.A patient with asthma should be educated to use his or her _____________________________ daily to monitor PEFR in order to prevent an attack.
peak flow meter Explanation: Instruct a patient with asthma to use his or her peak flow meter in order to prevent an attack. The peak flow meter provides information on how well the airways are open. It tells how well the treatment plan is working, when to stop or add a medication, when to seek medical care, and what may trigger an asthma attack.