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From Flashcardlet > Patho Resp_GI part 1 > Flashcards

Patho Resp_GI part 1 Flashcards

1
Q 
Diphenhydramine should not be used by patients with this condition: 
A.	Allergies
B.	Cough
C.	Narrow-angle glaucoma
D.	Insomnia
A

C. Narrow-angle glaucoma

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2
Q

All of the following are things that the nurse would need to teach to a patient taking Benadryl EXCEPT?
A. Do not take within 30 minutes of eating a meal.
B. Avoid operating motor vehicles if drowsiness occurs.
C. Avoid alcohol and other CNS depressants.
D. Use sugarless candy or gum or ice chips for temporary relief of mouth dryness.

A

A. Do not take within 30 minutes of eating a meal.

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3
Q

It is recommended that nasal decongestants such as pseudoephedrine (Sudafed) should:
A. Be taken as long as symptoms are presents
B. Be taken up to 5 days but no longer than this
C. Be taken as long as you feel the need to take it
D. Be taken up to 25 days

A

B. Be taken up to 5 days but no longer than this

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4
Q

What are a few important instructions that a nurse should be aware of when giving Mucomyst? (Select all that apply)
A. Mucomyst shouldn’t be mixed with other drugs
B. bronchodilator must be given 5 mins before administration
C. can be given orally mixed in juices
D. side effects includes a raspy voice

A

A. B. and C.

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5
Q

Which of the following is the therapeutic range for methylxanthine derivatives?

a. 5 to 15 mcg/ml
b. 20 to 30 mcg/ml
c. Less than 10 mcg/ml
d. 10 to 20 mcg/ml

A

D. 10 to 20 mcg/ml

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6
Q 
What is the most common cause of infection in community-acquired pneumonia?
A)	S. pneumonia
B)	Mycoplasma pneumonia
C)	Chlamydia species
D)	Viruses
A

A. S. pneumonia

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7
Q 
Albuterol/Proventil/Ventolin is a/an \_\_\_\_ drug that is effective for treatment and control of asthma by causing bronchodilation with long duration of action. 
A)	Beta1 adrenergic
B)	Beta2 adrenergic
C)	Anticholinergic
D)	Leukotriene receptor antagonist
A

B. Beta2 adrenergic

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8
Q

Which of the following are classic side effects of first generations antihistamines?
A. Drowsiness, dizziness,fatigue, and disturbed coordination
B. B.Nervousness jittery or restlessness.
C. Hyperglycemia N/V muscle cramping.
D. Hoarseness thrush coughing and throat irritation

A

A. Drowsiness, dizziness, fatigue, and disturbed coordination

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9
Q

Rotavirus has an incubation period of less than 24 hours and can last as long as 5-7 days. Symptoms often include fever vomiting and diarrhea; which nursing diagnosis would be of highest priority on day 3 of care of a child with this illness?

a. Dysfunctional gastrointestinal motility R/T diarrhea and vomiting secondary to effects of Rotavirus
b. Deficient fluid volume r/t losses secondary to diarrhea
c. Impaired comfort r/t nausea and vomiting secondary to effects of Rotavirus

A

B. Deficient fluid volume r/t losses secondary to diarrhea

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10
Q

What drugs do nasal decongestants interact with? Select all that apply.

a. beta blockers
b. MAOIs
c. antiarrythmics
d. large amounts of caffiene

A

A. B. and D.

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11
Q

S.W. is construction worker whose allergies have been acting up due to the dry air and large amounts of dust. He is prescribed Benadryl. Which statement by the client indicates a need for further teaching?
A. “I will drink plenty of fluids”
B. “I will take this medication right before work so I will be in good shape to drive the bulldozer.”
C. “I will take it with my dinner.”
D. “It will be a good idea for me not to drink alcohol while I take this.”

A

B.

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12
Q

A client tells the nurse that he has started taking an OTC antihistamine, diphenhydramine (Benadryl). In teaching him about side effects, what is most important for the nurse to tell the client?
A. Do not take this drug at bedtime to avoid insomnia.
B. Avoid driving a motor vehicle until stabilized on the drug.
C. Nightmares and nervousness are more likely in an adult.
D. Limit use to 1 to 2 puffs/sprays 4 to 6 times per day to avoid rebound congestion.

A

B. Avoid driving a motor vehicle until stabilized on the drug

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13
Q

Dextromethorphan Hydrobromide (Benylin DM) does which of the following:

a. suppresses the cough center in the medulla
b. depresses respiration
c. causes tolerance
d. causes physical dependence

A

A. Suppresses the cough center in the medulla

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14
Q

Which herb should be avoided by clients taking theophylline products?

a. feverfew
b. ephedra
c. gingko
d. garlic

A

B. Ephedra

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15
Q

A patient taking theophylline (SloBid), a methylxanthine (Xanthine) derivative, has become increasing nervous and irritable with flushing and tachycardia. Drug levels are drawn, showing a level if 23mcg/mL. What should the nurse do next?
A. Administer next dose as prescribed.
B. Lower dose by half and administer.
C. Administer next dose as prescribed AND call the physician.
D. Hold next dose and call the physician.

A

D. Hold next dose and call the physician

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16
Q 
Which clinical manifestations are typically seen in the patient with COPD.
A.	Excess mucus secretions
B.	Respiratory wheezes
C.	Dyspnea on exertion
D.	All of the above
A

D. all of the above

17
Q 
Aminophylline (Bronchodilator) is contraindicated in the following patients except?
A. Patient with Chronic Kidney Disease
B. Patient with Cirrhosis
C. Patient with AFIB
D. Patient with Emphysema
A

D. Patient with Emphysema

18
Q
  1. Which patient is least at risk for aspiration?
    A) A patient that is no longer responding to pain stimuli after a car accident whose mother is trying to give him coffee to “wake him up a little.”
    B) A patient crying in pain after breaking their toe is asking for a pain pill.
    C) A patient that has just returned from an Esophagogastroduodenoscopy (EGD) and is asking for a glass of water.
    D) A patient that it is suspected to have had a stroke needs to be given an aspirin.
A

B. A patient crying in pain after breaking their toe is asking for pain pill.

19
Q 
Patient is prescribed Benadryl, an antihistamine, for allergic rhinitis. Which of the following are side effects of Benadryl? (Select all that apply)
A. diarrhea
B. hypotension
C. urinary retention
D. Drowsiness
A

B. C. D.

20
Q

The client is receiving theophylline (Theo-Dur) for treatment of asthma. Nursing intervention is required if the client makes which of the following statements?
A) “I will check my heart rate each day.”
B) “I will take my medicine with my coffee each morning.”
C) “I will quit smoking”
D) “I will use my inhaler if I am wheezing.”

A

B. “I will take my medicine with my coffee each morning”

21
Q

A 4y/o presents to the ER having swallowed kerosene, the mother reports it was about 20-30 minutes ago, the ER physician orders ipecac syrup 30mL PO followed by 8oz of water. The nurse knows she should?
A) Give the medication now so the 4y/o will expel the poisonous substance.
B) Call the physician and question the order and recommend activated charcoal.
C) Wait and give the ipecac syrup once it has been 90 minutes after the ingestion of the kerosene because it is an antidote and if the kerosene is in the stomach it will inhibit the absorption of the ipecac syrup.
D) Give the medication to the mother and leave the room so the 4y/o will not be scared to drink it.

A

B. Call the physician and question the order and recommend activated charcoal.

22
Q

Which of the following statements about albuterol (Ventolin) is NOT correct?
A) It is a corticosteroid used to reduce nasal inflammation
B) It is a beta adrenergic used to treat acute and chronic asthma and bronchitis
C) It produces bronchodilation with long onset of action
D) It can be used before exercise to reduce asthma exacerbation

A

A. It is a corticosteroid used to reduce nasal inflammation

23
Q

Which statement about nasal and systemic decongestants is incorrect?
A. The nurse should emphasize that nasal decongestants should not be used for longer than a week because it could result in rebound nasal congestion.
B. When taken with alpha-adrenergic drugs, patient’s blood pressure and blood glucose levels can increase.
C. The patients should avoid large amounts of caffeine.
D. The advantage of systemic decongestants is that they relieve nasal congestion for a longer period than nasal decongestants.

A

A. The nurse should emphasize that nasal decongestants should not be used for longer than a week because it could result in rebound nasal congestion.

24
Q 
Asthma is a chronic, inflammatory airway disorder that causes episodic airway obstruction. Some common triggers include?
 A. Smoking
B. Exercise
C. Emotional Upset
D. All of the above
A

D. all of the above

25
Q 
Airway obstruction with increased airway resistance to airflow is COPD. Please select the major disorders that are classified under COPD. Select all that apply.
A. Empyema
B. chronic bronchitis
C. Asthma
D. Emphysema
E. Bronchiectasis
A

B, C, D, E

26
Q

Patients with an empyema may display with the following symptoms EXCEPT:
A. Dyspnea: Difficulty breathing due to pus in pleura and friction rub
B. Tachycardia: To oxygenate tissue
C. Fever: due to infection that caused pus
D. Hypotension: CO is increased

A

D. hypotension: CO is increased

27
Q

The need for more teaching on the side effects of diphenhydramine (Benadryl) is evident when the patient states:
A. This medication may make me feel drowsy.
B. I should not take this with food to decrease GI distress.
C. I should avoid alcohol and other CNS depressants.
D. I should notify my health care provider if confusion or hypotension occurs.

A

B. I should not take this with food to decrease GI distress

28
Q

When teaching a patient about drug interactions with an antiacid, the nurse know that avoiding taking other oral medications within 1 to 2 hours because:

a. Antiacids will increase absorption of other oral medication
b. Antiacids will delay absorption of other oral medications
c. Other oral medication will increase antiacid medication
d. Other oral medication will prevent antiacid action

A

B. Antiacids will delay absorption of other oral medications

29
Q

What is the mechanism of action of sucralfate, a pepsin inhibitor?
A) Inhibits gastric secretion by inhibiting histamine at histamine-2 receptors
B) Neutralizes gastric acidity
C) Supresses gastric acid secretion by inhibiting hydrogen/potassium ATPase enzyme
D) In combination with gastric acid, forms a protective covering on the ulcer surface

A

D. In combination with gastric acid, forms a protective covering on the ulcer surface

30
Q

Which of the following are possible teaching points for the nurse to teach a patient receiving Oxymetazoline (Afrin)? SELECT ALL THAT APPLY.

a) Hyperglycemia can occur with use.
b) Hypertension may be a result of use.
c) It is not uncommon to feel nervous or “jittery” while taking this drug.
d) Continued use may lead to tolerance.

A

All

31
Q 
Emphysema can be caused by:   
A.  Cigarette smoking
B.  Atmospheric contaminants
C.  Alpha-antitrypson deficiency
D.  All of the above
A

D. all of the above

32
Q

Mucolytic’s are used to?
A= Treat excessive mucous production.
B= As prophylactic treatment of influenza.
C= For liquefying and loosening thick mucus secretions.
D= Subside a persistent cough.

A

C. for liquefying and loosening thick mucus secretions.

33
Q

Pseudoephedrine, a decongestant, may:

a. Descrease the effect of beta blockers.
b. Increase the possibility of hypertension or cardiac dysrhythmias when taken with MAOI’s
c. Increase restlessness and palpitations when taken with large amounts of caffeine.
d. All of the above

A

D. all of the above

34
Q

What are some no pharmacological measures used to decrease peptic ulcers? (Select all that apply)

a. Avoid hot, spicy and greasy foods
b. Exercise
c. Avoid alcohol and tobacco
d. Raise the head of the bed and do not eat before bedtime
e. Take NSAIDs including aspirin with food or in decreased dosage

A

A, C, D, E

35
Q 
What is the oxygen carrying component in the blood?
A. Hematocrit
B. Hemoglobin
C. WBC
D. RBC
A

B. hemoglobin

36
Q 
All of the following are considered Upper respiratory infections EXCEPT:
A.  Acute rhinitis
B.  Acute pharyngitis
C.  Bronchitis
D.  Sinusitis
A

C. Bronchitis

37
Q

Symptoms of a Common Cold include. Select all that apply

a. nasal congestion
b. nasal discharge
c. cough
d. increased mucosal secretions
e. inflammation of mucous membranes

A

A, B, C, D

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