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HESI RN · HESI Pharmacology · Pharmacology respiratory drugs Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Acute exacerbations of asthma can be triggered by all of the following except

A. Bacterial or viral pneumonia

B. Hypersensitivity reaction to penicillin

C. Discontinuation of asthma medication

D. Hot, dry weather

Expert Explanatory Rationale

Correct Answer: Hot, dry weather

Question 2 of 5

The physician has ordered acetylcysteine for a COPD patient with a large amount of secretions. Upon assessment, you noticed that the patient has an inadequate cough. Which of the following would you recommend?

A. Perform a bronchoalveolar lavage

B. Nasotracheal suctioning after treatment

C. Postpone therapy until the patient can cough effectively

D. Give dornase alpha instead of acetylcysteine

Expert Explanatory Rationale

Correct Answer: Nasotracheal suctioning after treatment

Question 3 of 5

The doctor ordered a metered dose inhaler bronchodilator for a 59-year-old female patient that is receiving mechanical ventilation. You should do which of the following in order to maximize aerosol deposition?

A. Place the MDI directly in-line on the expiratory side of the circuit

B. Place the MDI directly in-line on the inspiratory side of the circuit

C. Recommend that a small volume nebulizer be used instead of an MDI

D. Place the MDI plus a spacer in-line on the inspiratory side of the circuit

Expert Explanatory Rationale

Correct Answer: Place the MDI plus a spacer in-line on the inspiratory side of the circuit

Question 4 of 5

Adverse effects associated with the use of theophylline include:

A. Cardiac dysrhythmias

B. Convulsions

C. Oral candidiasis

D. Headache

Expert Explanatory Rationale

Correct Answer: Cardiac dysrhythmias

Question 5 of 5

The first line in treatment of acute attack of bronchial asthma is the quick relief medication:

A. Inhaled $B_2$ - agonist

B. Muscarinic antagonist inhalation

C. Oral theophylline

D. Cromolyn sodium orally

Expert Explanatory Rationale

Correct Answer: Inhaled $B_2$ - agonist

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