Download Medication Administration and Respiratory Therapy and more Exams Pharmacology in PDF only on Docsity!
NURS 1140 Exam 2 Questions with 100%
Correct Answers | Latest Version 2024 |
Verified
Which statements are limitations of administering medication through the oral route? Select all that apply. A. Insulin and gentamicin are destroyed by digestive fluids B. Absorption is the slowest and least dependable C. The digestive system enzymes are bypassed D. Teeth can be damaged or discolored by enteral medications E. Medication cannot be administered orally to patients who are likely to aspirate or are unconscious - โโA, B, D, E Which equipment would the nurse use to measure less than 1 mL of a liquid medication? A. Teaspoon B. Souffle cup C. Medicine cup D. Tuberculin syringe - โโD. Tuberculin syringe Which pH would the nurse expect from a nasogastric tube aspirate in a patient who is not receiving histamine-2 (H2) blockers? A. Intestinal pH greater than 6 B. Gastric pH between 1 and 6 C. Gastric pH between 1 and 4 D. Intestinal pH between 8 and 9 - โโC. Gastric pH between 1 and 4 Which information would a nurse know about elixirs? A. They are used when the drug does not dissolve in water alone B. They are found in many cough medications and mouthwashes
C. They contain solid, insoluble drug particles dispersed in a liquid base D. The alcohol content varies depending on the solubility of the drug E. They contain drugs dissolved in a concentrated sugar and water solution - โโA, B, D Which equipment would the nurse gather to administer enteral feedings through a jejunostomy tube? Select all that apply. A. 1-mL syringe B. 50 mL of water C. pH indicator tip D. 60-mL catheter tip syringe E. Blood glucose testing materials - โโB, C, D If a nasogastric (NG) tube is in the stomach, at which level does the nurse expect the pH of the aspirate to be? A. Less than 3 B. 4 to 5 C. 6 to 7 D. Greater than 7 - โโA. Less than 3 When would the nurse change the equipment used for administering enteral feeding via continuous tube feeding? A. Every 30 minutes B. Every 60 minutes C. Every 8 hours D. Every 24 hours - โโD. Every 24 hours Which dose form consists of dispersions of small droplets of water-in-oil or oil-in-water? A. Elixirs B. Syrups C. Emulsions
A. Syrups B. Enteric-coated tablets C. Timed-release capsules D. Orally disintegrating tablets - โโD. Orally disintegrating tablets Which statement describes an advantage of timed-release capsules? A. They dissolve rapidly when placed on the tongue B. They readily dissolve in the alkaline pH of the intestine C. They reduce the number of doses administered per day. D. They make the product taste better and allow the medication to go smoothly down the throat. - โโC. They reduce the number of doses administered per day. Which phrase describes tablets? A. Small, cylindrical, gelatin containers holding dry powder B. Dispersions of small droplets of water-in-oil or of oil-in-water C. Flat disks containing medicinal agents in a hard sugar candy base D. Dried powdered drugs that have been compressed into small disks - โโD. Dried powdered drugs that have been compressed into small disks A nasogastric (NG) tube is clamped for at least how many minutes after medication administration? A. 20 B. 30 C. 60 D. 90 - โโB. 30 Why have many drugs that were previously available in capsule form reformulated into caplets? A. To prevent contamination of contents B. To promote rapid dissolution of the drug in the mouth C. To provide a gradual but continuous release of the drug
D. To resist dissolution of drug in the gastric pH of the stomach - โโA. To prevent contamination of contents Which position would the nurse place the infant in when administering an oral medication? A. Sims' position B. Sitting position C. Football hold position D. Semi-Fowler's position - โโC. Football hold position Which principles would a nurse remember when administering liquid-form oral medications to infants? Select all that apply. A. Ensure that the infant is sedated B. Place the infant's head in a flat position C. Inject the medication slowly when using an oral syringe D. Place the medication at the back of the nipple after the infant starts to suck it E. Place the dropper between the infant's cheek and gums, halfway back into the mouth - โโC, D, E Which fluid aspirated from a nasogastric tube is yellow in color? A. Gastric B. Pleural C. Intestinal D. Tracheobronchial - โโC. Intestinal Which household measurement is equivalent to 30 mL? A. 1 tsp B. 2 tsp C. 1 Tbsp D. 2 Tbsp - โโD. 2 Tbsp
C. Clemastine fumarate (Tavist) D. Budenoside (Rhinocort Aqua) - โโA. Oxymetazoline (Afrin) Which adverse effect would the nurse anticipate in a patient taking diphenhydramine? A. Hypertension B. Nasal irritation C. Bronchospasm D. Urinary retention - โโD. Urinary retention Which antihistamine has the least sedative effect? A. Clemastine (Tavist) B. Desloratadine (Clarinex) C. Promethazine (Phenergan) D. Diphenhydramine (Benadryl) - โโB. Desloratadine (Clarinex) How long does it take for a patient to achieve the maximal effect of intranasal corticosteroids after beginning therapy? A. Immediately B. 1 to 3 days C. 5 days D. 2 weeks - โโD. 2 weeks Which action is associated with antihistamine therapy? A. Reduction in lacrimation B. Decreased nasal congestion C. Prevention of histamine release D. Stimulation of alpha-adrenergic receptors - โโA. Reduction in lacrimation How many sprays is the maximum dose of cromolyn (NasalCrom) for treating allergic rhinitis?
A. 8
B. 6
C. 4
D. 2 - โโB. 6
Reduction of which symptom is a therapeutic outcome of antihistamine drug therapy? Select all that apply. A. Sneezing B. Lacrimation C. Nasal irritation D. Nasal congestion E. Conjunctivitis - โโA, B, E Which action is exhibited by cromolyn (NasalCrom)? A. Antihistamine B. Decongestant C. Bronchodilator D. Antiinflammatory - โโD. Antiinflammatory Which antihistamine drugs are considered as most sedative? Select all that apply. A. Clemastine (Tavist) B. Loratadine (Claritin) C. Doxylamine (Unisom) D. Desloratadine (Clarinex) E. Cyproheptadine (Periactin) - โโA, C, E What common adverse effect is associated with cromolyn (NasalCrom) and beclomethasone (Beconase AQ) administration? A. Dry mouth
Which symptom is less commonly observed in patients with rhinitis? A. Cough B. Sneezing C. Headache D. Sore throat - โโC. Headache Which dosage frequency should be used with an inhaled short-acting beta-2 agonist for a patient with intermittent asthma? A. As needed B. Three times a day C. Two times a week D. Four times a week - โโC. Two times a week Which long-term control medicine should be prescribed to a patient with moderate persistent asthma? A. Oral corticosteroids B. Antileukotriene agents C. High-dose inhaled corticosteroids D. Inhaled short-acting beta-2 agonists - โโB. Antileukotriene agents Which statement is true regarding the anatomy of the lower respiratory tract? A. Human lungs contain 300-500 million alveolar sacs. B. Diaphragmatic and intercostal muscles contract during expiration. C. Ventilation should be greater than perfusion to maintain homeostasis. D. Blood flow through the pulmonary arteries to the pulmonary veins is diffusion. - โโA. Human lungs contain 300-500 million alveolar sacs. Which drugs suppress the cough center in the brain? A. Antitussives B. Expectorants
C. Bronchodilators D. Mucolytic agents - โโA. Antitussives Which long-term control medicine can be prescribed to patients with mild persistent asthma? A. Oral corticosteroids B. Leukotriene modifiers C. Long-acting inhaled beta agonists D. Medium doses of inhaled corticosteroids - โโB. Leukotriene modifiers What is the term used in spirometry to identify the volume of air inspired or expired during normal breathing? A. Tidal volume B. Vital capacity C. Residual volume D. Functional residual capacity - โโA. Tidal volume What is the mechanism action of bronchodilators? A. Suppress the cough center in the brain B. Relax the smooth muscle of the tracheobronchial tree C. Reduce viscosity of mucus secretions by acting on mucus plugs D. Liquefy mucus by stimulating the secretion of natural lubricant from serous glands - โโB. Relax the smooth muscle of the tracheobronchial tree Which adverse effect may be observed after administration of tiotropium bromide in a patient with bronchospasms associated with chronic obstructive pulmonary disease (COPD)? A. Abdominal cramps B. Nausea C. Dyspepsia D. Tachycardia - โโD. Tachycardia
B. 80 to 160 mcg twice daily C. 88 to 440 mcg twice daily D. 100 to 500 mcg twice daily - โโA. 320 mcg twice daily Which assessments should the nurse perform after administering formoterol (Foradil) to a patient with asthma? A. Monitor weight B. Monitor heart rate C. Monitor blood pressure D. Monitor for nausea and vomiting - โโB. Monitor heart rate Which drug can be used to treat exercise-induced bronchospasm and asthma? A. Omalizumab (Xolair) B. Benralizumab C. Montelukast (Singulair) D. Cromolyn sodium (Intal)W - โโD. Cromolyn sodium (Intal) Which statement is the definition of vital capacity? A. Volume of air forced out in 1 second that gives the rate of flow B. Volume of air forced out of the lungs by maximal exhalation C. Volume of air inspired or expired during normal breathing D. Volume of air exhaled after maximal inspiration to full expiration - โโD. Volume of air exhaled after maximal inspiration to full expiration Which drug should be avoided in patients with chronic obstructive pulmonary disease (COPD)? A. Codeine (Cotabflu) B. Prednisone (Deltasone) C. Salmeterol (Serevent Diskus) D. Dextromethorphan (Robitussin) - โโA. Codeine (Cotabflu)
Which pulmonary function test determines the maximal rate of airflow produced during forced expiration? A. Forced vital capacity B. Peak expiratory flow rate C. Forced expiratory volume D. Forced expiratory volume in 1 second - โโB. Peak expiratory flow rate Which antitussive has a combination of antihistamine and antitussive properties? A. Diphenhydramine (Diphen) B. Guaifenesin (Robitussin) C. Codeine D. Dextromethorphan (Robitussin) - โโA. Diphenhydramine (Diphen) Which immunomodulator is used to treat patients with asthma exacerbations caused by airborne allergens? A. Cromolyn B. Omalizumab C. Roflumilast D. Prednisone - โโB. Omalizumab Which specialized formula is used as an essential amino acid supplement for patients with hepatic encephalopathy? A. NutriHelp B. Peptamen C. Nutren Pulmonary D. NovaSource Renal - โโNutriHep Which food are present at the top of the Healthy Eating Pyramid? Select all that apply. A. Nuts
A. Biotin B. Folic acid C. Vitamin C D. Thiamine - โโB. Folic acid Which macronutrient was previously thought to be only a by-product of metabolism? A. Fats B. Fiber C. Proteins D. Carbohydrates - โโB. Fiber Which sugars are used directly for energy production in the body? Select all that apply. A. Sucrose B. Maltose C. Fructose D. Dextrose E. Galactose - โโC, D, E Which pediatric enteral formula is used for patients with severe food allergies? A. Phenex- 1 B. Soy Isomil C. Pregestimil D. Similac Alimentum - โโD. Similac Alimentum Which instructions provided by the nurse would assist the patient in a safe and effective weight loss plan? Select all that apply. A. Increase calorie expenditure through planned activity. B. Eliminate all fat from the diet. C. Consume two 8-ounce glasses of water.
D. Reduce calories by 500 per day. E. Select an eating pattern that meets nutrient needs over time. - โโA, D, E Which source of fat is cardioprotective? A. Olives B. Cheese C. Coconut D. French fries - โโA. Olives Which formula is designed for patients with severe malabsorption? A. Isomil B. Similac C. Phenex 1 D. Pregestimil - โโD. Pregestimil Which type of fat source should be limited as much as possible, according to the Dietary Guidelines for Americans, 2015-2020? A. Cashews B. Ice cream C. Chocolate D. Vegetable shortening - โโD. Vegetable shortening Which response defines the Estimated Average Requirement (EAR)? A. Value based on observed approximations of nutrient intake by a group of health people B. Average daily dietary intake level sufficient to meet the nutrient requirements of the general populace C. A nutrient intake value that is estimated to meet the requirement of half of the health individuals D. Highest level of daily nutrient intake that is likely to pose no risk of adverse health effects to the general population - โโC. A nutrient intake value that is estimated to meet the requirement of half of the health individuals
Which recommendations are consistent with the Dietary Guidelines for Americans, 2015-2020? Select all that apply. A. Consume at least 30% of calories from saturated fatty acids B. Consume less than 10% of calories from added sugars C. Limit consumption of whole grains to less than 25% D. Consume alcohol in moderation, up to two drinks per day in women E. Recommended maximum intake of 2300 mg of sodium per day - โโB, D, E Which statements about essential minerals are true? Select all that apply. A. Copper acts as an antioxidant. B. Chromium promotes acid-base balance. C. Molybdenum metabolizes iron and uric acid. D. Magnesium is essential for nerve transmission. E. Manganese is useful in the synthesis of proteins. - โโC. Molybdenum metabolizes iron and uric acid. D. Magnesium is essential for nerve transmission. Which method of medication administration is typically used to deliver 1 ounce of cough suppressant? A. Calibrated medicine dropper B. Medicine cup C. Souffle cup D. Teaspoon - โโB. Medicine cup Which form of liquid medication contains a base of alcohol? A. Syrup B. Emulsion C. Suspension D. Elixir - โโD. Elixir
