Chapter 31 Drug Therapy for Asthma and Bronchoconstriction

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Chapter 31  Drug Therapy for Asthma and Bronchoconstriction

 

 

Complete chapter Questions And Answers
 

Sample Questions

 

 

  1. A patient has been diagnosed with asthma. Which of the following health education topics is most important?
    1. A)  “Do not become fatigued. It will trigger asthma attacks.”
    2. B)  “Exposure to cold temperatures can trigger asthma.”
    3. C)  “Do not consume foods high in sodium.”
    4. D)  “Prolonged exposure to direct sunlight will trigger asthma.”

    Ans: B
    Feedback:
    Exposure to cold air can exacerbate asthma symptoms due to the bronchoconstriction of airways. Fatigue is not a direct trigger of asthma. The consumption of high quantities of sodium will not trigger asthma. The exposure to direct sunlight will not trigger asthma.

  2. A patient with asthma has been taking ibuprofen (Advil) twice daily for 2 weeks after an ankle injury. The patient calls her health care provider and states she is bothered by shortness of breath and rapid breathing. What will the patient’s health care provider suspect?
    1. A)  The patient is having an anxiety attack.
    2. B)  The patient has a sensitivity to the drug.
    3. C)  The patient is experiencing hypoglycemia.
    4. D)  The patient is suffering from a myocardial infarction.

Ans: B
Feedback:
In about 25% of patients with asthma, aspirin and other nonsteroidal anti-inflammatory drugs can precipitate an asthma attack. The patient is experiencing a hypersensitivity reaction. The patient is not experiencing hypoglycemia or a myocardial infarction.

3. A patient is using an albuterol (Proventil) inhaler, which is a bronchodilator. Which of the following patient teaching interventions is a priority for the patient who experiences shortness of breath related to constriction of airways?

  1. A)  Administer insulin to decrease hand shaking.
  2. B)  Administer ibuprofen (Advil) to decrease inflammation.
  3. C)  Exercise should be limited to one time per week.
  4. D)  Stop smoking due to the bronchoconstriction.

Ans: D

Feedback:

Cigarette smoking will increase bronchoconstriction, so the patient should be encouraged to stop. The albuterol causes hand shaking. Insulin will not decrease hand shaking. The patient will not require ibuprofen (Advil). The patient should be encouraged to exercise, and it should not be limited to one time per week.

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4. A patient is started on albuterol (Proventil). Of what adverse reaction should the patient be warned?

A)
B)
C)
D)
Ans:
Feedback:
The symptoms of cardiac stimulation, including tachycardia, are noted with the administration of albuterol. The patient will not experience polydipsia, hypotension, or diarrhea.

5. A patient is admitted to the emergency room with inspiratory stridor and air hunger after a bee sting. Which of the following medications will the nurse prepare for administration?

  1. A)  Ipratropium bromide (Atrovent)
  2. B)  Epinephrine (Adrenalin)
  3. C)  Cromolyn (Intal)
  4. D)  Pseudoephedrine

Ans: B

Feedback:

Epinephrine may be injected subcutaneously in an acute attack of bronchoconstriction. Ipratropium is administered by inhalation for maintenance therapy of bronchoconstriction related to chronic bronchitis and inflammation. It is not administered for an acute attack of bronchoconstriction. Cromolyn stabilizes mast cells and prevents the release of bronchoconstrictive and inflammatory substances when mast cells are confronted with allergens and other stimuli. It is not used for acute attacks. Pseudoephedrine is not administered for acute bronchoconstriction.

6. A patient is instructed on the administration of inhaled corticosteroid agents to treat asthma. How do inhaled corticosteroid agents assist in the treatment of asthma?

  1. A)  Inhaled corticosteroid agents will depress the central nervous system.
  2. B)  Inhaled corticosteroid agents will reduce respiratory rate.
  3. C)  Inhaled corticosteroid agents will reduce bronchodilation.
  4. D)  Inhaled corticosteroid agents will reduce airway inflammation.

Ans: D
Feedback:
Inhaled corticosteroid agents suppress the release of inflammatory mediators, block the generations of cytokines, and decrease the recruitment of airway eosinophils. Inhaled corticosteroid agents do not depress the central nervous system. Inhaled corticosteroid agents do not affect bronchodilation or constriction.

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