NR 508 Week 7 Quiz (Fall 2019)
NR 508 Week 7 Quiz
- Question: A patient asks an NP about usnign an oral OTC decongestant medication for nasal congestion associated with a viral upper respiratory illness. The NP learns that the patient uses loratadine (Clarritin), a Beta adrenergic blocker, and an intranasal corticosteroid. The NP Would be concerned about which adverse effects?
- Question: A pt is … with asthma. The primary care NP prescribes an inhaled corticosteroid and an inhaled broncholidalator medication and provides education about how to use inhalers. At a follow-up visiti 2 wks later, the pts pulmonary function tests are worse. The NP should :
- Question: A patient who was recently … with COPD comes to the clinic for a follow-up evaluation after beginning therapy with a SABA as needed for dyspnea. The pt reports occasional mild exertional dyspnea but is able to sleep well. The pts FEV1 in the clinic is 85% of predicted, and oxygen sat is 96%. The primary care NP should recommend:
- Question: A 7 year old patient who has severe asthsma takes oral prednisone daily. At a well-child examination, the primary care NP notes a decrease in the child’s linear growth rate. The NP should consult the child’s asthma specialist about:
- Question: A patient comes to the clinic with a 2-day history of cough and wheezing. The patient has no previous history of asthma. The patient reports having heartburn for several months, which has worsened considerably. The NP makes a diagnosis of asthma and orders oral steroids and inhaled albuterol. The patient’s condition worsens and a chest radiograph obtained 2 days later shows bilateral infiltrates. The NP has failed to:
NR 508 Week 7 Study Guide: Chapters 13-16, 51, 60-63, 65, 68
- Assessment and Management of asthma ….. ch 16
- Which respiratory agents are for…..? Ch 16 pg
- What agents are for ch 16 pg 213
- Be familiar with abbreviations such as ICS and LABA
- LABAs should never be prescribed without the addition of what other medication? Ch 16 PG 210
- Consideration of compliance/ correct use of MDIs Asthma Control
- Importance of drug history when considering drug interactions, Side effects of medications including ch 16
- Appropriate indications and instructions for use of ch 16 pg 205
- Importance of pneumococcal, influenza vaccinations
- Be sure to read Cardinal Points of Treatments in Edmunds and Mayhew Chapter 16
- Be sure to read how to monitor
- For children on chronic corticosteroid therapy one can consider alternate day administration since this may be less harmful regarding growth velocity. PG 209
Play Video
