NR 565- Week 6 questions and answers with accurate solutions 2026(PASSED)

symptoms of intermittant asthma?

symptoms occur 2 times a week or less

nighttime awakenings occur 2 times/ month or less

effect on activity: none

Who is at risk for methylxanthines?

People who consume caffeine which can intensify adverse effects while decreasing theophylline breakdown.

people who quit smoking- dose will need to be decreased

first line tx for asthma and COPD?

inhaled glucocorticoids

symptoms of mild persistant asthma?

symptoms occur more than 2 days/week but not daily

nighttime awaking 2 nights/month or less

effect on activity: minimal

symptoms of moderate persistent asthma?

symptoms occur daily

nighttime awakenings: more than once a week but not nightly

effect on activity: some activity limitation

symptoms of severe persistent asthma?

symptoms occur several times a day

nighttime awakenings occur nightly

effect on activity: severe activity limitation

T/F: LABA should be used as monotherapy and for long periods of times

false- that can lead to increased risk of death

examples of LABA

Aclidinium bromide

arformoterol

formoterol

indacaterol

olodaterol

salmeterol

benefits of LABA

long duration of action

how often should a LABA be taken?

every 12 hours

T/F: LABA are preferred over SABA for COPD patients

true

examples of SABA

Albuterol: (ProAir HFA, ProAir RespiClick, Proventil HFA, Ventolin HFA)

Levalbuterol

Xopenex HFA

Xopenex

benefits of SABA

quick acting- used to stop an attack

examples of ICS

Fluticasone (Flovent)

Budesonide (Pulmicort)

benefits of ICS?

used to prevent attacks

when should oral steroids be prescribed?

Oral glucocorticoids may be required for patients with moderate to severe persistent asthma or for management of acute exacerbations of asthma or COPD.

When should roflumilast be used in patients with COPD?

In patients with severe, chronic COPD with a primary chronic bronchitis component

`Nicotine toxicity

highly toxic- doses as low as 40 mg can be fatal

two methods for smoking cessation

medications and consoling

Pt education for nicotine gum

do not chew rapidly

do not eat or drink 15 minutes before chewing the gum

T/F nicotine gum should not be used for more than 6 months

true

Pt education for nicotine lozenges

do not take more than one at once

allow to dissolve slowly

Do not eat at 15 minutes before taking a lozenge

do not chew or swallow the lozenge

Pt education for nicotine patches

change the site daily

use smaller patches each week

short term local reactions may occur

Pt education for nicotine nasal spray

increases nicotine levels rapidly

may get addicted to the spray

Bupropion for smoking cessation

atypical antidepressant

reduces urge to smoke and withdraw symptoms

what is drug resistant TB?

defined as TB that is resistant to both isoniazid and rifampin, our two most effective antituberculosis

Treatment of TB during pregnancy?

Rifabutin is deemed the safest during pregnancy. The CDC reports that the benefit justifies the risk for isoniazid, rifampin, and pyrazinamide.

Examples of decongestants

Phenylephrine

Pseudoephedrine

Naphazoline

Oxymetazoline

Tetrahydrozoline