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PHARM 6521

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 Question 1 1 out of 1 points A nurse is providing discharge planning for a 45-year-old woman who has a prescription for oral albuterol. The nurse will question the patient about her intake o... f which of the following? Response Feedback: The nurse should assess the patient's intake of caffeine, including coffee, tea, soda, cocoa, candy, and chocolate. Caffeine has sympathomimetic effects that may increase the risk for adverse effects. Alcohol, salt, and vitamin C intake is important to assess, but does not potentiate the effects of albuterol.  Question 2 1 out of 1 points A 72-year-old female patient is prescribed ipratropium aerosol for pulmonary emphysema. The nurse will instruct her to “test spray” the new metered-dose inhaler (MDI) three times before using it to prevent which of the following? Response Feedback: Ipratropium aerosols may produce paradoxic acute bronchospasm, which may be fatal. Although this is rare, the adverse effect is typically evident with the patient's first inhalation from a newly opened MDI. The patient should be advised to “test spray” the new MDI three times before using it. The anaphylactoid reaction occurs when a patient has an unknown allergy to soybeans, legumes, or soy lecithin. Severe adverse effects of asymptomatic elevated hepatic enzyme levels and symptomatic hepatitis with hyperbilirubinemia are normally associated with zafirlukast.  Question 3 1 out of 1 points After a recent history of shortness of breath that has become increasingly severe, a woman has been prescribed ipratropium by MDI while she undergoes a diagnostic workup. What patient teaching should the nurse provide to this patient? Response Feedback: Ipratropium should be taken daily, despite the absence of symptoms. Breathing exercises are not necessarily required and the drug controls symptoms but does not cure lung diseases.  Question 4 [Show More]

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