McKenna's Pharmacology for Nursing, 2e

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C H A P T E R 5 5 Drugs acting on the lower respiratory tract

5. A person with many adverse reactions to drugs is tried on an inhaled steroid for treatment of bronchospasm. For the first 3 days, the person does not notice any improvement. You should: a. switch the person to a xanthine. b. encourage the person to continue the drug for 2 to 3 weeks. c. switch the person to a sympathomimetic. d. try the person on surfactant. 6. Leukotriene receptor antagonists act to block production of a component of SRSA. They are most

MULTIPLE RESPONSE Select all that apply. 1. People who are using inhalers require careful teaching about which of the following? a. avoiding food 1 hour before and 2 hours after dosing b. storage of the drug c. administration techniques to promote therapeutic effects and avoid adverse effects d. lying flat for as long as 2 hours after dosing e. timing of administration f. the difference between rescue treatment and prophylaxis 2. A child with repeated asthma attacks may be treated

beneficial in treating: a. seasonal rhinitis. b. pneumonia.

c. COPD. d. asthma. 7. Respiratory distress syndrome occurs in:

with which of the following drugs? a. a leukotriene receptor antagonist b. a β -blocker c. an inhaled corticosteroid d. an inhaled β -agonist e. a surfactant f. a mast cell stabiliser

a. babies with frequent colds. b. babies with genetic allergies.

c. premature and low-birth-weight babies. d. babies stressed during the pregnancy. 8. Lung surfactants used therapeutically are: a. injected into a developed muscle. b. instilled via a nasogastric tube. c. injected into the umbilical artery. d. instilled into an endotracheal tube properly placed in the baby’s lungs.