NR 508 Week-7 Quiz Assignment

NR 508 Week-7 Quiz Assignment

NR 508 Week-7 Quiz Assignment

A  patient asks an NP about using 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?
A pt is diagnosed 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 :

A patient who was recently diagnosed 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:
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:

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

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Chapters (13-16, 51, 60-63, 65, 68)

Assessment and Management of 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/
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