Chapter 17. Drugs Affecting the Respiratory System

1. Montelukast (Singulair) may be prescribed for:

1. A 6-year-old child with exercise-induced asthma

2. A 2-year-old child with moderate persistent asthma

3. An 18-month-old child with seasonal allergic rhinitis

4. None of the above; montelukast is not approved for use in children

____ 2. The known drug interactions with the inhaled corticosteroid beclomethasone (QVAR) include:

1. Albuterol

2. MMR vaccine

3. Insulin

4. None of the above

____ 3. When educating patients who are starting on inhaled corticosteroids, the provider should tell them that:

1. They need to get any live vaccines before starting the medication.

2. Inhaled corticosteroids need to be used daily during asthma exacerbations to be effective.

3. Patients should rinse their mouths out after using the inhaled corticosteroid to prevent thrush.

4. They can triple the dose number of inhalations of medication during colds to prevent needing systemic steroids.

____ 4. Patients with allergic rhinitis may benefit from a prescription of:

1. Fluticasone (Flonase)

2. Cetirizine (Zyrtec)

3. OTC cromolyn nasal spray (Nasalcrom)

4. Any of the above

____ 5. Howard is a 72-year-old male who occasionally takes diphenhydramine for his seasonal allergies. Monitoring for this patient taking diphenhydramine would include assessing for:

1. Urinary retention

2. Cardiac output

3. Peripheral edema

4. Skin rash

____ 6. First-generation antihistamines such as loratadine (Claritin) are prescribed for seasonal allergies because they are:

1. More effective than first-generation antihistamines

2. Less sedating than the first-generation antihistamines

3. Prescription products, therefore are covered by insurance

4. Able to be taken with central nervous system (CNS) sedatives, such as alcohol