A 26-year-old female is brought to the emergency department while having an asthma attack. She is given a nebulizer treatment with the medication albuterol. The nurse's immediate assessment priority would be to

Determine the time of the patient's last meal.

Monitor the patient's temperature and blood pressure.

Monitor respiratory rate and Spo2 with a pulse oximeter.

Provide education on asthma management and treatment.

Answer and Explanation

The Correct Answer is C

During an asthma attack, the primary concern is the patient's ability to breathe and maintain adequate oxygenation. Monitoring the patient's respiratory rate and oxygen saturation (SpO2) with a pulse oximeter provides crucial information about the effectiveness of the albuterol treatment and the patient's respiratory status. It helps determine if the airway is opening up, if oxygen levels are improving, and if the patient is responding positively to the medication.
While determining the time of the patient's last meal can be relevant for certain interventions, it is not the immediate priority during an asthma attack. It is more important to focus on assessing and managing the patient's breathing and oxygenation first.
Monitoring the patient's temperature and blood pressure can be important for a comprehensive assessment, but they are not the immediate priority during an acute asthma attack. Addressing the patient's respiratory distress takes precedence.
Providing education on asthma management and treatment is an important aspect of care, but it should be done after the patient's acute symptoms are addressed and stabilized. In the immediate assessment phase, the focus is on assessing and managing the patient's respiratory status. Education can be provided once the patient's immediate needs are addressed.

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Correct Answer is A

Explanation

Nasal glucocorticoids, also known as intranasal corticosteroids, are considered the most effective and recommended first-line treatment for nasal congestion caused by allergic rhinitis or non-allergic rhinitis. They work by reducing inflammation in the nasal passages, relieving congestion, and improving other symptoms such as itching, sneezing, and runny nose.

Leukotriene modifiers, decongestants, and antihistamines can also be used to manage nasal congestion, but they are generally considered second-line options or adjunct therapies.

Decongestants provide temporary relief by constricting blood vessels in the nasal passages, while antihistamines help with symptoms related to allergies. Leukotriene modifiers are primarily used for managing asthma and are not typically the first choice for nasal congestion alone.

A. "I'll rinse my mouth after taking this medication.” B. "I'll take this medication when I get an asthma attack.” C. “I use a spacer device when I inhale this medication." D. “I’ll take this medication once a day in the evening.”

Correct Answer is D

Explanation

Montelukast is typically prescribed as a once-daily medication for the treatment of asthma. Taking it in the evening can be beneficial as it helps to control asthma symptoms throughout the day and night. It is important to follow the prescribed dosing schedule provided by the healthcare provider.

The other statements mentioned are incorrect:
A. "I'll rinse my mouth after taking this medication": Rinsing the mouth after taking montelukast is not necessary as it is not an inhaled medication. Rinsing the mouth is typically recommended after using inhaled corticosteroids to reduce the risk of oral thrush.

B. "I'll take this medication when I get an asthma attack": Montelukast is a long-term control medication used to prevent asthma attacks and manage chronic asthma symptoms. It is not intended for immediate relief during an asthma attack.

C. "I use a spacer device when I inhale this medication": Montelukast is not an inhaled medication, so the use of a spacer device is not applicable. Spacer devices are commonly used with inhaled medications to improve the delivery of the medication to the lungs.

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A 26-year-old female is brought to the emergency department while having an asthma attack. She is given a nebulizer treatment with the medication albuterol. The nurse's immediate assessment priority would be to

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which type of medication is the first-line treatment for nasal congestion?

Correct Answer is A

Explanation

A nurse is evaluating teaching a client who has a new prescription for montelukast to treat asthma. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

A pregnant patient asks the nurse if she can take antihistamines for seasonal allergies during her pregnancy. What will the nurse tell the patient?

The nurse is reviewing the medication record of a patient with asthma and notes the patient is taking inhaled fluticasone (Flovent). The nurse know that inhaled fluticasone (Flovent) is helpful in the treatment of asthma in what way?

When using the antitussive Benzonatate, also known as Tessalon Pearls, it is very important to teach the patient to

A nurse is providing discharge teaching to a client who has asthma and new prescriptions for beclomethasone and albuterol, both by inhaler. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is caring for a client who asks how albuterol helps his breathing. Which of the following responses should the nurse make? (Select all that apply.)

A nurse is caring for a client who has poison ivy and is prescribed diphenhydramine. Which of the following instructions should the nurse give regarding the adverse effect of dry mouth associated with diphenhydramine?

The nurse teaches the client that the major disadvantage of antitussive therapy on Robitussin A-C is that:

A nurse is giving discharge instructions to a patient who has been ordered Guaifenesin (Mucinex) to take BID for 3 days after discharge. What response by the patient lets her know that he understands how to take his medication?