A client presents at the clinic with a dry nonproductive cough. The client is diagnosed with bronchitis, and it has been determined that assistance is needed in thinning the sputum so the cough can become productive.
What does the nurse expect the provider will prescribe?

Benzonatate.

Dextromethorphan.

Guaifenesin.

Answer and Explanation

The Correct Answer is D

Guaifenesin is an expectorant that helps thin and loosen mucus in the lungs, making it easier to cough up the sputum. Some possible explanations for the other choices are:

Choice A. Benzonatate is wrong because benzonatate is an antitussive that suppresses the cough reflex by numbing the throat and lungs.

It does not help with sputum production or clearance.

Choice B. Dextromethorphan is wrong because dextromethorphan is also an antitussive that acts on the brain to reduce the urge to cough.

It does not affect the mucus or bronchial secretions.

Choice C. Hydrocodone is wrong because hydrocodone is a narcotic antitussive that works by binding to opioid receptors in the brain and spinal cord, blocking pain signals and decreasing cough.

It can cause sedation, respiratory depression, and dependence, and is not indicated for bronchitis.

Normal ranges for sputum production vary depending on the individual and the cause of the cough, but generally range from 10 to 100 mL per day.

Excessive or abnormal sputum may indicate an infection, inflammation, or obstruction of the airways.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

This is because prednisolone can cause insomnia if taken later in the day, and it mimics the natural secretion of cortisol by the adrenal glands, which peaks in the morning.

Choice A is wrong because splitting the dose into two equal doses can increase the risk of adrenal suppression and reduce the efficacy of alternate-day therapy (ADT), which is used to minimize adverse effects of corticosteroids.

Choice B is wrong because taking prednisolone before bedtime can interfere with sleep and cause nocturnal cortisol secretion, which can lead to Cushing syndrome.

Choice C is wrong because taking prednisolone 1 hour before meals can cause gastric irritation and ulceration, and it is recommended to take it with food or milk.

A. Isoetharine. B. Aminophylline. C. Ipratropium. D. Cromolyn.

Correct Answer is D

Explanation

Cromolyn Sodium Oral Solution | Micro Labs USA

Choice A.Isoetharine is a bronchodilator that works by relaxing muscles in the airways to improve breathing. It is not a mast cell stabilizer.

Choice B is wrong because aminophylline is a bronchodilator that relaxes the muscles in the airways and is used in the treatment of asthma and chronic obstructive pulmonary disease (COPD). It is not a mast cell stabilizer.

Choice C is wrong becauseIpratropium is an anticholinergic bronchodilator that helps to open up the airways in the lungs. It is used in the treatment of COPD and sometimes asthma, but it is not a mast cell stabilizer.

Choice D. Cromolyn is a mast cell stabilizer that helps prevent the release of substances in the body that cause inflammation and asthma symptoms. It is used for the prevention of asthma attacks and is particularly effective in managing exercise-induced asthma and allergic asthma triggers.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A client presents at the clinic with a dry nonproductive cough. The client is diagnosed with bronchitis, and it has been determined that assistance is needed in thinning the sputum so the cough can become productive. What does the nurse expect the provider will prescribe?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The home health nurse provides client teaching to a client who is taking oral prednisolone. The nurse provides what instruction to the client?

Correct Answer is D

Explanation

A client who has chronic bronchial asthma has had a mast cell stabilizer prescribed. What drug would the provider prescribe?

Correct Answer is D

Explanation

A client with type 2 diabetes presents at the clinic for a routine follow-up appointment. The client asks the nurse whether he or she can take the herbal supplement ginseng. What is the correct response by the nurse?

The client, newly diagnosed with diabetic retinopathy, asks what caused this disorder. What is the nurse’s best response?

The nurse is caring for a client who works night shift from 22:00 to 06:00 and normally sleeps from 08:00 (8 AM) until 16:00 (4 PM) each day. The nurse should teach this client to take the prescribed corticosteroid at what time of the day?

The nurse is caring for a pediatric client with a new onset of hypercalcemia. What condition would be most likely to cause this altered serum calcium level?

A client has begun reporting nausea and vomiting. What would the nurse assess to determine the need for therapy?

The nurse is caring for a client with renal dysfunction who requires an oral antidiabetic agent. What drug will the nurse expect to see ordered?

The client is 34 years old and has recently started taking theophylline. The nurse knows that medication teaching has been successful when the client agrees to what activity?

For which client would the use of a phenothiazine most likely be contraindicated?

A client presents at the clinic with a dry nonproductive cough. The client is diagnosed with bronchitis, and it has been determined that assistance is needed in thinning the sputum so the cough can become productive.
What does the nurse expect the provider will prescribe?