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A nurse in an urgent care center is caring for a client who is having an acute asthma exacerbation. Which of the following actions is the nurse's highest priority?

Administering a nebulized beta-adrenergic

Providing immediate rest for the client

Positioning the client in high-Fowler's

Initiating oxygen therapy

Answer and Explanation

The Correct Answer is A

Answer: A

Rationale:

A) Administering a nebulized beta-adrenergic:

In the case of an acute asthma exacerbation, administering a nebulized beta-adrenergic agonist (such as albuterol) is the highest priority. These medications act quickly to relax bronchial smooth muscle, dilate airways, and improve airflow. This intervention directly addresses the underlying bronchospasm and helps to alleviate the acute symptoms of asthma.

B) Providing immediate rest for the client:

While rest is important in managing an acute asthma exacerbation, it is not the immediate priority. Addressing the airway obstruction with appropriate medications is crucial for stabilizing the client's condition before focusing on comfort measures such as rest.

C) Positioning the client in high-Fowler's:

Positioning the client in a high-Fowler's position can help improve lung expansion and facilitate breathing. However, this action is secondary to administering medication that can relieve the acute symptoms of bronchoconstriction. The medication should be administered first to rapidly address the exacerbation.

D) Initiating oxygen therapy:

Oxygen therapy might be necessary if the client shows signs of hypoxemia or severe respiratory distress. However, the immediate priority is to address the bronchospasm with a nebulized beta-adrenergic agonist to improve airflow. Once the acute bronchospasm is managed, oxygen therapy can be implemented if needed to support oxygen saturation.

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Correct Answer is ["A","C","E"]

Explanation

These are important safety and comfort measures for a client who uses home oxygen therapy via a nasal cannula.

The other options are not correct because:

b. Verify the oxygen ﬂow rate every other day. This is not frequent enough, as the ﬂow rate should be checked at least daily and whenever the client feels short of breath or has changes in vital signs.

d. Apply petroleum ointment to nares if they become dry and irritated. This is not recommended, as petroleum products can ignite in the presence of oxygen and cause burns or fire. A water-based lubricant should be used instead.

Correct Answer is ["2"]

Explanation

2 capsules

To calculate the number of capsules, use the formula:

capsules = (desired dose in mg / available dose in mg) x 1 capsule

Plug in the given values:

capsules = (300 mg / 150 mg) x 1 capsule

Simplify and solve:

capsules = 2 x 1 capsule

capsules = 2 capsules

Round to the nearest whole number and add a leading zero if needed:

capsules = 2 capsules

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A nurse in an urgent care center is caring for a client who is having an acute asthma exacerbation. Which of the following actions is the nurse's highest priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to a client who has a new prescription for home oxygen therapy via a nasal cannula. Which of the following should the nurse include in the teaching? (Select all that apply)

Correct Answer is ["A","C","E"]

Explanation

A nurse is preparing to administer lithium 300 mg PO every 8 hr. Available is lithium carbonate 150 mg capsules. How many capsules should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2"]

Explanation

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