A nurse is admitting a client who is having an exacerbation of asthma.
When reviewing the provider's orders, the nurse recognizes that clarification is needed for which of the following prescribed medications?

Prednisone.

Montelukast.

Aminophylline.

Propranolol.

Answer and Explanation

The Correct Answer is D

Choice D rationale:

The nurse should seek clarification for the prescribed medication Propranolol when caring for a client with an exacerbation of asthma. Propranolol is a non-selective beta-blocker, and its use can exacerbate bronchoconstriction and potentially worsen asthma symptoms. In patients with asthma, non-selective beta-blockers are generally contraindicated. The nurse should consult with the provider to ensure that Propranolol is the appropriate choice, as there may be safer alternatives to manage the client's condition without worsening their asthma.

Choice A rationale:

Prednisone is a corticosteroid commonly used to reduce inflammation and manage asthma exacerbations. It is an appropriate medication for asthma management and does not require clarification.

Choice B rationale:

Montelukast is a leukotriene receptor antagonist that is also used in the management of asthma. It helps to reduce airway inflammation and bronchoconstriction. Montelukast is an appropriate choice for asthma and does not need further clarification.

Choice C rationale:

Aminophylline is a bronchodilator that can be used in the treatment of asthma. While it may have potential side effects and interactions, it is not the first medication that needs clarification in this scenario. Propranolol, due to its potential to worsen asthma symptoms, takes precedence.

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Correct Answer is A

Explanation

The correct answer is choiceA. Heart rate 50/min.

Choice A rationale:

Atenolol is a beta-blocker that can significantly lower heart rate.A heart rate of 50/min is considered bradycardia (slow heart rate), and administering atenolol could further decrease the heart rate to a dangerously low level. Therefore, the nurse should withhold the medication in this case.

Choice B rationale:

A respiratory rate of 18/min is within the normal range (12-20 breaths per minute) and does not contraindicate the use of atenolol. Therefore, this finding would not require withholding the medication.

Choice C rationale:

An oxygen saturation of 95% is within the normal range (typically 95-100%) and does not contraindicate the use of atenolol. Thus, this finding would not necessitate withholding the medication.

Choice D rationale:

While a blood pressure of 160/94 mm Hg indicates hypertension, atenolol is often prescribed to manage high blood pressure. Therefore, this finding would not require withholding the medication.

A. Administer IV morphine. B. Start an IV infusion of lactated Ringer's. C. Begin oxygen therapy. D. Initiate cardiac monitoring.

Correct Answer is C

Explanation

Choice A rationale:

Administer IV morphine. Administering IV morphine may be necessary for pain management in a client with a pulmonary embolism. However, pain relief should not take precedence over ensuring the patient's oxygenation and cardiovascular stability. Oxygen therapy is the top priority to address hypoxia and prevent further deterioration. Once oxygenation is secured, pain management can be considered.

Choice B rationale:

Start an IV infusion of lactated Ringer's. Initiating an IV infusion of lactated Ringer's solution may be important for maintaining hydration and electrolyte balance in a patient with a pulmonary embolism. However, this is not the top priority when a client is at risk of or experiencing a pulmonary embolism. Ensuring oxygenation and cardiovascular stability takes precedence. Once the patient is stable, intravenous fluids can be administered if needed.

Choice D rationale:

Initiate cardiac monitoring. Initiating cardiac monitoring is important in assessing the patient's cardiac rhythm and identifying any dysrhythmias or changes that may occur due to the pulmonary embolism. While this is a vital step, it is not the highest priority when the client is in a state of hypoxia and respiratory distress. Oxygen therapy should be the first intervention to address the immediate threat to the patient's life.

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A nurse is admitting a client who is having an exacerbation of asthma.When reviewing the provider's orders, the nurse recognizes that clarification is needed for which of the following prescribed medications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client prior to administering atenolol. For which of the following findings should the nurse withhold the medication?

Correct Answer is A

Explanation

A nurse is caring for a client who develops a pulmonary embolism. Which of the following interventions is the priority for the nurse to take?

Correct Answer is C

Explanation

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A nurse is admitting a client who is having an exacerbation of asthma.When reviewing the provider's orders, the nurse recognizes that clarification is needed for which of the following prescribed medications?

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A nurse is admitting a client who is having an exacerbation of asthma.
When reviewing the provider's orders, the nurse recognizes that clarification is needed for which of the following prescribed medications?