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A nurse is assisting in the care of a client.

Exhibits

Click to highlight the instructions the nurse should reinforce to the client.

Prescribed Medication

Nursing Instruction

Albuterol

"Take your albuterol when you are having difficulty breathing.”

"Hold your breath for 20 seconds when taking your albuterol.”

Salmeterol

"Take the salmeterol 5 minutes before the albuterol when you need both medications."

"Take the salmeterol 2 times each day."

Fluticasone

"Rinse out your mouth after taking the fluticasone."

"Take the fluticasone as needed for an asthma attack."

Take your albuterol when you are having difficulty breathing.

Hold your breath for 20 seconds when taking your albuterol.

Take the salmeterol 5 minutes before the albuterol when you need both medications.

Take the salmeterol 2 times each day.

Rinse out your mouth after taking the fluticasone.

Take the fluticasone as needed for an asthma attack.

Answer and Explanation

The Correct Answer is ["A","D","E"]

Albuterol

"Take your albuterol when you are having difficulty breathing.": Albuterol is a short-acting beta-agonist (SABA) used as a rescue inhaler for acute symptoms such as wheezing and shortness of breath.

"Hold your breath for 20 seconds when taking your albuterol.": This is incorrect as holding the breath for 10 seconds after inhalation is sufficient to allow the medication to reach the lungs. Holding it longer is unnecessary and impractical.

Salmeterol

"Take the salmeterol 2 times each day.": Salmeterol is a long-acting beta-agonist (LABA) intended for long-term control of asthma symptoms, not for acute attacks. It should be taken twice daily as prescribed.

"Take the salmeterol 5 minutes before the albuterol when you need both medications.": This is incorrect because salmeterol is not a rescue medication and should not be used for immediate relief. Albuterol should be taken first if both medications are prescribed together, allowing the airways to open for better absorption of salmeterol.

Fluticasone

"Rinse out your mouth after taking the fluticasone.": Fluticasone is an inhaled corticosteroid, and rinsing the mouth helps prevent oral thrush, a common side effect.

"Take the fluticasone as needed for an asthma attack.": This is incorrect because fluticasone is a maintenance medication for inflammation and is not effective for acute asthma attacks.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Calculate the correct amount of the medication: This is an important step but should be done after confirming the client's identity to ensure medication safety.
B. Validate the prescription with the available medication: Validating the prescription is essential, but client identification should be the priority before administering the medication.
C. Document the time of the medication administration: Documentation is done after the medication is administered, and client identification must come first.
D. Identify the client using two means of identification: This is the most critical first step to ensure the correct patient is receiving the correct medication.

A. Decreased triglycerides B. Decreased uric acid C. Increased albumin D. Increased potassium

Correct Answer is B

Explanation

A. Decreased triglycerides: Allopurinol is not used to treat triglyceride levels.
B. Decreased uric acid: Allopurinol works by decreasing uric acid levels, which is important in the treatment of gout.
C. Increased albumin: Allopurinol does not directly affect albumin levels.
D. Increased potassium: Allopurinol does not have a direct effect on potassium levels.

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Prescribed Medication	Nursing Instruction
Albuterol	"Take your albuterol when you are having difficulty breathing.” "Hold your breath for 20 seconds when taking your albuterol.”
Salmeterol	"Take the salmeterol 5 minutes before the albuterol when you need both medications." "Take the salmeterol 2 times each day."
Fluticasone	"Rinse out your mouth after taking the fluticasone." "Take the fluticasone as needed for an asthma attack."

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer medication to a client who has a new prescription. Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

A nurse is caring for a client who is taking allopurinol. Which of the following laboratory findings indicates the medication has been effective?

Correct Answer is B

Explanation

A nurse is caring for a client who has a new prescription for a nitroglycerin transdermal patch. Which of the following actions should the nurse take?

A nurse is reinforcing teaching with a client who has a prescription for nystatin oral suspension. Which of the following instructions should the nurse include in the teaching?

A nurse is preparing to administer erythromycin PO to a client who has an infection. The nurse checks the client's medical record and notes that the client has a severe allergy to penicillin. Which of the following actions should the nurse take?

A nurse is monitoring a client who received naloxone to counteract the effects of an opioid overdose. Which of the following findings should indicate to the nurse that the medication is effective?

A nurse is administering the first dose of ramipril to a client who has hypertension. The client reports feeling dizzy and lightheaded. Which of the following should the nurse administer?

A nurse is reinforcing discharge teaching with a client who has a new diagnosis of type 2 diabetes mellitus and a prescription for exenatide. Which of the following instructions should the nurse include in the teaching?

A nurse is monitoring a client who is receiving a transfusion of packed RBCs. The nurse should identify which of the following findings as an indication of a febrile nonhemolytic reaction?

A nurse is caring for a client who is receiving an oral solution of codeine to suppress a nonproductive cough. Which of the following is the nurse's data collection priority following administration of this medication?