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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.)

The medication will prevent wheezing.

The medication will decrease coughing episodes.

The medication will reduce inﬂammation.

The medication will open the airways.

The medication will stimulate ﬂow of mucus.

Answer and Explanation

Correct Answer : A,D

Answer: A, D

Rationale:

A. The medication will prevent wheezing: Albuterol is a bronchodilator, specifically a beta-2 agonist, that relaxes smooth muscles in the airways. This action helps prevent wheezing by reducing airway constriction, making breathing easier for the client.
B. The medication will decrease coughing episodes: While albuterol can help reduce cough indirectly by improving airflow and decreasing airway irritation, it is not primarily used to decrease coughing episodes. Other medications, such as corticosteroids, are often more effective for controlling chronic cough related to inflammation.
C. The medication will reduce inflammation: Albuterol does not have anti-inflammatory properties. Its primary mechanism is bronchodilation, and anti-inflammatory treatment generally requires corticosteroids, not beta-agonists like albuterol.
D. The medication will open the airways: Albuterol works by relaxing bronchial muscles, leading to bronchodilation and allowing the airways to open. This reduces shortness of breath and improves airflow, a primary reason for its use in conditions like asthma.
E. The medication will stimulate flow of mucus: Albuterol does not stimulate mucus production; it primarily works by relaxing the airways. However, by improving airflow, it can help clients more effectively expel mucus through coughing.

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Correct Answer is B

Explanation

Suctioning is the priority observation in the client's care, as it prevents airway obstruction and respiratory distress caused by blood, mucus, or secretions. The client has a permanent tracheostomy and cannot cough

or clear the airway eﬀectively. The nurse should assess the need for suctioning frequently and perform it as needed, using sterile technique and maintaining oxygenation.

a) Patency of the intravenous line is important, but not the priority observation in the client's care. The intravenous line provides ﬂuids, electrolytes, and medications to the client, but it does not aﬀect the airway patency or oxygenation.
c) Integrity of the dressing is important, but not the priority observation in the client's care. The dressing protects the surgical site from infection and bleeding, but it does not aﬀect the airway patency or oxygenation.
d) Level of pain is important, but not the priority observation in the client's care. The pain can be managed with analgesics and nonpharmacological measures, but it does not aﬀect the airway patency or oxygenation.

A. "Expect your sputum cultures to be negative after 6 months of therapy." B. "Drink at least 8 ounces of water when you take the pyrazinamide tablet." C. "Provide a sputum specimen every 2 weeks to the clinic for testing." D. "Take isoniazid with an antacid."

Correct Answer is B

Explanation

Answer: B

Rationale:

A) "Expect your sputum cultures to be negative after 6 months of therapy":

While sputum cultures may become negative after a period of effective therapy, it is not always guaranteed to happen within exactly 6 months. Tuberculosis (TB) treatment usually involves several months of medication, and sputum cultures are monitored periodically to assess treatment efficacy, not solely at the 6-month mark.

B) "Drink at least 8 ounces of water when you take the pyrazinamide tablet":

Drinking plenty of water with pyrazinamide is important to prevent dehydration and to help minimize potential side effects, such as hyperuricemia or gout. Adequate hydration can also aid in the effective elimination of the medication from the body, thus reducing the risk of adverse effects.

C) "Provide a sputum specimen every 2 weeks to the clinic for testing":

Sputum specimens are typically provided less frequently than every 2 weeks, usually monthly, to monitor the progress of TB treatment. Testing frequency may vary depending on the client's condition and the healthcare provider's recommendations.

D) "Take isoniazid with an antacid":

Isoniazid should not be taken with antacids, as antacids can interfere with the absorption of isoniazid. It is usually advised to take isoniazid on an empty stomach, and clients should be instructed to wait at least 1 hour after taking isoniazid before consuming antacids.

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