A nurse is collecting data from a client who has asthma. Which of the following prescribed medications should the nurse administer first for severe wheezing?

Bronchodilators

Beta blocker

Inhaled steroids

Anti-inflammatory agent

Answer and Explanation

The Correct Answer is A

A.   Bronchodilators, such as short-acting beta-agonists (e.g., albuterol), are the first-line medications for relieving acute bronchoconstriction and severe wheezing in asthma exacerbations.
B.   Beta blockers are contraindicated in asthma as they can exacerbate bronchoconstriction and worsen symptoms.
C.   Inhaled steroids are used for long-term control of asthma symptoms and prevention of exacerbations but are not typically used as first-line treatment for acute severe wheezing.
D.   Anti-inflammatory agents such as corticosteroids are also used for long-term control of asthma and reducing airway inflammation but are not the first choice for immediate relief of severe wheezing.

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Correct Answer is D

Explanation

A. A warm extremity is not typically associated with compartment syndrome. Compartment syndrome may present with coolness due to compromised circulation.

B. Moderate pain on the ankle may be present in compartment syndrome due to increased pressure within the compartment, but it is not a specific manifestation.
C. Blanch time of 2 seconds in the toenail beds indicates normal capillary refill, which is not consistent with compartment syndrome. In compartment syndrome, capillary refill may be delayed.
D. Palpation of a weak or absent dorsalis pedis pulse is a concerning finding indicative of compromised circulation, a hallmark sign of compartment syndrome.

A. Name and medical record number B. Birth date and mother's name C. Age and diagnosis D. Footprints and identification number

Correct Answer is A

Explanation

- Rationale for A: The name and medical record number are unique identifiers that are used to accurately match a newborn with their medical records and ensure that the correct medication is administered. This method of identification minimizes the risk of medical errors, which is crucial in a hospital setting where multiple newborns may be present.

- Rationale for B: While the birth date and mother's name are important, they may not be as effective for identification because multiple newborns could share a birth date, and there could be more than one mother with the same name in the maternity ward.

- Rationale for C: Age and diagnosis are not specific enough for the identification of a newborn when administering medication. Age is not a distinguishing factor in a neonatal unit, and the diagnosis could apply to multiple infants.

- Rationale for D: Footprints and identification number can be used as secondary identifiers. However, footprints may change rapidly as the newborn grows, and the identification number should be cross-referenced with the name and medical record number for accurate identification.

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A nurse is collecting data from a client who has asthma. Which of the following prescribed medications should the nurse administer first for severe wheezing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data on a client who has swelling of the lower leg. The nurse should identify that which of the following findings is a manifestation of compartment syndrome?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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