A nurse is explaining to a client with asthma what her new prescription for prednisone, a systemic corticosterioid, is used for in the treatment of asthma. What would be the most accurate explanation that the nurse could give?
To ensure long-term prevention of asthma exacerbations
To gain control of inadequately controlled, persistent asthma
To cure any systemic infection underlying asthma attacks
To prevent recurrent pulmonary infections
The Correct Answer is B
A. To ensure long-term prevention of asthma exacerbations:
This statement is not accurate. Prednisone is typically not used for long-term prevention of asthma exacerbations. It is more commonly prescribed for short-term use during acute exacerbations to quickly reduce inflammation and improve symptoms.
B. To gain control of inadequately controlled, persistent asthma:
This is the most accurate explanation. Prednisone is often prescribed to gain control over inadequately controlled, persistent asthma by providing anti-inflammatory effects and helping to manage symptoms during acute episodes.
C. To cure any systemic infection underlying asthma attacks:
Prednisone is not used to cure infections. While it can have anti-inflammatory and immunosuppressive effects, its primary role in asthma is to reduce airway inflammation and control symptoms, not to treat underlying infections.
D. To prevent recurrent pulmonary infections:
Prednisone is not typically prescribed for the prevention of infections. Its use in asthma is more focused on managing inflammation and symptoms during acute exacerbations rather than preventing infections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Did you have rheumatic fever as a child?"
Rheumatic fever is an inflammatory condition that can affect the heart, especially the heart valves. Rheumatic fever is a known risk factor for the development of valvular heart disease. Asking about a history of rheumatic fever helps identify a potential cause for valve malfunction.
B. "Do you have a family history of valve problems?"
Family history can be relevant in understanding genetic predispositions to certain cardiac conditions. While it may contribute to the overall assessment of cardiac risk, it may not be as directly linked to valve malfunction as a history of rheumatic fever.
C. "Do you have a history of MRSA?"
MRSA (Methicillin-resistant Staphylococcus aureus) is a type of bacterial infection and is not directly associated with valve malfunction. This question may be relevant for other aspects of the client's health but is not specific to ruling out cardiac issues related to valve malfunction.
D. "What over-the-counter medications do you take?"
While knowing the medications a client takes is important for a comprehensive assessment, asking about over-the-counter medications may not be as directly related to ruling out cardiac issues related to valve malfunction. It is more relevant for assessing potential interactions or effects on cardiovascular health.
Correct Answer is B
Explanation
A. The development of chronic obstructive pulmonary disease (COPD)
Explanation: The signs and symptoms described, including crackles, orthopnea, S3 heart sound, cough with pink, frothy sputum, and low pulse oximetry, are more indicative of heart failure than COPD.
B. The development of left-sided heart failure
Explanation: This is the correct answer. The signs and symptoms, such as crackles, orthopnea, and cough with pink, frothy sputum, are characteristic of left-sided heart failure. The S3 heart sound is often associated with increased ventricular filling pressures.
C. The development of right-sided heart failure
Explanation: The presented signs and symptoms are more consistent with left-sided heart failure. Right-sided heart failure is often associated with peripheral edema, hepatomegaly, and jugular venous distension.
D. The development of cor pulmonale
Explanation: Cor pulmonale is typically associated with right-sided heart failure due to chronic lung disease. The signs and symptoms described are more indicative of left-sided heart failure.
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