A nurse is teaching an adolescent about the appropriate use of his asthma medications. Which of the following medications should the nurse instruct the client to use as needed before exercise?

Albuterol

Prednisone

Montelukast

Fluticasone/salmeterol

Answer and Explanation

The Correct Answer is A

Choice A reason: Albuterol is a short-acting beta-2 agonist that is used as a quick-relief medication to prevent exercise-induced bronchoconstriction.

Choice B reason: Prednisone is a corticosteroid used for long-term control, not for immediate relief before exercise.

Choice C reason: Montelukast is a leukotriene receptor antagonist used for long-term control and prevention, not typically for immediate pre-exercise use.

Choice D reason: Fluticasone/salmeterol is a combination of a corticosteroid and a long-acting beta-2 agonist, used for long-term control, not for quick relief before exercise.

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Correct Answer is ["A","B","C","E"]

Explanation

Choice A reason: Applying lidocaine and prilocaine cream can help numb the area, reducing pain and discomfort during catheter insertion, which aligns with atraumatic care principles.

Choice B reason: Explaining procedures using familiar objects can help reduce anxiety and fear in children, making the experience less traumatic⁷.

Choice C reason: Allowing the child to make choices can provide a sense of control, which is important for reducing stress during medical procedures⁷.

Choice D reason: Asking parents to leave is not recommended as their presence can be comforting to the child and is part of atraumatic care.

Choice E reason: Performing the procedure in a familiar environment, such as the child's bed, can help minimize stress and fear.

A. Wait 30 seconds between puffs. B. Shake the device prior to use. C. Exhale quickly after medication administration. D. Rinse and expectorate after administration. E. Inhale slowly after medication administration.

Correct Answer is ["B","D","E"]

Explanation

Choice A reason: Waiting 30 seconds between puffs allows the medication to settle and ensures the second puff is as effective as the first.

Choice B reason: Shaking the device before use helps to mix the medication properly, ensuring a consistent dose with each inhalation.

Choice C reason: Exhaling quickly after inhalation is not recommended; instead, the patient should hold their breath for a few seconds to allow the medication to reach deep into the lungs.

Choice D reason: Rinsing the mouth and expectorating after administration prevents oral thrush, a common side effect of inhaled corticosteroids.

Choice E reason: Inhaling slowly ensures that the medication is delivered deeply into the lungs for maximum efficacy.

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A nurse is teaching an adolescent about the appropriate use of his asthma medications. Which of the following medications should the nurse instruct the client to use as needed before exercise?

Nursing Test Bank

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