A patient with a history of asthma is admitted to the emergency department with severe wheezing, shortness of breath, and retractions. After initial administration of albuterol via nebulizer, the patient's symptoms persist. What is the next best course of action for managing this patient's asthma exacerbation?

Initiate intravenous corticosteroids

Provide supplemental oxygen and reassess in 30 minutes.

Administer a second dose of albuterol immediately.

Administer an oral antihistamine to reduce airway inflammation.

Answer and Explanation

The Correct Answer is A

A.   Intravenous corticosteroids are the next appropriate step to reduce inflammation in the airways and improve symptoms of asthma exacerbation.
B.   Providing supplemental oxygen and reassessing in 30 minutes might be necessary, but corticosteroids are the priority in this case to address the underlying inflammation.
C.   A second dose of albuterol may be considered, but corticosteroids should be administered as soon as possible to treat the inflammation in the airways.
D.   An oral antihistamine is not indicated for asthma exacerbations, as it does not target the underlying inflammation in the airways.

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Correct Answer is C

Explanation

A. Ecchymosis on the abdomen or pelvic areas is not typically a sign of peptic ulcer complications, but signs of bleeding such as melena or hematemesis are.
B. Weight gain is not a common indicator of peptic ulcer issues, so it would not be a focus in this case.
C. Dark or black-colored stools are a sign of gastrointestinal bleeding, which can be a complication of a peptic ulcer and should be closely monitored.
D. Changes in urine color (maroon or red) may indicate other types of bleeding, such as from the kidneys or urinary tract, not specifically from peptic ulcers.

A. Position the patient supine during feeding to enhance comfort. B. Monitor gastric residual volumes regularly. C. Administer all feedings rapidly to decrease procedure time. D. Use sterile gloves when handling the feeding tube. E. Flush the tube with water before and after medication administration. F. Elevate the head of the bed to at least 30 degrees during feeding. G. Verify tube placement before starting the feeding.

Correct Answer is ["B","E","F","G"]

Explanation

A. Positioning the patient supine can increase the risk of aspiration and should be avoided during feeding. The head of the bed should be elevated instead.
B. Monitoring gastric residual volumes is important to assess the tolerance of the feeding and prevent aspiration.
C. Feedings should be given slowly to avoid complications like gastric distention, not rapidly.
D. Using sterile gloves when handling a feeding tube is not necessary unless there is a risk for infection, but clean gloves are generally adequate.
E. Flushing the tube with water before and after medication administration helps to maintain patency and prevent clogging.
F. The head of the bed should be elevated at least 30 degrees during feeding to reduce the risk of aspiration.
G. Verifying tube placement before starting the feeding ensures that the feeding is going into the stomach and not the lungs.

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Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions to a client who has a peptic ulcer. Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is caring for a patient receiving enteral nutrition through a nasogastric tube. Which interventions should the nurse implement to ensure safe and effective enteral feeding? (Select All that Apply.)

Correct Answer is ["B","E","F","G"]

Explanation

A nurse is caring for a client with manifestations of status asthmaticus. Which of the following factors play a role in creating circulatory surge of inflammatory cells and cytokines in this condition? (Select all that apply.)

A 55-year-old patient with rheumatoid arthritis is being evaluated for disease progression. Which of the following laboratory findings is most indicative of increased disease activity?

A nurse is educating a patient diagnosed with carpal tunnel syndrome about non-surgical management options. Which of the following interventions are appropriate to include in the patient's care plan? (Select All that Apply.)

A patient with Type 1 Diabetes Mellitus is admitted to the emergency department with deep, rapid breathing, abdominal pain, and confusion. Which of the following laboratory findings would most likely confirm a diagnosis of diabetic ketoacidosis (DKA)?

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A nurse is educating a client about the risk factors for GERD (gastroesophageal reflux disease). Which of the following statements should the nurse include?

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