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Antitussives are useful in blocking the cough reflex and preserving the energy associated with prolonged, nonproductive coughing. Antitussives are best used with

A.

postoperative patients.

B.

asthma patients.

C.

patients with a dry, irritating cough.

D.

COPD patients who tire easily.

Answer and Explanation

The Correct Answer is C

A) Postoperative patients:
Antitussives may be used postoperatively to alleviate coughing, but they are not necessarily best used in this population. Postoperative patients may have different needs based on their surgical procedure and overall health status.

B) Asthma patients:
Antitussives are generally not recommended for asthma patients because they can suppress the cough reflex, which may be important for clearing mucus and irritants from the airways. Asthma patients often have productive coughs associated with bronchial inflammation and excess mucus production.

C) Patients with a dry, irritating cough:
Antitussives are most effective for patients with a dry, irritating cough, as they help suppress the cough reflex and provide relief from coughing without producing sputum.

D) COPD patients who tire easily:
While antitussives may provide symptomatic relief for some COPD patients with a dry, nonproductive cough, they are not necessarily best used in this population. COPD patients may have varied responses to antitussive therapy, and treatment decisions should be individualized based on their overall condition and symptoms."
 


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Related Questions

Correct Answer is A

Explanation

This is the correct response. ACE inhibitors are known to cause a persistent, dry, and irritating cough in some individuals. This adverse effect occurs due to the accumulation of bradykinin and other substances in the lungs, leading to increased sensitivity of the cough reflex. The cough typically resolves upon discontinuation of the ACE inhibitor.

B) Respiratory depression:
Respiratory depression is not a common side effect of ACE inhibitors. ACE inhibitors do not directly affect respiratory drive or function in the central nervous system. Therefore, this option is incorrect.

C) Spontaneous pneumothorax:
Spontaneous pneumothorax is not a typical adverse effect associated with ACE inhibitor use. ACE inhibitors do not directly cause the development of pneumothorax, which is characterized by the presence of air in the pleural space. Therefore, this option is incorrect.

D) Pneumonia:
While ACE inhibitors can increase the risk of respiratory infections due to their effect on the immune system, pneumonia is not a specific adverse effect associated with ACE inhibitor use. Pneumonia is typically caused by infectious agents such as bacteria, viruses, or fungi, rather than being a direct effect of ACE inhibitors. Therefore, this option is incorrect.”

Correct Answer is ["43.1"]

Explanation

Here's how we can find the dose:

Convert client weight to kilograms (kg):

We know 1 kg = 2.205 pounds.

Client weight (kg) = 95 lbs / 2.205 lb/kg = 43.1 kg (round to one decimal place for accuracy in calculation).

Calculate the enoxaparin dosage per dose:

Prescribed dosage: 1 mg/kg/dose

Client weight (kg): 43.1 kg (rounded value from step 1)

Enoxaparin dose per dose (mg) = Dosage (mg/kg/dose) x Client weight (kg)

Enoxaparin dose per dose (mg) = 1 mg/kg/dose * 43.1 kg = 43.1 mg (round to nearest tenth as requested)

Therefore, the nurse should administer approximately 43.1 mg of enoxaparin per dose.

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