client with COPD has an acute bronchospasm. The nurse knows the best medication for this emergency situation that is fast-acting is:
Dexamethasone (Decadron)
Zafirlukast (Accolate)
Oxtriphylline theophylline (Choledyl)
Epinephrine (Adrenalin)
The Correct Answer is D
Choice A reason: Dexamethasone, a steroid, acts slowly, not fast for emergencies. Epinephrine relieves bronchospasm rapidly. This choice errors per nursing standards. It’s universally distinct as unsuitable for acute COPD bronchospasm relief.
Choice B reason: Zafirlukast prevents asthma, not acute bronchospasm; it’s slow-acting. Epinephrine works instantly. This choice misaligns with nursing pharmacology. It’s universally distinct, lacking emergency speed required.
Choice C reason: Oxtriphylline, a bronchodilator, is gradual, not fast-acting. Epinephrine suits emergencies better. This choice errors per nursing standards. It’s universally distinct, ineffective for acute bronchospasm relief.
Choice D reason: Epinephrine dilates bronchi fast, ideal for acute bronchospasm in COPD. It aligns with nursing pharmacology standards. This is universally applied, distinctly effective in emergency respiratory situations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Reading diluent instructions ensures proper reconstitution; it’s required. Discarding multidose isn’t, per nursing pharmacology. This is universally distinct, a necessary step.
Choice B reason: Refrigeration maintains stability post-reconstitution; it’s standard practice. Throwing multidose vials isn’t, per nursing standards. This holds universally, distinctly for storage.
Choice C reason: Multidose vials are reusable if sterile; discarding after one dose is wrong. This is the exception, per nursing pharmacology. It’s universally distinct, errors in use.
Choice D reason: Wiping with alcohol ensures sterility before needle entry; it’s essential. Discarding multidose isn’t, per nursing standards. This is universally distinct, a safety step.
Correct Answer is D
Explanation
Choice A reason: Expectorants loosen mucus; antitussives suppress cough, not promote it. This reverses, per nursing pharmacology. It’s universally distinct, errors in cough management.
Choice B reason: Mast cell stabilizers prevent asthma; antitussives stop coughing directly. This misidentifies, per nursing standards. It’s universally distinct, unrelated to cough suppression.
Choice C reason: Mucolytics thin mucus; antitussives suppress cough, not thin secretions. This errors, per nursing pharmacology. It’s universally distinct, missing the suppression focus.
Choice D reason: Antitussives, like dextromethorphan, suppress coughing effectively in pulmonary care. This matches, per nursing standards. It’s universally applied, distinctly targeting cough relief.
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