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: Lasix increases sodium and water excretion, a true diuretic effect. Potassium-sparing is false, per nursing pharmacology. This holds universally, distinctly accurate.
Choice B reason: Lasix depletes potassium, causing hypokalemia; this is true. Potassium-sparing isn’t, per nursing standards. It’s universally recognized, distinctly a known risk.
Choice C reason: Lasix isn’t potassium-sparing; it’s a loop diuretic that loses potassium. This is the exception, per nursing pharmacology. It’s universally distinct, errors in classification.
Choice D reason: Slow position changes prevent Lasix-induced hypotension; this is true. Potassium-sparing is wrong, per nursing standards. It’s universally distinct, a safety measure.
Correct Answer is A
Explanation
Choice A reason: Hypnotics, like Ambien, induce sleep, matching Seconal’s primary action. This aligns with nursing pharmacology standards for sleep-producing drugs. It’s universally recognized, distinctly applied to facilitate rest effectively in practice.
Choice B reason: Anticoagulants prevent clotting, not induce sleep like hypnotics do. This misidentifies Seconal’s purpose, per nursing standards. It’s a universal error, distinctly unrelated to sleep production in pharmacology.
Choice C reason: Sedatives calm but don’t always induce sleep; hypnotics specifically do. This lacks precision, per nursing pharmacology. It’s universally distinct, missing the sleep focus of Seconal and Ambien.
Choice D reason: Psychotropics affect mood broadly, not just sleep like hypnotics. This errors in specificity, per nursing standards. It’s universally distinct, misaligning with the sleep-inducing role of these drugs.
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