Exhibits

Click to highlight the instructions the nurse should reinforce to the client. Prescribed

Medication Albuterol

Nursing Instructions

"Take your albuterol when you are having difficulty breathing."

"Hold your breath for 20 seconds when taking your albuterol."

Salmeterol

"Take the salmeterol 5 minutes before the albuterol when you need both medications."

“Take the salmeterol 2 times each day."

Fluticasone

"Rinse out your mouth after taking the fluticasone."

Take the fluticasone as needed for an asthma attack."

A.
Take your albuterol when you are having difficulty breathing.&quot

B.
Take the salmeterol 2 times each day.&quot

C.
Rinse out your mouth after taking the fluticasone

Answer and Explanation

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

Albuterol belongs to a class of medications known as beta-adrenergic agonists, specifically beta-2 selective agonists. When inhaled, albuterol binds to beta-2 adrenergic receptors located on the smooth muscle cells lining the airways in the lungs. Activation of these receptors leads to relaxation of the smooth muscles surrounding the bronchial tubes, causing them to widen (bronchodilation). By dilating the airways, albuterol helps to reduce airway resistance and increase airflow into and out of the lungs, making it easier to breathe during an asthma attack.

One should hold breath for 5 to 10 seconds after inhalation of the puff.

Salmeterol is a long-acting beta-adrenergic agonist (LABA) bronchodilator commonly used for the maintenance treatment of asthma and chronic obstructive pulmonary disease (COPD). Salmeterol is usually prescribed for twice-daily dosing.

One should wait for 2 minutes between two puffs.

Fluticasone is a corticosteroid medication that is inhaled into the lungs to reduce inflammation in the airways. If these particles remain in the mouth, they can increase the risk of developing oral thrush, which is a fungal infection caused by Candida albicans. Rinsing the mouth with water after using the inhaler helps to remove any residual medication particles, reducing the risk of oral thrush.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is B

Explanation

B. Weight gain can indicate that methimazole is effectively managing the thyroid imbalance. Methimazole is commonly used to treat hyperthyroidism by inhibiting the production of thyroid hormones. Weight gain may occur as a result of restoring thyroid hormone levels to normal, which can lead to a decrease in metabolism and an improvement in symptoms associated with hyperthyroidism, such as unintended weight loss.
A. Increased libido is not typically associated with the effectiveness of methimazole in treating thyroid imbalance. Thyroid dysfunction, whether hyperthyroidism or hypothyroidism, can affect libido, but improvement in libido would not specifically indicate the effectiveness of methimazole.
C. Decreased menstrual flow is not a typical indicator of the effectiveness of methimazole in treating thyroid imbalance. Thyroid dysfunction can affect menstrual cycles, with hyperthyroidism often associated with lighter or irregular menstrual periods. However, improvement in menstrual flow alone would not necessarily indicate the effectiveness of methimazole.
D. Clear breath sounds are not specific to the effectiveness of methimazole in treating thyroid imbalance. While methimazole can help manage symptoms of hyperthyroidism, such as palpitations and shortness of breath, clear breath sounds do not directly indicate thyroid function improvement.

A. Check the prescription in the client's medical record. B. Ask the client if she has any allergies. C. Ask the client what medication she took yesterday D. Check the client's MAR to see what the client received the day before.

Correct Answer is A

Explanation

A. Checking the prescription in the client's medical record can help confirm the correct medication and dosage prescribed by the healthcare provider. It allows the nurse to verify the intended medication and compare it with what was supplied by the pharmacy.
B. While asking the client about allergies is important for medication safety, it may not directly address the discrepancy between the listed medication (phenobarbital) and the supplied medication (pentobarbital). Allergies are relevant to ensuring the safety of the medication administration, but they may not provide immediate clarification of the discrepancy.
C. This action may provide some context about the client's medication history, but it does not directly address the discrepancy between the listed medication and the supplied medication. The focus should be on confirming the correct medication for administration according to the client's current prescription.
D. This action may provide information about the client's previous medication administration history, but it does not directly address the discrepancy between the listed medication and the supplied medication. The nurse's primary concern should be to verify the correct medication to be administered at the current time.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has been taking methimazole for 2 months for the treatment of a thyroid imbalance. Which of the following findings indicates that the medication is effective?

Correct Answer is B

Explanation

A nurse is preparing to administer 0800 medications to a client. The medication administration record (MAR) states "phenobarbital" and the medication the pharmacy supplied is pentobarbital. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is reviewing a list of current medications for a client who is starting therapy with furosemide. Which of the following medications should the nurse identify as being contraindicated?

A nurse is monitoring a client who received naloxone to counteract the effects of an opioid overdose. Which of the following findings should indicate to the nurse that the medication is effective?

A nurse is reinforcing teaching about the IPLEDGE program with a female client who has a new prescription for isotretinoin. The nurse should tell the client that which of the following is a requirement of the program?

A nurse is preparing to administer an insulin injection for a client. Which of the following actions should the nurse take?

A nurse is reinforcing teaching with the parents of a 13-month-old child following administration of the measles, mumps, and rubella (MMR) immunization. Which of the following statements by the nurse is appropriate?

A nurse is planning to administer a tuberculin skin test to a client who has had an exposure to tuberculosis. Which of the following actions should the nurse plan to take?

A nurse is reviewing the medical record of a client who has a new prescription for celecoxib to treat osteoarthritis. Which of the following should the nurse recognize as a contraindication for this medication?

A nurse is collecting data from a client who has been taking carbamazepine. Which of the following is an adverse effect of carbamazepine and should be reported to the provider?