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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Free Nursing Study Resources

Correct Answer is C

Explanation

C. Sublingual nitroglycerin is rapidly absorbed through the mucous membranes under the tongue, and its effects are usually felt within 1 to 5 minutes. Patients should experience relief from angina symptoms shortly after administration.
A. While sublingual nitroglycerin can be taken every 5 minutes for a maximum of three doses for acute angina attacks, it should not be taken every 10 minutes. Taking it too frequently can lead to excessive vasodilation and potentially harmful side effects.
B. Nitroglycerin primarily dilates blood vessels rather than affecting heart rate. While it may cause a transient decrease in blood pressure, it does not typically slow heart rate.
D. Sublingual nitroglycerin should be taken on an empty stomach for optimal absorption. Food can delay absorption and decrease the effectiveness of the medication.

A. Lithium carbonate B. Albuterol C. Levothyroxine D. Cetirizine

Correct Answer is A

Explanation

A. Furosemide can decrease the renal clearance of lithium, leading to increased lithium levels in the blood. This can potentiate the toxic effects of lithium, such as neurotoxicity and cardiac toxicity. Therefore, concurrent use of furosemide and lithium is generally contraindicated, and caution is advised. The nurse should identify lithium carbonate as contraindicated in this scenario.
B. Albuterol is a bronchodilator commonly used to treat respiratory conditions such as asthma and chronic obstructive pulmonary disease (COPD). There are no significant contraindications between albuterol and furosemide.
C. Levothyroxine is a synthetic thyroid hormone used to treat hypothyroidism. There are no significant contraindications between levothyroxine and furosemide.
D. Cetirizine is an antihistamine used to treat allergies and allergic reactions. There are no significant contraindications between cetirizine and furosemide. They are generally considered safe to use together.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing discharge teaching about sublingual nitroglycerin with a client who has angina. Which of the following statements indicates an understanding of the instructions?

Correct Answer is C

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?

Correct Answer is A

Explanation

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 monitoring a client who is receiving a transfusion of packed RBCs. The nurse should identify which of the following findings as an indication of a febrile nonhemolytic reaction?

A nurse is reinforcing teaching with a client who has a new prescription for nitroglycerin transdermal patches to treat angina. The nurse should inform the client that which of the following manifestations is an adverse effect of the 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?

A nurse in a mental health facility is collecting data from a client who is taking lithium. Which of the following findings should the nurse report to the provider as an indication of lithium toxicity?