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."
Take your albuterol when you are having difficulty breathing."
Take the salmeterol 2 times each day."
Rinse out your mouth after taking the fluticasone
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
A. Headache is a common side effect of nitroglycerin, and if it becomes severe or persistent, the client should remove the patch and seek medical advice.
B. Nitroglycerin can cause dizziness or lightheadedness, especially when changing positions. If the client experiences dizziness, lying down with feet elevated can help alleviate symptoms and prevent falls.
C. Nitroglycerin patches typically take about 30 to 45 minutes to begin working after application. This information helps the client understand the expected onset of action of the medication.
D. Nitroglycerin patches should be applied to a clean, hairless area of the skin, usually on the chest or upper arm, to ensure optimal absorption of the medication.
E. Nitroglycerin patches are typically worn for 12 to 14 hours at a time and then removed for a nitrate- free period to prevent tolerance. Following this schedule helps maintain the effectiveness of the medication.
F. To prevent skin irritation or tolerance to the medication, it is recommended to rotate the application site of the nitroglycerin patch with each new patch. This helps ensure consistent absorption and effectiveness of the medication.
Correct Answer is ["2.3"]
Explanation
1 lb = 0.453592 kg (conversion factor)
Weight in kilograms = 152 lb × 0.453592 kg/lb ≈ 68.946 kg
Calculate the total dosage based on the client's weight:
Total dosage = 5 mg/kg × 68.946 kg
≈ 344.73mg
Determine the volume of enoxaparin solution needed based on the concentration provided: Available concentration: 120 mg/0.8 mL
Dosage required: 344.73mg Using the formula:
Volume (mL) = Dosage required (mg) / Concentration (mg/mL)
= 344.73mg / 120 mg/0.8 mL
= 2.3ml
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