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 D
Explanation
D. Chills are a hallmark sign of febrile nonhemolytic reactions. These reactions typically present with fever, chills, and occasionally rigors (shivering). They are caused by recipient antibodies reacting to donor leukocytes or cytokines present in the transfused blood components.
A. Dyspnea (difficulty breathing) is not typically associated with febrile nonhemolytic reactions. It is more commonly seen in acute hemolytic reactions or transfusion-related acute lung injury (TRALI).
B. Urticaria (hives) is more commonly associated with allergic transfusion reactions rather than febrile nonhemolytic reactions.
C. Vomiting is not a characteristic feature of febrile nonhemolytic reactions. It may occur in some cases of transfusion reactions, but it is not specific to febrile nonhemolytic reactions.
Correct Answer is B
Explanation
B. Disulfiram works by inhibiting the enzyme aldehyde dehydrogenase, which is involved in the metabolism of alcohol. When a person drinks alcohol while taking disulfiram, they experience unpleasant symptoms such as flushing, nausea, vomiting, headache, and palpitations. These aversive reactions are intended to deter the individual from consuming alcohol, thereby supporting abstinence.
A. Carbamazepine is an anticonvulsant medication used to treat seizures and mood disorders, but it is not typically used for aversion therapy in alcohol use disorder.
C. Atenolol is a beta-blocker medication used to treat hypertension and certain heart conditions. It is not indicated for aversion therapy in alcohol use disorder.
D. Lorazepam is a benzodiazepine medication used to treat anxiety and certain seizure disorders. It is not used for aversion therapy in alcohol use disorder.
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