When a patient with asthma who is on a budesonide hand-held inhaler reports difficulty, what should the nurse do?
Anticipate obtaining a throat swab for rapid streptococcus testing
Offer reassurance that the symptoms are common with budesonide use
Suggest that the patient stop using the spray until the symptoms are resolved
Teach the patient to gargle with water after using the budesonide
The Correct Answer is D
Choice A reason: Anticipating obtaining a throat swab for rapid streptococcus testing is not immediately related to the use of a budesonide inhaler. This test is typically done when there is a suspicion of a streptococcal infection, not specifically for managing asthma medication side effects.
Choice B reason: Offering reassurance that the symptoms are common with budesonide use may not fully address the patient’s concern or prevent potential complications. It is more effective to provide actionable advice that can help manage the symptoms.
Choice C reason: Suggesting that the patient stop using the spray until the symptoms are resolved could potentially worsen asthma control. Budesonide is an important medication for managing asthma, and discontinuing it without alternative treatment may lead to exacerbation of symptoms.
Choice D reason: Teaching the patient to gargle with water after using the budesonide inhaler is the most appropriate action. This practice helps to reduce the risk of developing oral thrush, a common side effect of inhaled corticosteroids like budesonide. Gargling with water removes any residual medication in the mouth, thereby minimizing the risk of infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Liver cirrhosis is characterized by chronic liver damage leading to scarring and liver failure. The typical lab findings for liver cirrhosis would include elevated liver enzymes (ALT, AST), bilirubin, and low albumin levels, which are not mentioned in the given test results.
Choice B reason: Acute hepatitis refers to the inflammation of the liver, usually caused by viral infections or toxins. Lab results consistent with acute hepatitis would show elevated liver enzymes (ALT, AST) significantly higher than normal, which are not provided in the text.
Choice C reason: Cholecystitis is the inflammation of the gallbladder, often due to gallstones. Lab findings for cholecystitis may include elevated white blood cell count and sometimes mild elevation of liver enzymes, but not the specific elevated levels of serum amylase and lipase.
Choice D reason: Acute pancreatitis is an inflammation of the pancreas, and the hallmark lab findings include significantly elevated serum amylase and lipase levels. The test results show serum amylase of 920 units/L (reference: 30-220 units/L) and serum lipase of 704 units/L (reference: 0-160 units/L), which are highly indicative of acute pancreatitis. Elevated serum glucose and low serum calcium levels are also consistent with this diagnosis.
Correct Answer is ["C","D"]
Explanation
Choice A reason: Placing the patient in restraints for safety is not typically necessary unless the patient is agitated or a danger to themselves or others. This action is not directly addressing the acute condition of a stroke.
Choice B reason: Inserting an NGT (nasogastric tube) is not an immediate priority in the acute management of a stroke. This might be considered later if the patient has swallowing difficulties and needs nutritional support, but it is not a first-line intervention.
Choice C reason: Anticipating thrombolytic therapy for ischemic stroke is appropriate, as timely administration of thrombolytics can dissolve the clot and improve blood flow to the affected brain area, potentially reducing the severity of the stroke.
Choice D reason: Establishing IV access with normal saline is crucial for administering medications and maintaining hydration. It ensures that the patient can receive necessary interventions promptly.
Choice E reason: Placing the patient in the prone position is not appropriate in the management of an acute stroke. The prone position is generally used in respiratory conditions to improve oxygenation but is not relevant to stroke management.
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