A 25-year-old patient with a history of asthma presents to the emergency department with severe shortness of breath, wheezing, and accessory muscle use. Despite initial treatment with albuterol and oxygen, the patient's condition has not improved. Which of the following is the most appropriate next step in the management of this patient's asthma exacerbation?

Initiate broad-spectrum antibiotics

Increase the frequency of albuterol nebulizations

Administer intravenous magnesium sulfate

Administer subcutaneous epinephrine

Answer and Explanation

The Correct Answer is C

A.   Antibiotics are not indicated in the treatment of an asthma exacerbation unless there is a confirmed bacterial infection, which is not suggested here.

B.   Increasing the frequency of albuterol nebulizations may be appropriate, but more aggressive interventions are required, as the patient has not improved with initial treatment.
C.   Intravenous magnesium sulfate is often used in severe asthma exacerbations to help relax the muscles around the airways, making it a more appropriate next step for this patient.
D.   Subcutaneous epinephrine can be used for anaphylaxis but is not the first-line treatment for asthma exacerbations.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

A. Barrett's esophagus is a complication of GERD and is associated with an increased risk of esophageal cancer. It is essential for the patient to follow up with a GI specialist for surveillance.
B. Pancreatic cancer is not directly related to GERD, so the nurse should not suggest watching for symptoms of this condition.
C. Diabetes risk is not directly increased by GERD. Therefore, follow-up with an endocrinologist is unnecessary unless the patient has other risk factors for diabetes.
D. Liver issues are not typically associated with GERD, so monitoring for liver problems would not be a primary concern in this case.

A. Persistence of manifestations B. No hypersensitivity to allergens C. Positive response to corticosteroids D. Asthma flare-ups during exercise E. Nasal inflammation F. Asthma flare-ups with NSAID administration

Correct Answer is ["B","D","F"]

Explanation

A. Nonallergic asthma typically persists throughout the year, not just during certain seasons or in response to allergens.
B. Nonallergic asthma occurs in the absence of hypersensitivity to allergens, so the patient will not exhibit typical allergic reactions.
C. Corticosteroids are often effective in managing both allergic and nonallergic asthma, so a positive response to corticosteroids is common.
D. Exercise-induced asthma flare-ups are common in nonallergic asthma, especially with physical activity.
E. Nasal inflammation is more common with allergic asthma than nonallergic asthma.
F. NSAIDs can trigger asthma flare-ups in some people with nonallergic asthma due to the effect on prostaglandins and inflammatory mediators.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has long-term symptoms of GERD (gastroesophageal reflux disease). Which of the following statements should the nurse include in the educational materials?

Correct Answer is A

Explanation

Which of the following common characteristics of nonallergic asthma can the nurse expect to find when assessing an adult client? (Select all that apply.)

Correct Answer is ["B","D","F"]

Explanation

A nurse is caring for a client in the primary care office who states, "I think I have been experiencing symptoms of reflux." Which of the following manifestations should the nurse anticipate for a client who has GERD?

A 30-year-old female patient presents with symptoms of dysuria, urgency, and frequency. A urinalysis is performed. Which of the following findings would most likely confirm a diagnosis of a urinary tract infection (UTI)?

A nurse is reviewing the potential complications associated with peptic ulcer disease (PUD). Which of the following conditions should the nurse recognize as possible complications of PUD? (Select All that Apply.)

A nurse is educating a patient diagnosed with carpal tunnel syndrome about non-surgical management options. Which of the following interventions are appropriate to include in the patient's care plan? (Select All that Apply.)

A 68-year-old male patient is presenting with urinary incontinence. Which characteristics are commonly associated with overflow incontinence and functional incontinence? (Select All that Apply.)

A patient with chronic obstructive pulmonary disease (COPD) is receiving oxygen therapy at 2 L/min via nasal cannula. After assessing the patient, the nurse notes increased drowsiness and a decreased respiratory rate. What is the most appropriate action for the nurse to take?

A 45-year-old patient presents with epigastric pain, nausea, and bloating. The physician suspects gastritis. Which diagnostic test would be most appropriate to confirm the presence of Helicobacter pylori infection as a cause of gastritis?

A 60-year-old patient with a history of hypertension presents to the clinic for a routine check-up. Which of the following findings would indicate poor management of hypertension? (Select All that Apply.)