A 5 year old child with asthma is ordered Albuterol. The nurse knows that the primary action of Albuterol is to:
decrease inflammation in the bronchioles to open up the airway
relax bronchial smooth muscles to decrease bronchospasm
slow the respiratory rate to improve oxygenation
decrease mucus production in the bronchioles to improve aeration
The Correct Answer is B
A. Decrease inflammation in the bronchioles to open up the airway:
This is more characteristic of corticosteroids, which are anti-inflammatory medications. Albuterol primarily acts as a bronchodilator, not an anti-inflammatory.
B. Relax bronchial smooth muscles to decrease bronchospasm:
This is the correct answer. Albuterol is a beta-2 adrenergic agonist that acts on bronchial smooth muscles, causing them to relax and reducing bronchospasm.
C. Slow the respiratory rate to improve oxygenation:
Albuterol is not typically associated with slowing the respiratory rate. Instead, it works by dilating the airways.
D. Decrease mucus production in the bronchioles to improve aeration:
Albuterol primarily addresses bronchospasm, and while it may indirectly help with mucus clearance, reducing mucus production is not its primary action.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Decrease inflammation in the bronchioles to open up the airway:
This is more characteristic of corticosteroids, which are anti-inflammatory medications. Albuterol primarily acts as a bronchodilator, not an anti-inflammatory.
B. Relax bronchial smooth muscles to decrease bronchospasm:
This is the correct answer. Albuterol is a beta-2 adrenergic agonist that acts on bronchial smooth muscles, causing them to relax and reducing bronchospasm.
C. Slow the respiratory rate to improve oxygenation:
Albuterol is not typically associated with slowing the respiratory rate. Instead, it works by dilating the airways.
D. Decrease mucus production in the bronchioles to improve aeration:
Albuterol primarily addresses bronchospasm, and while it may indirectly help with mucus clearance, reducing mucus production is not its primary action.
Correct Answer is C
Explanation
A. Show them that the bleeding has stopped.
While showing that the bleeding has stopped is informative, it might not address the child's emotional response or desire for comfort. Applying a band-aid can provide a tangible and comforting solution.
B. Ask why they want a band-aid.
While understanding the child's reasons is important, in this situation, a direct question might not be necessary. The child's request for a band-aid is likely a common response to the perception of an injury or discomfort.
C. Apply a band-aid.
This is the most appropriate intervention in this situation. Applying a band-aid responds to the child's request, provides a tangible form of comfort, and can make the overall experience more positive.
D. Explain that a band-aid is not needed.
While it's true that a band-aid may not be medically necessary, providing one is a simple and kind gesture that can help ease the child's anxiety and contribute to a positive experience.
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