A client prescribed albuterol sulfate by inhalation is unable to cough up secretions. What actions should the nurse teach the client to help clear bronchial secretions effectively?

Administer an extra dose of albuterol at bedtime

Use a dehumidifier while at home

Increase the amount of fluids consumed

Increase their daily exercise

Answer and Explanation

The Correct Answer is C

Choice A reason: Administering an extra dose of albuterol at bedtime is not appropriate. The correct approach is to manage bronchial secretions through other means, such as hydration.

Choice B reason: Using a dehumidifier is not recommended for clients with respiratory issues. A humidifier, not a dehumidifier, helps keep the air moist and can help with secretions.

Choice C reason: Increasing the amount of fluids consumed helps to thin bronchial secretions, making them easier to cough up. Hydration is an effective method to manage secretions and improve respiratory function.

Choice D reason: Increasing daily exercise can be beneficial for overall health but is not the primary method to clear bronchial secretions. Hydration is more directly effective in this situation.

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Correct Answer is A

Explanation

Choice A reason: Administering an antipyretic to reduce the fever and notifying the primary health care provider are the priority actions. A rapid rise in temperature in a client with multiple myeloma receiving chemotherapy could indicate a serious infection, which requires prompt medical attention.

Choice B reason: Assessing the color and content of the urine specimen for urinalysis is important but is not the immediate priority. The rapid rise in temperature is a more urgent concern.

Choice C reason: Noting the consistency of respiratory secretions and obtaining a specimen for culture is important but not the immediate priority. The primary concern is addressing the fever and notifying the healthcare provider.

Choice D reason: Comparing prior vital signs and continuing to monitor every hour is necessary but not the immediate priority. Immediate action is required to address the fever and potential infection.

A. Sodium bicarbonate B. Atropine C. Magnesium D. Amiodarone

Correct Answer is B

Explanation

Choice A reason: Sodium bicarbonate is used to treat metabolic acidosis and is not indicated for symptomatic bradycardia.

Choice B reason: Atropine is the first-line medication for symptomatic bradycardia. It works by blocking the vagus nerve's effects on the heart, increasing heart rate. It is commonly used in emergency settings to manage bradycardia until a more definitive treatment, such as pacemaker insertion, can be provided.

Choice C reason: Magnesium is typically used to treat torsades de pointes, a specific type of ventricular tachycardia, and is not indicated for symptomatic bradycardia.

Choice D reason: Amiodarone is an antiarrhythmic medication used to manage various types of arrhythmias, including ventricular tachycardia and fibrillation, but it is not indicated for symptomatic bradycardia.

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A client prescribed albuterol sulfate by inhalation is unable to cough up secretions. What actions should the nurse teach the client to help clear bronchial secretions effectively?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with multiple myeloma receiving chemotherapy has a temperature of 102.2 degrees Fahrenheit. The temperature was 99.2 degrees Fahrenheit six hours ago. The PRIORITY nursing intervention is to:

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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