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","B","D"]

Explanation

Choice A reason: Placing defibrillator pads and preparing for defibrillation is typically not indicated for supraventricular tachycardia (SVT) unless the patient is unresponsive or pulseless, which requires immediate emergency intervention. SVT is usually managed with vagal maneuvers or medications.

Choice B reason: Cardizem (diltiazem) is not administered subcutaneously. It is usually given orally or intravenously for the treatment of arrhythmias. Requesting clarification on this order is necessary to ensure the correct administration route.

Choice C reason: Preparing for synchronized cardioversion is an appropriate order for the treatment of unstable SVT if medications are ineffective. This procedure involves delivering a timed electrical shock to restore normal heart rhythm.

Choice D reason: Adenosine is not administered orally. It is typically given as a rapid intravenous push to treat SVT. Preparing adenosine for oral administration is incorrect and requires clarification to ensure the patient's safety and effective treatment.

Choice E reason: Preparing for adenosine IV is appropriate as it is the correct route of administration for treating SVT.

A. Cullen's sign B. Bradykinesia C. Pill rolling D. Unilateral tremors E. Swan neck deformity

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

Explanation

Choice A reason: Cullen's sign is a physical finding of bruising around the umbilicus, often associated with intra-abdominal bleeding or pancreatitis. It is not related to Parkinson's disease.

Choice B reason: Bradykinesia, or slowed movement, is a hallmark symptom of Parkinson's disease. It affects the ability to initiate and control movements.

Choice C reason: Pill rolling is a characteristic hand tremor seen in Parkinson's disease. It involves a rhythmic movement of the fingers as if rolling a small object between them.

Choice D reason: Unilateral tremors, or tremors occurring on one side of the body, are often one of the early signs of Parkinson's disease. The tremors typically start on one side and may progress to affect both sides.

Choice E reason: Swan neck deformity is a feature of rheumatoid arthritis, involving deformity of the fingers. It is not associated with Parkinson's disease.

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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

The nurse identifies the client exhibiting supraventricular tachycardia and calls the provider. Several orders are given. For which of the following orders would the nurse request further clarification? (Select all that apply)

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

Explanation

The client's family complains of several gradually presenting signs and symptoms. The nurse suspects Parkinson's disease based on what signs and symptoms? (Select all that apply)

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

Explanation

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