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 B

Explanation

Choice A reason: Skipping a weight check post-dialysis is not recommended. Monitoring weight is crucial to assess fluid balance and effectiveness of dialysis.

Choice B reason: Warming the dialysate solution before instillation is important to prevent discomfort and cramping during the dialysis process. This ensures the solution is at body temperature.

Choice C reason: Packing the catheter exit site with gauze is not recommended. The site should be kept clean and dry, with proper sterile dressing.

Choice D reason: Avoiding foods high in potassium is more relevant for clients on hemodialysis rather than peritoneal dialysis. Clients on peritoneal dialysis have fewer dietary restrictions regarding potassium.

A. Verapamil B. Adenosine C. Nitroglycerin D. Atropine

Correct Answer is A

Explanation

Choice A reason: Verapamil is a calcium channel blocker used to manage rapid atrial fibrillation. It works by slowing down the conduction of electrical impulses in the heart, helping to control the heart rate.

Choice B reason: Adenosine is used to treat supraventricular tachycardia (SVT) but is not typically used for atrial fibrillation.

Choice C reason: Nitroglycerin is used to relieve chest pain (angina) by dilating the blood vessels but is not used to treat atrial fibrillation.

Choice D reason: Atropine is used to treat bradycardia (slow heart rate) and is not used for atrial fibrillation.

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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

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Explanation

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Correct Answer is A

Explanation

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