A client will be using an albuterol (Proventil) metered-dose inhaler to treat asthma symptoms. The client asks the nurse about the difference between the effect of inhaled albuterol (Proventil) versus an oral form of albuterol.

How should the nurse best explain the difference between inhaled and oral albuterol?

The inhaled form may cause more side effect than the oral form.

The inhaled form requires an increased dose.

The inhaled form will not lead to increased doses.

The inhaled form has a more immediate onset of action.

Answer and Explanation

The Correct Answer is D

A. The inhaled form may cause more side effects than the oral form.

The route of administration does not necessarily determine the likelihood of side effects. Both inhaled and oral forms of albuterol can cause side effects, but they may vary in nature.

B. The inhaled form requires an increased dose.

The dose of albuterol may differ between inhaled and oral forms, but it is not accurate to say that the inhaled form always requires an increased dose. The choice of dosage depends on factors such as the severity of symptoms and the patient's response to treatment.

C. The inhaled form will not lead to increased doses.

The need for increased doses depends on the individual patient's response and the severity of symptoms. In some cases, increased doses may be necessary, especially during acute exacerbations.

D. The inhaled form has a more immediate onset of action.

Inhaled albuterol has a quicker onset of action compared to the oral form. When inhaled, the medication reaches the airways directly, leading to rapid bronchodilation and relief of symptoms. This is especially important during acute bronchoconstriction or asthma exacerbations when prompt relief is needed.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Tiotropium (Spiriva) works by relaxing and dilating the bronchioles

Tiotropium is an anticholinergic bronchodilator used in the management of chronic obstructive pulmonary disease (COPD). It works by blocking the action of acetylcholine, a neurotransmitter, leading to relaxation and dilation of the bronchioles, which helps improve airflow in the lungs.

B. If you experience dry mouth, stop taking the medication immediately

Dry mouth is a common side effect of tiotropium but is not a reason to stop taking the medication. The nurse may advise the patient to manage dry mouth with measures such as increased water intake or using sugar-free gum.

C. Use tiotropium (Spiriva) as needed for sudden breathing problems

Tiotropium is typically used as a maintenance medication for long-term control of COPD symptoms, not as a rescue medication for sudden breathing problems. Short-acting bronchodilators are often prescribed for acute symptom relief.

D. Remove the capsules from the packaging and place in your 7-day med box

Tiotropium is available in a dry powder inhalation capsule, and it should be used with the inhalation device provided. Removing the capsules from the packaging and placing them in a weekly medication box is not the correct method for administration.

A. “The client’s degree of nausea.” B. “The patient’s reluctance about the doses administered.” C. “The toxicity of anticancer drugs to normal tissues.” D. “The difficulty of maintaining venous access.”

Correct Answer is C

Explanation

A. "The client’s degree of nausea."

The client's degree of nausea is a side effect of chemotherapy, but it is not a major obstacle to successful chemotherapy in the broader sense. Nausea can often be managed with antiemetic medications, and it is generally considered a manageable aspect of chemotherapy care.

B. "The patient’s reluctance about the doses administered."

Patient compliance and acceptance of the prescribed treatment are important factors in the success of chemotherapy. However, while patient reluctance can be a challenge, it is not considered a major obstacle to chemotherapy as there are strategies and interventions to address issues related to patient understanding, fears, or concerns.

C. "The toxicity of anticancer drugs to normal tissues."

This is the correct answer. The toxicity of anticancer drugs to normal tissues is a major obstacle in chemotherapy. While the drugs aim to kill rapidly dividing cancer cells, they can also affect healthy cells, leading to side effects and complications. Striking a balance between effective cancer treatment and minimizing harm to normal tissues is a key challenge in chemotherapy.

D. "The difficulty of maintaining venous access."

Maintaining venous access can be a logistical challenge in chemotherapy, but it is not considered a major obstacle to successful treatment. While it is important for delivering chemotherapy drugs, there are various methods and technologies to address issues related to venous access, such as the use of central venous catheters or ports.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient diagnosed with COPD who has been prescribed tiotropium (Spiriva). Which statement will the nurse include in the education?

Correct Answer is A

Explanation

The nurse evaluates a nursing student’s understanding of chemotherapy. When the nurse asks, “Which factor would be a major obstacle to successful chemotherapy?” What is the student’s best response?

Correct Answer is C

Explanation

Many patients who are undergoing chemotherapy treatment require both invasive and noninvasive tests to be conducted to rule out, or monitor, organ toxicities. Please select which routine tests are considered noninvasive: (Select all that apply)

Which medication is prescribed for a client with COPD to treat acute bronchospasm?

A patient is receiving a glucocorticoid medication to treat an exacerbation of COPD and the provider has ordered a slow taper in order to discontinue this medication. The nurse explains to the patient that this is done to prevent which condition?

Which medication is considered a “rescue inhaler”?

Mrs. Miller is a 34 year-old who just successfully completed chemotherapy for breast cancer. Which of the following should the RN include in her plan of care?

Ms. Smith, a 48 year-old female, is being treated for cancer with chemotherapy with medications that routinely cause myelosuppression. Which lab values would the RN need to especially monitor?

Clients receiving targeted therapy to treat cancer need to avoid which food?

In which of the following scenarios would the RN anticipate glucocorticoids (steroids) to be prescribed?