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.

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Correct Answer is A

Explanation

A. Epinephrine

Epinephrine is a bronchodilator that can be used in emergencies to treat acute bronchospasm. It works by relaxing the smooth muscles in the airways and can be administered via inhalation or injection. However, it is not typically the first-line treatment for COPD, and other bronchodilators are often preferred.

B. Montelukast (Singulair)

Montelukast is a leukotriene receptor antagonist that is used for the long-term control and prevention of symptoms in conditions like asthma, but it is not typically used for acute bronchospasm. It is more commonly used for maintenance therapy to prevent exacerbations.

C. Theophylline

Theophylline is a bronchodilator that can be used to treat acute bronchospasm in COPD. However, it is not commonly used as a first-line treatment due to its narrow therapeutic range and potential for side effects. It may be considered in certain cases when other bronchodilators are not well-tolerated or effective.

D. Tiotropium Bromide (Spiriva)

Tiotropium bromide is a long-acting antimuscarinic bronchodilator used for the long-term maintenance treatment of COPD. It is not typically prescribed for the treatment of acute bronchospasm but rather for the prevention of symptoms over the long term.

A. “I will not need to know how to check my body temperature.” B. “Chemotherapy is excreted in my bodily fluids.” C. “My spouse will wear gloves when emptying my urinal.” D. “The chemotherapy will remain in my body for 2-3 days.”

Correct Answer is A

Explanation

A. “I will not need to know how to check my body temperature.”:

This statement is incorrect. Monitoring body temperature is important for patients receiving chemotherapy because a compromised immune system increases the risk of infection. Fever can be an early sign of infection, and patients are often instructed to monitor their temperature regularly.

B. “Chemotherapy is excreted in my bodily fluids.”:

This statement is correct. Chemotherapy drugs can be excreted in various bodily fluids, such as urine, sweat, and saliva. Patients are advised to take precautions to avoid exposing others to these bodily fluids during and shortly after chemotherapy.

C. “My spouse will wear gloves when emptying my urinal.”:

This statement is correct. To reduce the risk of exposure to chemotherapy drugs in urine, it is advisable for caregivers, such as spouses, to wear gloves when handling bodily fluids.

D. “The chemotherapy will remain in my body for 2-3 days.”:

This statement is correct. The duration during which chemotherapy remains in the body can vary depending on the specific drugs administered. Patients are typically provided with guidelines on how long they need to take precautions to minimize exposure to others.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

A client is being discharged after receiving IV chemotherapy for cancer. Which statement indicates a need for additional teaching?

Correct Answer is A

Explanation

Which statement is accurate regarding methylxanthine (Theophylline)?

Before administering diphenhydramine (Benadryl) to a client, it is most important for the nurse to assess for which history?

The nurse is caring for a patient recently diagnosed with mild emphysema and provides teaching about the disease and medications for treatment. Which statement by the patient indicates understanding of the medication regimen?

A client has the feeling of having “chest tightness” while experiencing “cold-like” symptoms. Her cough is nonproductive. Her physician prescribed guaifenesin (Mucinex) to help with secretions. When teaching about this medication, what should the nurse instruct? (Select all that apply)

Which medication is considered a “rescue inhaler”?

Ms. Samuels is scheduled to receive chemotherapy this afternoon at 1400. Her prescribed chemotherapy treatment causes nausea and vomiting as a side effect. How should the RN approach treating this patient for this side effect?

A young client with cystic fibrosis (CF) is on dornase alfa. What does the nurse teach about the action of this medication?