A client's severe asthma has necessitated the use of a long-acting beta2-agonist (LABA). Which of the client's statements suggests a need for further education?

make sure to use this each time I feel an asthma attack coming on."

"I know that these drugs can sometimes make my heart beat faster."

"I've heard that this drug sometimes gets less effective over time."

"I've heard that this drug is particularly good at preventing asthma attacks during exercise."

Answer and Explanation

The Correct Answer is A

A. "Make sure to use this each time I feel an asthma attack coming on": This statement indicates a need for further education. LABAs are not intended for immediate relief of acute asthma symptoms or attacks; they are designed for long-term control and prevention of symptoms. Clients should use a short-acting beta agonist (SABA) for quick relief during an asthma attack, not a LABA.

B. "I know that these drugs can sometimes make my heart beat faster": This statement reflects an understanding of a potential side effect of LABAs. Increased heart rate is a known side effect, and it is important for clients to be aware of this possibility.

C. "I've heard that this drug sometimes gets less effective over time": This statement is accurate. Tolerance can develop with LABA use, and clients should be informed about this possibility to monitor their symptoms and report any changes to their healthcare provider.

D. "I've heard that this drug is particularly good at preventing asthma attacks during exercise": This statement is correct. LABAs can be beneficial for preventing exercise-induced bronchospasm when used as part of a regular asthma management plan, and clients should understand this use.

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Correct Answer is ["6.8"]

Explanation

To determine the correct dosage, let’s follow these steps:

Convert the child’s weight from pounds to kilograms:

1 pound = 0.453592 kilograms

80 pounds × 0.453592 = 36.3 kilograms

Calculate the total dose in milligrams (mg):

1.5 mg/kg × 36.3 kg = 54.45 mg

Determine the volume in milliliters (mL) to administer:

Available concentration: 40 mg/5 mL

Using the formula: (Desired dose / Available dose) × Volume

(54.45 mg / 40 mg) × 5 mL = 6.8 mL

A. CNS Depressants B. Short acting Beta Agonist C. Monoamine oxidase inhibits D. Mast Cell inhibitors

Correct Answer is C

Explanation

A. CNS Depressants: While there may be general concerns about using multiple medications that affect the central nervous system, CNS depressants do not have a direct interaction with oxymetazoline. Oxymetazoline is primarily a nasal decongestant and its interactions are more specific to other classes of medications.

B. Short Acting Beta Agonist: Short-acting beta agonists (SABAs) are bronchodilators used in asthma management. There is no direct interaction with oxymetazoline; they are used for different purposes and act on different receptors.

C. Monoamine oxidase inhibitors (MAOIs): This option is correct. MAOIs can potentially interact with oxymetazoline, leading to increased blood pressure and other cardiovascular effects. The combination can cause vasoconstriction due to the stimulant effects of both oxymetazoline and the increased levels of norepinephrine resulting from MAOI inhibition.

D. Mast Cell Inhibitors: Mast cell stabilizers do not interact directly with oxymetazoline. These medications are used primarily to manage allergic responses and asthma symptoms and do not have a significant effect on the actions of oxymetazoline.

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A client's severe asthma has necessitated the use of a long-acting beta2-agonist (LABA). Which of the client's statements suggests a need for further education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

pediatric client. The child weighs 80 pounds. Available is promethazine 40mg/5ml. How many mL should the nurse administer? (Round to the nearest tenth. Do not use a trailing zero.)

Correct Answer is ["6.8"]

Explanation

The nurse is assessing the medication record of a newly admitted client. Which of the following medications directly interacts with oxymetazoline (Afrin)?

Correct Answer is C

Explanation

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A nurse is caring for a client who presents with chronic obstructive pulmonary disorder (COPD), Which of the following task can the nurse delegate to the UAP?

The nurse is caring for a client currently taking oxymetazoline. Which of the following statements should the nurse include regarding oxymetazoline?

The nurse is educating student nurses on the difference between the upper and lower respiratory tract. Which medications are primarily used for upper respiratory conditions? (Select All that Apply.)