A home care nurse is visiting a client with asthma who suddenly experiences an acute asthma attack. Which drug should the nurse prepare to administer?
Tiotropium bromide (Spiriva)
Montelukast (Singulair)
Albuterol (Proventil)
Acetylcysteine (Mucomyst)
The Correct Answer is C
A. Tiotropium bromide (Spiriva)
Tiotropium bromide is a long-acting anticholinergic bronchodilator used for maintenance therapy in conditions like chronic obstructive pulmonary disease (COPD). It is not indicated for the immediate relief of acute asthma symptoms.
B. Montelukast (Singulair)
Montelukast is a leukotriene receptor antagonist used for maintenance therapy in asthma. It is not a rescue medication and does not provide immediate relief during an acute asthma attack.
C. Albuterol (Proventil)
In the case of an acute asthma attack, the nurse should prepare to administer a short-acting bronchodilator. Albuterol (Proventil) is a short-acting beta-agonist bronchodilator that provides rapid relief of bronchoconstriction and acute symptoms during an asthma attack.
D. Acetylcysteine (Mucomyst)
Acetylcysteine is a mucolytic agent used to help loosen and thin mucus in the airways. It is not indicated for the immediate relief of bronchoconstriction during an acute asthma attack.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
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.
Correct Answer is C
Explanation
A. “Do you think you and your daughter may have time to go shopping for a wig between now and the time you begin treatment?”
This option recognizes the patient's concern about hair loss and offers a practical suggestion for preparing for it. It shows empathy and support by involving a family member in the process of coping with potential hair loss.
B. “Most patients just wear a hat or turban and just let their hair grow back following treatment.”
This statement provides an alternative approach to dealing with hair loss by suggesting the use of head coverings like hats or turbans. It emphasizes the temporary nature of the hair loss during treatment.
C. “I would be less concerned about cosmetic changes that you may experience and be more concerned about treating the cancer.”
This option encourages the patient to prioritize the cancer treatment over cosmetic concerns, emphasizing the importance of addressing the underlying health issue. It offers a supportive and empathetic perspective.
D. “Just pray about it.”
This option suggests relying on prayer as a sole coping mechanism, which may not address the patient's emotional concerns effectively. While spirituality and prayer can be important for some individuals, it's essential to provide practical and emotional support as well.
E. “Keep a positive attitude. Just wait until your treatment begins to before you become concerned
about losing your hair, after all, you may not experience hair loss.”
This statement encourages a positive attitude and suggests delaying concerns about hair loss until after treatment has begun. While maintaining a positive outlook is beneficial, it's also important to acknowledge and address the patient's current concerns and provide information about potential side effects.
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