A nurse in a clinic sees a client who has an acute asthma exacerbation. Which of the following medications should reduce the symptoms?

Montelukast orally

Albuterol via jet nebulizer

Budesonide via dry-powder inhaler

Cromolyn via metered-dose inhaler

Answer and Explanation

The Correct Answer is B

This is because albuterol is a short-acting beta2 agonist that relaxes the smooth muscles of the airways and improves bronchodilation and airflow. Montelukast, budesonide, and cromolyn are long-term control medications that prevent inflammation and reduce the frequency of asthma attacks, but they do not provide immediate relief.

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Correct Answer is A

Explanation

Pyrazinamide is a medication used to treat tuberculosis that can cause renal damage and crystal formation in the urine if not adequately hydrated. The client should also avoid alcohol and have regular liver function tests while taking this medication. Isoniazid should not be taken with antacids, as they can decrease its absorption and effectiveness. Sputum cultures are expected to be negative after 2 months of therapy, not 6 months. Providing a sputum specimen every 2 weeks is not an instruction for the client, but a part of the monitoring process by the health care team.

A. Nucleic acid amplification test (NAAT) B. Sputum culture for acid-fast bacillus (AFB) C. Chest x-ray D. CT scan

Correct Answer is A

Explanation

This is because a NAAT can detect the presence of Mycobacterium tuberculosis DNA in a sputum sample within hours, which can confirm the diagnosis and guide treatment decisions. A sputum culture for AFB can take several weeks to yield results, while a chest x-ray or a CT scan can only show suggestive findings but not confirm the diagnosis.

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A nurse in a clinic sees a client who has an acute asthma exacerbation. Which of the following medications should reduce the symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has tuberculosis and is to start medication therapy with isoniazid, rifampin and pyrazinamide. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

A nurse in a clinic is collecting a history from a client who reports that a member of his family just received a diagnosis of pulmonary tuberculosis. The nurse should expect that the provider will prescribe which of the following diagnostic tests first?

Correct Answer is A

Explanation

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