A nurse in an emergency department is caring for an adult who is experiencing an acute asthma attack. Which of the following medications should the nurse expect to administer?

Montelukast

Budesonide

Prednisone

Albuterol

Answer and Explanation

The Correct Answer is D

Choice A reason: This statement is incorrect, as montelukast is a leukotriene receptor antagonist that is used for long-term control and prevention of asthma symptoms. It is not effective for acute asthma attacks, as it does not provide immediate bronchodilation.

Choice B reason: This statement is incorrect, as budesonide is an inhaled corticosteroid that is used for long-term control and prevention of inflammation in asthma. It is not effective for acute asthma attacks, as it does not provide immediate relief of bronchospasm.

Choice C reason: This statement is incorrect, as prednisone is an oral corticosteroid that is used for short-term treatment of severe asthma exacerbations. It is not effective for acute asthma attacks, as it takes several hours to exert its anti-inflammatory effect.

Choice D reason: This statement is correct, as albuterol is a short-acting beta2 agonist that is used for quick relief of acute asthma symptoms. It provides rapid bronchodilation by relaxing the smooth muscles of the airways.

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Correct Answer is C

Explanation

Choice A reason: Decreased respiratory rate is not a finding that indicates the effectiveness of suctioning the tracheostomy. A decreased respiratory rate could be a sign of respiratory depression, fatigue, or hypoxia.

Choice B reason: Stable oxygen saturation is not a finding that indicates the effectiveness of suctioning the tracheostomy. A stable oxygen saturation could be maintained even if the tracheostomy is obstructed or infected.

Choice C reason: Clear breath sounds is a finding that indicates the effectiveness of suctioning the tracheostomy. Clear breath sounds mean that the airway is patent and free of secretions, mucus, or blood.

Choice D reason: Pink capillary refill is not a finding that indicates the effectiveness of suctioning the tracheostomy. Pink capillary refill is a sign of adequate perfusion and circulation, but it does not reflect the status of the airway.

A. I'll keep my baby in an upright position after feedings. B. I should position my baby side lying during sleep. C. My baby's formula can be thickened with oatmeal. D. I'll try to feed my baby formula rather than breast milk.

Correct Answer is A

Explanation

Choice A reason: This is the best option to prevent reflux, as it allows gravity to help keep the stomach contents down. The nurse should advise the parent to keep the baby upright for at least 30 minutes after each feeding.

Choice B reason: Positioning the baby side lying during sleep is not recommended, as it can increase the risk of sudden infant death syndrome (SIDS). The nurse should instruct the parent to place the baby on the back for sleep, and elevate the head of the crib slightly.

Choice C reason: Thickening the baby's formula with oatmeal may help reduce reflux, but it is not the first choice, as it can cause overfeeding, constipation, or allergic reactions. The nurse should suggest this option only if prescribed by the provider.

Choice D reason: Feeding the baby formula rather than breast milk is not a good option, as breast milk is easier to digest and has many benefits for the baby's health and development. The nurse should encourage the parent to continue breastfeeding, and offer smaller and more frequent feedings.

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A nurse in an emergency department is caring for an adult who is experiencing an acute asthma attack. Which of the following medications should the nurse expect to administer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has a tracheostomy. After suctioning the tracheostomy, which of the following findings should the nurse use to determine that the procedure was effective?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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