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A nurse is assisting in the care of a client.

Exhibits

Click to highlight the instructions the nurse should reinforce to the client.

Prescribed Medication

Nursing Instruction

Albuterol

"Take your albuterol when you are having difficulty breathing.”

"Hold your breath for 20 seconds when taking your albuterol.”

Salmeterol

"Take the salmeterol 5 minutes before the albuterol when you need both medications."

"Take the salmeterol 2 times each day."

Fluticasone

"Rinse out your mouth after taking the fluticasone."

"Take the fluticasone as needed for an asthma attack."

Take your albuterol when you are having difficulty breathing.

Hold your breath for 20 seconds when taking your albuterol.

Take the salmeterol 5 minutes before the albuterol when you need both medications.

Take the salmeterol 2 times each day.

Rinse out your mouth after taking the fluticasone.

Take the fluticasone as needed for an asthma attack.

Answer and Explanation

The Correct Answer is ["A","D","E"]

Albuterol

"Take your albuterol when you are having difficulty breathing.": Albuterol is a short-acting beta-agonist (SABA) used as a rescue inhaler for acute symptoms such as wheezing and shortness of breath.

"Hold your breath for 20 seconds when taking your albuterol.": This is incorrect as holding the breath for 10 seconds after inhalation is sufficient to allow the medication to reach the lungs. Holding it longer is unnecessary and impractical.

Salmeterol

"Take the salmeterol 2 times each day.": Salmeterol is a long-acting beta-agonist (LABA) intended for long-term control of asthma symptoms, not for acute attacks. It should be taken twice daily as prescribed.

"Take the salmeterol 5 minutes before the albuterol when you need both medications.": This is incorrect because salmeterol is not a rescue medication and should not be used for immediate relief. Albuterol should be taken first if both medications are prescribed together, allowing the airways to open for better absorption of salmeterol.

Fluticasone

"Rinse out your mouth after taking the fluticasone.": Fluticasone is an inhaled corticosteroid, and rinsing the mouth helps prevent oral thrush, a common side effect.

"Take the fluticasone as needed for an asthma attack.": This is incorrect because fluticasone is a maintenance medication for inflammation and is not effective for acute asthma attacks.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. Tachycardia: Bradycardia, rather than tachycardia, is more typical of opioid toxicity.
B. Sedation: Oxycodone toxicity causes CNS depression, resulting in sedation, respiratory depression, and pinpoint pupils.
C. Dilated pupils: Pinpoint pupils are a classic sign of opioid toxicity.
D. Tachypnea: Respiratory depression, rather than tachypnea, is expected in opioid toxicity.

A. Coagulation studies B. Thyroid levels C. Complete blood count D. Serum electrolyte levels

Correct Answer is D

Explanation

A. Coagulation studies: Hydrochlorothiazide does not typically affect coagulation parameters, making this unnecessary for routine monitoring.
B. Thyroid levels: Hydrochlorothiazide does not interfere with thyroid function.
C. Complete blood count: Although monitoring general blood health is important, hydrochlorothiazide primarily affects electrolytes.
D. Serum electrolyte levels: Hydrochlorothiazide is a diuretic that can cause electrolyte imbalances, including hypokalemia, hyponatremia, and hypercalcemia. Regular monitoring is essential.

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Prescribed Medication	Nursing Instruction
Albuterol	"Take your albuterol when you are having difficulty breathing.” "Hold your breath for 20 seconds when taking your albuterol.”
Salmeterol	"Take the salmeterol 5 minutes before the albuterol when you need both medications." "Take the salmeterol 2 times each day."
Fluticasone	"Rinse out your mouth after taking the fluticasone." "Take the fluticasone as needed for an asthma attack."

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who is experiencing oxycodone toxicity. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is caring for a client who has hypertension and has been taking hydrochlorothiazide. Which of the following laboratory values should the nurse evaluate?

Correct Answer is D

Explanation

A nurse is reviewing a list of current medications for a client who is starting therapy with furosemide. Which of the following medications should the nurse identify as being contraindicated?

A nurse is reinforcing teaching about phenytoin with a client who had a tonic-clonic seizure. Which of the following information should the nurse include in the teaching?

A nurse is caring for a client who has a new prescription for a nitroglycerin transdermal patch. Which of the following actions should the nurse take?

A nurse is preparing to administer medication to a client who has a new prescription. Which of the following actions should the nurse take first?

A nurse in a mental health facility is collecting data from a client taking lithium. Which of the following information should the nurse report to the provider as an indication of lithium toxicity?

A nurse is preparing to administer an IM injection to a client who has gonorrhea. Which of the following actions should the nurse take?

A nurse is caring for a client who started taking amitriptyline 6 days ago. The client reports that the medication is not helping. Which of the following responses should the nurse make?