A nurse is caring for a client 2 hours after admission. The client has an SpO2 of 91%, exhibits audible wheezes, and is using accessory muscles when breathing. Which of the following classes medications should the nurse expect to administer?
Antibiotic
Antiviral
Beta-blocker
Beta2 adrenergic agonist
The Correct Answer is D
A. Antibiotics are used to treat bacterial infections, not respiratory conditions like asthma.
B. Antivirals are used to treat viral infections, not respiratory conditions like asthma.
C. Beta-blockers can worsen asthma symptoms by constricting the airways. They would be contraindicated in this situation.
D. Beta2 adrenergic agonists are bronchodilators, which relax the muscles in the airways and make it easier to breathe. They are the first-line treatment for acute asthma attacks.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
A. Pitting edema is more commonly associated with right-sided heart failure, where blood backs up in the systemic venous system, leading to fluid accumulation in the extremities. While it can occur in left- sided heart failure due to secondary effects on right-sided heart function, it is not a primary feature.
B. This is a common symptom of left-sided heart failure. It refers to sudden, severe shortness of breath that occurs at night, often causing the patient to wake up gasping for air. It is due to fluid accumulation in the lungs when lying flat, which worsens the patient’s breathing.
C. JVD is typically associated with right-sided heart failure. It occurs when blood backs up into the veins of the neck. In left-sided heart failure, this is not a primary symptom, though it can appear if left-sided heart failure progresses to affect the right side of the heart.
D. Crackles (or rales) are often heard during auscultation of the lungs in patients with left-sided heart failure. They are caused by fluid accumulation in the alveoli and are a direct result of pulmonary congestion.
E. This is a classic and severe symptom of left-sided heart failure, specifically associated with acute pulmonary edema. It occurs due to significant fluid leakage from the capillaries into the alveoli, mixing with air to create the pink, frothy appearance.
Correct Answer is ["A","C","D"]
Explanation
A. A triglyceride level of 260 mg/dL is above the threshold of 150 mg/dL, which is considered elevated and is one of the criteria for Metabolic Syndrome.
B. Not Consistent with Metabolic Syndrome. For males, the waist circumference criterion for Metabolic Syndrome is greater than 40 inches. A waist size of 35 inches is below this threshold.
C. Consistent with Metabolic Syndrome. A systolic blood pressure of 150 mm Hg is above the threshold of 130 mm Hg, which is used to diagnose elevated blood pressure as part of Metabolic Syndrome.
D. This is consistent with metabolic syndrome. High LDL cholesterol is a risk factor.
E. Not Consistent with Metabolic Syndrome. For females, the waist circumference criterion for Metabolic Syndrome is greater than 35 inches. A waist size of 28 inches is below this threshold.
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