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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. This is unrelated to acanthosis nigricans. Darkened urine might indicate liver issues or other conditions.
B. This is an increased heart rate, unrelated to skin conditions.
C. This refers to the colored part of the eye and is unrelated to acanthosis nigricans.
D. This is accurately describes the appearance of acanthosis nigricans. This is characterized by dark, thickened, velvety patches of skin in body folds and creases. These areas commonly include the armpits, groin, and neck.

A. "I will ask my son to push the button if I look like I am uncomfortable while sleeping" B. "I'll be careful about pushing the button too much so I don't get an overdose" C. "I should tell the nurse if the pain doesn't go away after I have used the device" D. “I'll wait to use the device until it's absolutely necessary"

Correct Answer is C

Explanation

A. The patient should be the only one to control the PCA pump. This is to prevent overmedication and to ensure the patient is in control of their pain management.
B. While it's important to use the PCA responsibly, the device is designed to prevent overdose. It has built-in safeguards to limit the amount of medication delivered.
C. This statement indicates that the patient understands the importance of communicating with the nurse about pain management. If the PCA is not effectively controlling pain, the nurse needs to be notified to adjust the medication or explore other options.
D. The PCA is designed to be used proactively to manage pain, not reactively when pain is severe. Waiting until pain is unbearable can make it more difficult to control.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

You are an RN taking report on a new patient that will be transferred to your unit. During the report, you learn that the patient has Acanthosis Nigricans. What do you expect to see when you finally get to perform a physical assessment of the patient?

Correct Answer is D

Explanation

A nurse is caring for a patient who is receiving Morphine via a patient-controlled analgesic (PCA) infusion device after knee surgery. Which of the following patient statements indicates that the client understands how to use this device?

Correct Answer is C

Explanation

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