A nurse is collecting data from a client who has asthma. Which of the following prescribed medications should the nurse administer first for severe wheezing?

Bronchodilators

Beta blocker

Inhaled steroids

Anti-inflammatory agent

Answer and Explanation

The Correct Answer is A

A.   Bronchodilators, such as short-acting beta-agonists (e.g., albuterol), are the first-line medications for relieving acute bronchoconstriction and severe wheezing in asthma exacerbations.
B.   Beta blockers are contraindicated in asthma as they can exacerbate bronchoconstriction and worsen symptoms.
C.   Inhaled steroids are used for long-term control of asthma symptoms and prevention of exacerbations but are not typically used as first-line treatment for acute severe wheezing.
D.   Anti-inflammatory agents such as corticosteroids are also used for long-term control of asthma and reducing airway inflammation but are not the first choice for immediate relief of severe wheezing.

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Correct Answer is B

Explanation

A. Encourage the client to gain 2.3 kg (5 lb) per week. This is not appropriate. Weight gain should be gradual in clients with anorexia nervosa, typically around 0.5 to 1 kg (1 to 2 pounds) per week, to prevent refeeding syndrome and support psychological adjustment.

B. Monitor the client for 15 min after meals. This is the correct intervention. Clients with anorexia nervosa may engage in purging behaviors (such as vomiting or excessive exercise) after meals. Monitoring for a period of time after eating helps prevent these behaviors and ensures safety.

C. Weigh the client each morning after voiding. Weighing clients with anorexia nervosa can be distressing and should be done consistently at the same time each day (ideally, before breakfast) but does not need to be after voiding. This may not be the priority intervention compared to monitoring post-meal behavior.

D. Reinforce teaching about healthy eating during meals. While teaching about healthy eating is important, it should not be done during meals, as clients with anorexia nervosa may have difficulty focusing on this information when under stress during eating. Instead, nutrition education should be provided outside of meals.

A. "I think you should just ignore the others." B. "You feel upset by the responses of others." C. "Let's keep the focus of our discussion on your needs." D. "Everything will get better once you get to know everyone."

Correct Answer is B

Explanation

A. Telling the client to ignore others minimizes their feelings and does not address the underlying issue of bullying or social discomfort.
B. Validating the client's feelings acknowledges their emotions and demonstrates empathy, which can help build trust and rapport with the client.
C. While it's important to address the client's needs, dismissing their concerns about social interactions may contribute to feelings of isolation and neglect.
D. Offering reassurance without addressing the client's current distress may invalidate their feelings and overlook the need for support and intervention in the present moment.

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A nurse is collecting data from a client who has asthma. Which of the following prescribed medications should the nurse administer first for severe wheezing?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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