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 C

Explanation

A. Incorrect. While proper spacing of infant bassinets is important for infection control, this specific distance (24 inches) may not be universally applicable and may vary depending on the facility's protocols.
B. Incorrect. Alcohol-based hand rubs are recommended for hand hygiene in healthcare settings, as they are effective against a broad range of pathogens. They should not be avoided unless contraindicated due to specific circumstances.
C. Correct. Visitors with upper respiratory infections can spread respiratory viruses to vulnerable newborns, so wearing a mask can help prevent transmission.
D. Incorrect. Pumped breastmilk can typically be left at room temperature for a shorter duration, usually up to 4 hours, to maintain its safety and quality.

A. Draws up regular insulin before NPH when demonstrating injection technique B. Says that he will see a primary care provider to treat corns on his feet C. States that he will treat hypoglycemic reactions with 15 g of carbohydrates D. Lists sweating, shaking, and palpitations as symptoms of hyperglycemia E. None F. None

Correct Answer is D

Explanation

A: Drawing up regular insulin before NPH is the correct technique, as regular insulin is short-acting and NPH is intermediate-acting. Mixing insulins should be done in a specific order to prevent contamination or altering the action of the insulins.
B: Seeing a primary care provider for foot care is appropriate for a person with diabetes. Foot care is essential due to the high risk of foot problems in diabetes, and a primary care provider can offer appropriate treatment and guidance.
C: Treating hypoglycemic reactions with 15 g of carbohydrates is the recommended initial treatment. This quick-acting source of sugar helps to raise blood glucose levels efficiently during a hypoglycemic episode.
D: Listing sweating, shaking, and palpitations as symptoms is incorrect for hyperglycemia; these are symptoms of hypoglycemia. Hyperglycemia symptoms include frequent urination, increased thirst, and blurred vision. This indicates a lack of understanding of the difference between hyperglycemia and hypoglycemia, which is crucial for managing diabetes.

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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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