A nurse is explaining to a client with asthma what her new prescription for prednisone, a systemic corticosterioid, is used for in the treatment of asthma. What would be the most accurate explanation that the nurse could give?

To ensure long-term prevention of asthma exacerbations

To gain control of inadequately controlled, persistent asthma

To cure any systemic infection underlying asthma attacks

To prevent recurrent pulmonary infections

Answer and Explanation

The Correct Answer is B

A. To ensure long-term prevention of asthma exacerbations:

This statement is not accurate. Prednisone is typically not used for long-term prevention of asthma exacerbations. It is more commonly prescribed for short-term use during acute exacerbations to quickly reduce inflammation and improve symptoms.

B. To gain control of inadequately controlled, persistent asthma:

This is the most accurate explanation. Prednisone is often prescribed to gain control over inadequately controlled, persistent asthma by providing anti-inflammatory effects and helping to manage symptoms during acute episodes.

C. To cure any systemic infection underlying asthma attacks:

Prednisone is not used to cure infections. While it can have anti-inflammatory and immunosuppressive effects, its primary role in asthma is to reduce airway inflammation and control symptoms, not to treat underlying infections.

D. To prevent recurrent pulmonary infections:

Prednisone is not typically prescribed for the prevention of infections. Its use in asthma is more focused on managing inflammation and symptoms during acute exacerbations rather than preventing infections.

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Correct Answer is D

Explanation

A. Lie in a low Fowler’s or supine position:

Lying in a low Fowler's or supine position may worsen respiratory distress and compromise oxygenation. It can reduce lung expansion and increase the work of breathing, especially in patients with pneumonia. This is not a recommended position for individuals with respiratory issues.

B. Increase oral fluids unless contraindicated:

Increasing oral fluids is generally a good practice, especially in respiratory conditions like pneumonia. It helps thin respiratory secretions, making them easier to clear. However, this alone may not address copious tracheobronchial secretions. Suctioning may be needed to effectively remove excess secretions.

C. Increase activity:

Increasing activity may be beneficial for some patients, but it might exacerbate respiratory distress in others, especially if they are already experiencing increased work of breathing. The appropriateness of increasing activity depends on the specific condition and the patient's overall stability.

D. Call the nurse for oral suctioning as needed:

This is the most appropriate choice. If the client is experiencing increased work of breathing due to copious tracheobronchial secretions, calling the nurse for oral suctioning is an intervention aimed at maintaining a clear airway and alleviating respiratory distress. Regular suctioning may be necessary to assist the client in managing secretions effectively.

Correct Answer is ["50"]

Explanation

To calculate the drops per minute for the ondansetron infusion, we need to use the formula:

drops per minute = (volume in mL x drop factor) / time in minutes

In this case, the volume is 50 mL, the drop factor is 15 gtt/mL, and the time is 15 minutes. Plugging these values into the formula, we get:

drops per minute = (50 x 15) / 15

drops per minute = 750 / 15

drops per minute = 50

Therefore, the nurse should set the infusion pump to deliver 50 drops per minute of ondansetron to the client with severe nausea.

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A nurse is explaining to a client with asthma what her new prescription for prednisone, a systemic corticosterioid, is used for in the treatment of asthma. What would be the most accurate explanation that the nurse could give?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A critical-care nurse is caring for a client diagnosed with pneumonia as a surgical complication. The nurse’s assessment reveals that the client has an increased work of breathing due to copious tracheobronchial secretions. What should the nurse encourage the patient to do?

Correct Answer is D

Explanation

A client with severe nausea has a one time order for ondansetron (Zofran) 8 mg IVPB to be administered over 15 minutes. The medication is diluted in 50 mL of D5W. The tubing drop factor is 15 gtt/mL. How many drops per minute should be given?

Correct Answer is ["50"]

Explanation

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