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 A

Explanation

A. "The test will provide a detailed profile of the heart’s electrical activity."

This statement is inappropriate because transesophageal echocardiography (TEE) primarily provides detailed images of the heart's structure, such as the valves and chambers, rather than focusing on the heart's electrical activity. The assessment of electrical activity is typically associated with electrocardiography (ECG or EKG) rather than echocardiography.

B. "I will need to start an IV in your arm before the test."

This statement is appropriate. It is common for medical procedures, including TEE, to require an intravenous (IV) line for administration of medications or fluids during or after the procedure.

C. "Your throat may be a little sore after the exam."

This statement is appropriate. TEE involves inserting a probe through the esophagus, and it is common for patients to experience a sore throat afterward due to the presence of the probe.

D. "You will need to refrain from eating and drinking 6-8 hours before this test."

This statement is appropriate. It is standard practice to ask patients to fast for a specific period before TEE to minimize the risk of complications, such as aspiration, during the procedure.

A. “I will have canned chicken noodle soup with crackers and an apple for lunch.” B. “I will have a tossed salad with cheese and croutons for lunch.” C. “I will have a ham and cheese sandwich for lunch.” D. “I will have a baked potato with broiled chicken for dinner.”

Correct Answer is B

Explanation

A. “I will have canned chicken noodle soup with crackers and an apple for lunch.”

This option may not be the best choice for a low-sodium diet. Canned soups often contain high levels of sodium.

B. “I will have a tossed salad with cheese and croutons for lunch.”

This option is a better choice, as salads with fresh vegetables can be lower in sodium compared to other options.

C. “I will have a ham and cheese sandwich for lunch.”

Ham and cheese are generally high in sodium, so this would not be a suitable choice for a low-sodium diet.

D. “I will have a baked potato with broiled chicken for dinner.”

This option seems to be a good choice. Baked potato and broiled chicken can be part of a low-sodium meal.

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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 client with a complex cardiac history is scheduled for transesophageal echocardiography. Which of the following statements, if made by the nurse, is inappropriate?

Correct Answer is A

Explanation

A client with heart failure is placed on a low sodium diet. Which statement by the client indicates that the nurse’s nutritional teaching plan has been effective?

Correct Answer is B

Explanation

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