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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
A. Shortness of breath
Shortness of breath can be a symptom of a myocardial infarction in both men and women.
B. Anxiety
Anxiety can be a symptom in some cases, as individuals may feel a sense of impending doom or anxiety during an MI.
C. Unusual fatigue
Unusual fatigue, especially if it is severe or occurs with exertion, can be a symptom of a myocardial infarction.
D. Back pain
Back pain, particularly between the shoulder blades, can be a symptom of a myocardial infarction in women.
E. Chest pain
Chest pain or discomfort is a classic symptom of a myocardial infarction. While women may experience chest pain, they are also more likely than men to have atypical symptoms.
Correct Answer is D
Explanation
A. Monitor daily weights and urine output.
Monitoring daily weights and urine output is an important aspect of managing heart failure or other cardiac conditions. However, in the context of a client with chest pain, ST elevation, and elevated cardiac enzymes (indicating a myocardial infarction), the immediate focus is on addressing the acute event and reducing myocardial oxygen demand.
B. Administer TPA to prevent further damage as a result of a clot.
Tissue plasminogen activator (TPA) is a thrombolytic medication that can be administered to dissolve blood clots in the coronary arteries during a myocardial infarction. However, the administration of TPA has a specific timeframe within which it is most effective. It is crucial to know the elapsed time since the onset of symptoms, and there are specific criteria and contraindications for its use.
C. Provide client education on medications and diet to prevent recurrence.
Client education on medications, lifestyle modifications, and dietary changes is an essential component of long-term management for preventing recurrence of cardiovascular events. However, during the acute phase of a myocardial infarction, the immediate priority is to stabilize the client and address the acute event, with education being a secondary consideration.
D. Reduce pain and myocardial oxygen demand.
During the acute phase of a myocardial infarction, reducing pain and myocardial oxygen demand is the highest priority. This is typically achieved through the administration of medications such as nitroglycerin for vasodilation and opioids for pain relief. Other interventions to optimize oxygen supply and demand, such as supplemental oxygen and reperfusion strategies, may also be considered.
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