A patient is in an urgent care center with an acute asthma attack. The nurse expects which medication will be used for initial treatment.

A long-acting beta2 agonist such as salmeterol (Serevent)

A short-acting (rapid-acting) beta2 agonist such as Albuterol (Proventil)

A corticosteroid such as fluticasone (Flovent)

An anticholinergic such as ipratropium (Atrovent)

Answer and Explanation

The Correct Answer is B

During an acute asthma attack, the airways become narrowed and inflamed, leading to symptoms such as wheezing, shortness of breath, and chest tightness. Short-acting beta2 agonists like Albuterol are the first-line medication for relieving acute asthma symptoms. They work by quickly relaxing the smooth muscles in the airways, resulting in bronchodilation and improved airflow. Albuterol provides rapid relief of symptoms and is often administered via inhalation.
A. Long-acting beta2 agonists (e.g., salmeterol) are typically used as maintenance therapy for long-term control of asthma symptoms, rather than for immediate relief during an acute attack.
C. Corticosteroids (e.g., fluticasone) are anti-inflammatory medications that are often prescribed for asthma, but they are more commonly used as part of a long-term management plan and may not provide immediate relief during an acute attack.
D. Anticholinergics (e.g., ipratropium) are sometimes used in combination with short-acting beta2 agonists for acute asthma exacerbations, but they are not typically the initial treatment choice for an acute asthma attack.

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Correct Answer is C

Explanation

Status asthmaticus is a severe and potentially life-threatening asthma exacerbation that does not respond well to usual treatment measures. The primary goal in managing status asthmaticus is to relieve the bronchospasm and improve airflow. Short-acting 62-agonists, such as albuterol, are bronchodilators that work quickly to relax the smooth muscles of the airways, providing immediate relief of bronchospasm.

While determining the cause of the acute exacerbation and obtaining a peak flow reading are important aspects of asthma management, in the case of status asthmaticus, the immediate priority is to administer a bronchodilator to alleviate the severe symptoms and improve the child's breathing. Once the acute symptoms are addressed, further assessment and interventions can be carried out to identify the cause and monitor the child's condition.

A. A patient develops hives after having started an IV antibiotic 24 hours earlier. B. A patient complains of severe pain still present 60 minutes after a pain medication was given. C. A patient receives a double dose of a medication because the nurse did not cut the pill in half. D. A patient refuses her morning medication

Correct Answer is C

Explanation

A medication error refers to any preventable event that may cause or lead to inappropriate medication use or patient harm. In this case, the nurse administering a double dose of medication due to a failure to cut the pill in half is a medication error. It involves the administration of an incorrect dose, which can potentially result in harm or adverse effects for the patient.

The other situations mentioned do not necessarily indicate medication errors. A patient developing hives after starting an IV antibiotic could have an allergic reaction, and appropriate actions should be taken to address the reaction. A patient complaining of severe pain still present after receiving pain medication may require further assessment and intervention to manage their pain effectively. A patient refusing her morning medication is not a medication error but rather a patient's right to refuse treatment, and appropriate documentation and communication should be done in such situations.

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A patient is in an urgent care center with an acute asthma attack. The nurse expects which medication will be used for initial treatment.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who is experiencing status asthmaticus. Which of the following interventions is the priority for the nurse to take?

Correct Answer is C

Explanation

The nurse is reviewing medication errors. Which situation is an example of a medication error?

Correct Answer is C

Explanation

A pregnant patient asks the nurse if she can take antihistamines for seasonal allergies during her pregnancy. What will the nurse tell the patient?

A nurse is preparing to administer a medication to a client who states. "That looks different from the pill I usually take." Which of the following responses should the nurse make?

A nurse is caring for a client who asks how albuterol helps his breathing. Which of the following responses should the nurse make? (Select all that apply.)

A nurse is teaching a class about medication reconciliation. Which of the following information should the nurse include in the teaching?

A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching?

A nurse is evaluating teaching a client who has a new prescription for montelukast to treat asthma. Which of the following statements by the client indicates an understanding of the teaching?

Fluticasone (Flonase) a nasal glucocorticoid has been prescribed for a client with allergic rhinitis. The nurse teaches the client which is the most common side effect of continuous use.

The nurse is reviewing the medication record of a patient with asthma and notes the patient is taking inhaled fluticasone (Flovent). The nurse know that inhaled fluticasone (Flovent) is helpful in the treatment of asthma in what way?