client with COPD has an acute bronchospasm. The nurse knows the best medication for this emergency situation that is fast-acting is:
Dexamethasone (Decadron)
Zafirlukast (Accolate)
Oxtriphylline theophylline (Choledyl)
Epinephrine (Adrenalin)
The Correct Answer is D
Choice A reason: Dexamethasone, a steroid, acts slowly, not fast for emergencies. Epinephrine relieves bronchospasm rapidly. This choice errors per nursing standards. It’s universally distinct as unsuitable for acute COPD bronchospasm relief.
Choice B reason: Zafirlukast prevents asthma, not acute bronchospasm; it’s slow-acting. Epinephrine works instantly. This choice misaligns with nursing pharmacology. It’s universally distinct, lacking emergency speed required.
Choice C reason: Oxtriphylline, a bronchodilator, is gradual, not fast-acting. Epinephrine suits emergencies better. This choice errors per nursing standards. It’s universally distinct, ineffective for acute bronchospasm relief.
Choice D reason: Epinephrine dilates bronchi fast, ideal for acute bronchospasm in COPD. It aligns with nursing pharmacology standards. This is universally applied, distinctly effective in emergency respiratory situations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Label away aids reading, but thumbnail ensures dose accuracy. This errors per nursing standards. It’s universally distinct, less precise than thumbnail method.
Choice B reason: Thumbnail on cup line guarantees exact liquid dose poured. This aligns with nursing pharmacology standards. It’s universally applied, distinctly accurate for administration.
Choice C reason: Returning surplus risks contamination; thumbnail prevents overpouring. This choice misaligns with nursing safety. It’s universally distinct, unsafe for medication handling.
Choice D reason: Below-eye level risks misjudgment; thumbnail is precise. This errors per nursing pharmacology standards. It’s universally distinct, less accurate than standard.
Correct Answer is A
Explanation
Choice A reason: Renal caution, hypersensitivity, and GI risks are all aspirin contraindications. This encompasses them, per nursing pharmacology. It’s universally recognized, distinctly critical for safe use.
Choice B reason: Impaired renal function requires caution; it’s a contraindication with others. All apply, per nursing standards. It’s universally distinct, part of the full list.
Choice C reason: Hypersensitivity, like asthma, contraindicates aspirin; it’s one of many. All are correct, per nursing pharmacology. It’s universally distinct, a key safety factor.
Choice D reason: Peptic ulcers and GI bleeding bar aspirin; it’s part of all risks. This fits, per nursing standards. It’s universally distinct, completes the contraindication set.
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