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: BP every 4 hours isn’t universal; slow rising is key. This errors per nursing standards. It’s universally distinct, not the primary responsibility.
Choice B reason: Teaching slow position changes prevents antihypertensive-induced dizziness. This fits nursing pharmacology standards. It’s universally applied, distinctly critical for safety.
Choice C reason: Stopping meds needs orders; slow rising manages drops. This misaligns with nursing pharmacology. It’s universally distinct, errors in protocol.
Choice D reason: Tachycardia doesn’t justify dose increase; slow rising helps. This errors per nursing standards. It’s universally distinct, off responsibility mark.
Correct Answer is B
Explanation
Choice A reason: Specific droppers ensure dosing accuracy; other options fail this standard. Supplied droppers are calibrated, per nursing safety protocols. This choice dismisses precision, but it’s incorrect as “supplied dropper” is right, a distinct universal rule in medication administration.
Choice B reason: The supplied dropper is calibrated for the medication, ensuring accurate dosing every time. This prevents errors, aligning with nursing pharmacology standards. It’s a universal practice, distinctly critical for patient safety and effective drug delivery in all settings.
Choice C reason: Plastic droppers aren’t inherently accurate; calibration matters more. Supplied droppers ensure precision, per nursing standards. This focuses on material over function, a distinct error universally recognized as insufficient for safe medication administration.
Choice D reason: Any dropper risks incorrect dosing, compromising safety and efficacy. Supplied droppers match the drug, per nursing pharmacology. This choice ignores calibration, a universal error distinctly contradicting standards for precise medication delivery.
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