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: Tear duct drains; it doesn’t hold ophthalmic meds. Conjunctival sac is correct. This errors per nursing standards. It’s universally distinct, wrong site.
Choice B reason: Conjunctival sac holds ophthalmic meds for absorption effectively. This fits nursing pharmacology standards. It’s universally applied, distinctly the right area.
Choice C reason: Sclera is eye surface, not a med site. Conjunctival sac is used. This misaligns with nursing pharmacology. It’s universally distinct, incorrect.
Choice D reason: Canthus, eye corner, isn’t for med administration. Conjunctival sac fits. This errors per nursing standards. It’s universally distinct, off-target.
Correct Answer is C
Explanation
Choice A reason: Antihistamines block histamine, not raise HR or BP. Epinephrine fits emergency needs. This errors per nursing pharmacology. It’s universally distinct, lacking stimulatory emergency effects.
Choice B reason: Sedatives reduce activity, not increase HR or BP. Epinephrine acts oppositely. This choice reverses nursing standards. It’s universally distinct, unsuitable for emergency stimulation.
Choice C reason: Epinephrine boosts HR, BP, and dilates bronchi in emergencies. This matches nursing pharmacology standards. It’s universally applied, distinctly effective for acute life-saving interventions.
Choice D reason: Hormones vary; epinephrine specifically meets all criteria emergently. This lacks precision per nursing standards. It’s universally distinct, too vague for the question’s intent.
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