Exhibits
Click to highlight the instructions the nurse should reinforce to the client. Prescribed
Medication Albuterol
Nursing Instructions
"Take your albuterol when you are having difficulty breathing."
"Hold your breath for 20 seconds when taking your albuterol."
Salmeterol
"Take the salmeterol 5 minutes before the albuterol when you need both medications."
“Take the salmeterol 2 times each day."
Fluticasone
"Rinse out your mouth after taking the fluticasone."
Take the fluticasone as needed for an asthma attack."
Take your albuterol when you are having difficulty breathing."
Take the salmeterol 2 times each day."
Rinse out your mouth after taking the fluticasone
The Correct Answer is ["A","B","C"]
Albuterol belongs to a class of medications known as beta-adrenergic agonists, specifically beta-2 selective agonists. When inhaled, albuterol binds to beta-2 adrenergic receptors located on the smooth muscle cells lining the airways in the lungs. Activation of these receptors leads to relaxation of the smooth muscles surrounding the bronchial tubes, causing them to widen (bronchodilation). By dilating the airways, albuterol helps to reduce airway resistance and increase airflow into and out of the lungs, making it easier to breathe during an asthma attack.
One should hold breath for 5 to 10 seconds after inhalation of the puff.
Salmeterol is a long-acting beta-adrenergic agonist (LABA) bronchodilator commonly used for the maintenance treatment of asthma and chronic obstructive pulmonary disease (COPD). Salmeterol is usually prescribed for twice-daily dosing.
One should wait for 2 minutes between two puffs.
Fluticasone is a corticosteroid medication that is inhaled into the lungs to reduce inflammation in the airways. If these particles remain in the mouth, they can increase the risk of developing oral thrush, which is a fungal infection caused by Candida albicans. Rinsing the mouth with water after using the inhaler helps to remove any residual medication particles, reducing the risk of oral thrush.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. Fatty foods can delay the absorption of sildenafil, potentially delaying its onset of action. While it's not necessary to completely avoid fatty foods, consuming a high-fat meal shortly before taking sildenafil may delay its effects. Therefore, it's advisable to avoid large, high-fat meals before taking sildenafil to optimize its effectiveness.
A. Sildenafil is typically taken on an as-needed basis, approximately 30 minutes to 1 hour before anticipated sexual activity. Taking sildenafil more than once a day is not recommended and can increase the risk of adverse effects and complications.
C. Sildenafil is a medication used to treat erectile dysfunction by improving blood flow to the penis, but it does not protect against sexually transmitted diseases (STDs).
D. Constipation is not a common side effect of sildenafil. Common side effects of sildenafil include headache, flushing, indigestion, nasal congestion, and dizziness. Constipation is not typically associated with sildenafil use.
Correct Answer is D
Explanation
D. The Quadrivalent human papillomavirus (HPV) vaccine is recommended for both males and females to protect against certain strains of HPV that can lead to cervical cancer, genital warts, and other HPV- related cancers. It is typically administered in a series of doses starting around 11-12 years of age.
A. Hepatitis B vaccine is typically administered at birth, followed by a series of doses at 1-2 months and 6-18 months of age. By the age of 11, the child would have completed the series if they were up to date on immunizations. Therefore, it is unlikely that the child would need another dose of the Hepatitis B vaccine at this age.
B. Rotavirus vaccine is usually administered in infancy, with the first dose given around 2 months of age and the last dose by 8 months of age. By the age of 11, the child would have completed the series if they were up to date on immunizations. So, administering the Rotavirus vaccine to an 11-year-old who is up to date on immunizations is unnecessary.
C. The Pneumococcal conjugate vaccine protects against infections caused by the bacterium Streptococcus pneumoniae, such as pneumonia and meningitis. It is typically administered in infancy, with a booster dose recommended at around 12-15 months of age. However, the CDC recommends a single revaccination dose of Pneumococcal conjugate vaccine for children aged 6 through 18 years who are at high risk of infection. If the child falls into this category, the nurse should plan to administer the vaccine.
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