Exhibits

Click to specify whether the client statements following asthma management education indicate understanding or no understanding. Each row must have one option selected.

"Even with asthma, I can maintain normal activity levels".

"The inhaled fluticasone that I was prescribed carries just as much risk as an oral steroid."

"I should keep track of my peak expiratory flow to see how well I am managing my asthma."

"I can decrease my risk of asthma attacks if I reduce my exposure to allergens in my home."

"I should discontinue using albuterol after I fill my prescription for fluticasone."

"If this treatment plan does not work, there are other drugs and combinations of drugs that I can get from my doctor to manage my asthma."

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"A"}}

• "Even with asthma, I can maintain normal activity levels.": Asthma can be effectively managed with proper treatment and trigger avoidance, allowing most clients to maintain normal physical activity and quality of life.

• "The inhaled fluticasone that I was prescribed carries just as much risk as an oral steroid.": Inhaled corticosteroids have significantly fewer systemic side effects and lower risk compared to oral corticosteroids, which have more widespread effects.

• "I should keep track of my peak expiratory flow to see how well I am managing my asthma.": Monitoring peak expiratory flow helps detect early changes in airway obstruction and guides management decisions, promoting better asthma control.

• "I can decrease my risk of asthma attacks if I reduce my exposure to allergens in my home.": Reducing exposure to known allergens, such as dust mites, pet dander, or mold, helps prevent asthma exacerbations and improves symptom control.

• "I should discontinue using albuterol after I fill my prescription for fluticasone.": Albuterol is a rescue bronchodilator used for acute symptoms, while fluticasone is a controller medication. Both may be needed concurrently.

• "If this treatment plan does not work, there are other drugs and combinations of drugs that I can get from my doctor to manage my asthma.": Asthma management includes various medication options and stepwise adjustments, so alternative or combination therapies can be prescribed if needed.

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Free Nursing Study Resources

Correct Answer is ["A","C","D","E"]

Explanation

A. Naloxone: Naloxone is commonly prescribed as an antidote to opioid overdose, including morphine. It is given PRN to reverse respiratory depression or severe sedation caused by morphine, making it a critical safety medication in opioid therapy.

B. Propofol: Propofol is a general anesthetic used for sedation during procedures and is not routinely prescribed alongside morphine for postoperative pain management. Its use is limited to controlled settings such as surgery or ICU sedation, not typical postoperative care.

C. Ibuprofen: Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) often prescribed alongside opioids to provide additional pain relief through a different mechanism. Combining NSAIDs with opioids can reduce opioid requirements and improve pain control.

D. Docusate sodium: Opioids like morphine commonly cause constipation. Docusate sodium is a stool softener prescribed prophylactically to prevent constipation in patients receiving opioid therapy, making it a typical co-prescription.

E. Senna: Senna is a stimulant laxative also frequently prescribed with opioids to promote bowel motility and prevent or treat opioid-induced constipation, supporting bowel function alongside stool softeners.

F. Methadone: Methadone is an opioid analgesic used for chronic pain or opioid dependency management. It is not routinely prescribed in the immediate postoperative period alongside morphine for acute pain control, so it would be unexpected here.

A. White blood cell count of 6,000/mm3 (6 x 10%/L). B. Reports of photophobia. C. Decreased blood urea nitrogen. D. Hearing has decreased.

Correct Answer is D

Explanation

A. White blood cell count of 6,000/mm³ (6 x 10³/µL): This WBC count is within the normal reference range and does not indicate an adverse effect of gentamicin. Neutropenia or leukopenia would be more concerning but are not typical gentamicin side effects.

B. Reports of photophobia: Photophobia is not commonly associated with gentamicin toxicity. While it may indicate other issues, it is not a hallmark adverse effect of this antibiotic.

C. Decreased blood urea nitrogen: Gentamicin toxicity is more often associated with increased BUN due to renal impairment. A decrease in BUN is not indicative of toxicity or adverse effects from gentamicin.

D. Hearing has decreased: Ototoxicity is a well-known adverse effect of gentamicin, especially with prolonged use or higher doses. Hearing loss or tinnitus signals potential cochlear damage and requires immediate attention to prevent permanent hearing impairment.

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Exhibits Click to specify whether the client statements following asthma management education indicate understanding or no understanding. Each row must have one option selected.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits Which other medications would the nurse expect the surgeon to prescribe along with morphine? Select all that apply.

Correct Answer is ["A","C","D","E"]

Explanation

A male client has been receiving the antibiotic gentamicin sulfate, IV piggyback every 12 hours for several days. Which observation by the nurse indicates that the client may be experiencing an adverse effect of gentamicin? Reference Range: White Blood Cell 15,000 to 10,000/mm3 (5 to 10 x 10 L)]

Correct Answer is D

Explanation

Exhibits Click to specify whether the client statements following asthma management education indicate understanding or no understanding. Each row must have one option selected.

Exhibits The nurse prepares the client for discharge and educates him on his new prescription. Which possible side effects of fluticasone should the nurse advise the client about? Select all that apply.

Exhibits Review history, nurses' notes, and prescriptions. Which other medications might be helpful for this client in his management of asthma? Select all that apply.

Exhibits Review history, nurses notes, and prescriptions. Choose the most likely options for the information missing from the statement by selecting from the lists of options provided. Albuterol is a dropdownthat decreasesdropdown.

Exhibits Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

A client with irritable bowel syndrome starts a new prescription for dicyclomine, an anticholinergic medication. The client reports the onset of sensitivity to bright sunlight and a dry mouth. How should the nurse respond?

The nurse is caring for a client with type 2 diabetes mellitus who is taking liraglutide. Which problem(s) in the client's history may increase the risk for development of pancreatitis? Select all that apply.

A client who experiences migraine headaches reports having fewer headaches since using the herbal remedy feverfew. Which information is most important for the nurse to include in a teaching plan for this client?

Exhibits

Click to specify whether the client statements following asthma management education indicate understanding or no understanding. Each row must have one option selected.