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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

that decreases.
Answer and Explanation

The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}

  • Anticholinergic: Anticholinergics work by blocking the parasympathetic nervous system to cause bronchodilation, but albuterol is not in this class. These drugs, such as ipratropium, are used as bronchodilators but act differently from albuterol.
  • Leukotriene receptor antagonist: Leukotriene receptor antagonists, like montelukast, reduce inflammation and airway edema by blocking leukotriene pathways. Albuterol does not have this mechanism and primarily targets airway smooth muscle.
  • Beta adrenergic agonist: Albuterol is a beta adrenergic agonist that stimulates beta-2 receptors on airway smooth muscle, causing relaxation and rapid bronchodilation. This action helps relieve bronchospasm in asthma exacerbations.
  • Bronchospasm: Albuterol decreases bronchospasm by relaxing the smooth muscles lining the bronchioles, which reduces airway constriction and improves airflow. This effect provides quick relief of wheezing and shortness of breath.
  • Inflammation: While inflammation is a major component of asthma, albuterol does not directly decrease inflammation; anti-inflammatory drugs like corticosteroids target this process.
  • Airway edema: Airway edema contributes to airway narrowing, but albuterol’s main action is to relieve muscle constriction rather than reduce edema. Other medications address inflammation and swelling.


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Related Questions

Correct Answer is C

Explanation

A. Notify the healthcare provider if anorexia occurs: Mild anorexia can be a common side effect of GLP-1 receptor agonists due to delayed gastric emptying. While it should be reported if severe or persistent, it is not the most urgent safety concern.

B. Consume additional sources of potassium: GLP-1 receptor agonists do not significantly impact potassium levels, so increasing potassium intake is not a routine teaching point. This instruction would be more relevant for medications affecting electrolyte balance.

C. Watch for signs of jitteriness or diaphoresis: These are symptoms of hypoglycemia, which can occur when GLP-1 receptor agonists are combined with sulfonylureas like glimepiride. Teaching the client to recognize and promptly address these signs is critical to preventing severe hypoglycemic events.

D. Administer subcutaneously after meals: GLP-1 receptor agonists are administered subcutaneously but are not specifically given after meals. Their dosing schedule depends on the formulation, with some given daily and others weekly, and meal timing is generally not a requirement.

Correct Answer is B

Explanation

A. Explain that the medication takes several weeks to reverse symptoms: Riluzole does not reverse muscle weakness or atrophy in ALS but may slow disease progression. It is important to set realistic expectations that symptoms may persist despite treatment.

B. Document the assessment findings in the electronic health record: Documenting current symptoms is essential for ongoing evaluation of the client’s condition and medication effectiveness. Accurate records help the healthcare provider make informed decisions about treatment adjustments.

C. Advise the client to schedule an appointment for liver function tests: Riluzole can cause hepatotoxicity, so monitoring liver enzymes regularly is necessary. However, this action is more appropriate as a routine follow-up rather than an immediate response to persistent weakness and atrophy.

D. Withhold the medication until the healthcare provider is notified: Continuing riluzole as prescribed is important since abrupt discontinuation can be harmful. Holding medication without specific instructions from the healthcare provider is not recommended.

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