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.

Angiotensin-converting enzyme (ACE) inhibitor

Loop diuretic

Glucocorticoids

Long acting beta agonists

Biologics

Antiproliferative agents

Answer and Explanation

Correct Answer : C,D,E

A. Angiotensin-converting enzyme (ACE) inhibitor: ACE inhibitors are primarily used for hypertension and heart failure management. They are not indicated for asthma treatment and may even cause cough as a side effect, which could worsen respiratory symptoms.

B. Loop diuretic: Loop diuretics are used to manage fluid overload in conditions like heart failure. They do not have a role in asthma management and will not improve bronchospasm or airway inflammation.

C. Glucocorticoids: Inhaled or systemic glucocorticoids reduce airway inflammation and are a mainstay in long-term asthma control. They help prevent exacerbations and improve lung function in clients with persistent asthma symptoms.

D. Long acting beta agonists: Long-acting beta agonists (LABAs) provide prolonged bronchodilation and are used in combination with glucocorticoids for better control of moderate to severe asthma. They are not rescue medications but help reduce symptoms and exacerbations.

E. Biologics: Biologic therapies target specific pathways in severe asthma (e.g., IgE or eosinophils) and are beneficial for clients with difficult-to-control asthma or frequent exacerbations despite standard treatment.

F. Antiproliferative agents: Antiproliferative agents are not used in asthma management. These drugs are generally used in oncology or transplant medicine and have no role in treating airway inflammation or bronchospasm.

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Free Nursing Study Resources

Correct Answer is ["A","B","D"]

Explanation

A. Herbal supplements can interact with prescription medications and may have side effects. It is essential to consult the healthcare provider to ensure safety and avoid harmful interactions, especially in clients with complex conditions like diabetes and heart failure.

B. Unlike prescription drugs, herbal supplements are not rigorously tested or regulated for safety, efficacy, or quality. This lack of regulation can lead to variability in product content and unexpected adverse effects.

C. Not all herbal supplements are ineffective; some may provide benefits, though they require careful consideration and medical guidance. Advising that all are unhelpful is inaccurate and dismisses potentially safe options when appropriately supervised.

D. Melatonin may affect blood pressure, blood sugar levels, and interact with heart failure medications, potentially altering their effectiveness or causing adverse effects. Clients should be informed about these risks.

E. The body builds up a tolerance of melatonin, requiring higher doses to get therapeutic benefits: Current evidence does not strongly support tolerance development to melatonin requiring dose escalation. The need for higher doses is not a concern in short-term melatonin use.

A. Prolong the interval between analgesic medication doses and monitor the client's vital signs. B. Observe the client for the presence of pain behaviors before the next analgesic dose is due. C. Ask family members to report behaviors suggesting that the client's pain has returned. D. Review the client's laboratory values for a change in the peak and trough levels of the analgesic.

Correct Answer is B

Explanation

A. Prolong the interval between analgesic medication doses and monitor the client's vital signs: Extending the time between doses to assess tolerance risks causing unnecessary pain and discomfort. Vital signs alone are not reliable indicators of pain, especially in clients unable to communicate.

B. Observe the client for the presence of pain behaviors before the next analgesic dose is due: Nonverbal indicators such as facial grimacing, restlessness, muscle tension, or guarding can help assess pain in non-communicative clients. Observing these signs at the end of a dosing interval helps identify potential tolerance.

C. Ask family members to report behaviors suggesting that the client's pain has returned: While family members may provide valuable insight, they may not recognize subtle or clinically significant pain cues. Direct nursing observation ensures more accurate assessment.

D. Review the client's laboratory values for a change in the peak and trough levels of the analgesic: Laboratory monitoring is not a standard method for assessing analgesic tolerance, as blood levels may remain stable even if the drug’s analgesic effect diminishes over time.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older adult client who has type 2 diabetes mellitus (DM) and a history of heart failure (HF) tells the home health nurse that his daughter brought him melatonin to help with sleeping problems. Which information should the nurse provide to the client? Select all that apply.

Correct Answer is ["A","B","D"]

Explanation

Which action should the nurse take to assess for analgesic tolerance in a client who is unable to communicate?

Correct Answer is B

Explanation

The nurse is administering sevelamer during lunch to a client with chronic kidney disease (CKD). The client asks the nurse to bring the medication later. The nurse should describe which action of sevelamer as an explanation for taking it with meals?

Which assessment finding indicates to the nurse that the prescription bethanechol is effective for a client diagnosed with urinary retention?

The nurse is providing instructions about a client's new medications: How should the nurse explain the purpose of probenecid, a uricosuric drug?

Exhibits Which 2 drugs would be the most appropriate to give the client now?

A client receives a new prescription for somatropin. Which information provided by the client indicates a need for further education by the nurse?

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.

The nurse assesses a client with intermittent claudication who is receiving pentoxifylline. Which assessment should the nurse perform to determine the effectiveness of the medication?

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