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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Correct Answer is D

Explanation

A. Trouble sleeping: Sleep disturbances are not a primary concern before administering pyridostigmine, as the drug’s main adverse effects involve cholinergic symptoms. Insomnia does not influence the immediate safety or effectiveness of the medication.

B. Unexplained weight loss: Although weight loss may be associated with myasthenia gravis or nutritional difficulties, it is not a critical factor to assess before giving pyridostigmine. The drug’s absorption and dosing are not directly adjusted based on weight loss.

C. Difficulty with urination: Pyridostigmine can cause increased urinary frequency or exacerbate bladder issues due to cholinergic effects. However, this is not as immediate a priority as confirming oral intake, which directly affects drug absorption and onset of action.

D. Recent oral intake: Pyridostigmine is best absorbed when taken with food to minimize gastrointestinal upset and optimize absorption. Ensuring the client has recently eaten, or will eat shortly after administration, helps reduce side effects such as nausea.

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 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

A client with myasthenia gravis receives a new prescription for pyridostigmine. Which information should the nurse to administering the medication?

Correct Answer is D

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

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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.

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Exhibits For each statement, click to indicate whether the statements by the student nurse indicate understanding or no understanding of naloxone. Each row must have one option selected.

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.