Exhibits

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

Albuterol via nebulizer

Racemic epinephrine via nebulizer

Budesonide via metered dose inhaler

Fexofenadine orally

Levalbuterol inhaler

Salmeterol via nebulizer

Answer and Explanation

Correct Answer : A,E

A. Albuterol via nebulizer: Albuterol is a short-acting beta-2 agonist (SABA) that provides rapid bronchodilation, making it the first-line treatment for acute asthma exacerbations. Nebulized administration is effective for quick symptom relief in clients with severe wheezing.

B. Racemic epinephrine via nebulizer: Racemic epinephrine is primarily used for croup and upper airway obstruction, not for asthma exacerbations. It is not a standard treatment for bronchospasm caused by asthma.

C. Budesonide via metered dose inhaler: Budesonide is an inhaled corticosteroid used for long-term control of asthma inflammation but has a delayed onset and is not appropriate for immediate relief during acute exacerbations.

D. Fexofenadine orally: Fexofenadine is an antihistamine used to treat allergic rhinitis and seasonal allergies; it does not relieve bronchospasm or acute asthma symptoms.

E. Levalbuterol inhaler: Levalbuterol is the active (R-) isomer of albuterol and also a SABA. It provides rapid bronchodilation and can be used as an alternative to albuterol for acute asthma symptoms.

F. Salmeterol via nebulizer: Salmeterol is a long-acting beta-2 agonist (LABA) used for maintenance therapy and is not indicated for acute asthma attacks due to its slow onset of action.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Obtain another transdermal patch and position it on the client's left upper chest: Applying an additional patch is not appropriate, as transdermal nitroglycerin provides a continuous slow release of the drug and doubling patches could cause excessive hypotension.

B. Withhold further doses of nitroglycerin until contacting the healthcare provider: This would delay pain relief and increase the risk of myocardial ischemia. Nitroglycerin protocols allow for PRN sublingual doses for breakthrough chest pain even when a patch is in place.

C. Reassure the client that the patch will begin to take effect within a few minutes: Transdermal nitroglycerin has a delayed onset, often requiring 30–60 minutes for therapeutic levels. Relying solely on the patch for acute angina relief is unsafe, as sublingual nitroglycerin provides rapid action within minutes.

D. Leave the patch in place and administer a PRN dose of sublingual nitroglycerin: The patch provides baseline therapy, while sublingual nitroglycerin offers rapid symptom relief for acute episodes. This combination ensures immediate pain control without interrupting ongoing prophylactic treatment.

A. Serum potassium level of 3.8 mEq/L (3.8 mmol/L). B. Hemoglobin level of 13.5 g/dL (13.5 g/L). C. Serum glucose level of 120 mg/dL (6.7 mmol/L). D. Serum ammonia level of 30 pg/dL (17.62 μmol/dL).

Correct Answer is A

Explanation

A. Serum potassium level of 3.8 mEq/L (3.8 mmol/L): Sodium polystyrene sulfonate is used to treat hyperkalemia by exchanging sodium ions for potassium ions in the intestines, thereby lowering serum potassium levels. A potassium level within the normal range indicates effective treatment.

B. Hemoglobin level of 13.5 g/dL (13.5 g/L): Hemoglobin is unrelated to the action of sodium polystyrene sulfonate and does not reflect the medication’s effectiveness in managing potassium levels.

C. Serum glucose level of 120 mg/dL (6.7 mmol/L): Glucose levels are unrelated to potassium management and the use of sodium polystyrene sulfonate, so this lab value does not indicate medication effectiveness.

D. Serum ammonia level of 30 µg/dL (17.62 μmol/dL): Ammonia levels are not influenced by sodium polystyrene sulfonate and do not provide information regarding potassium control or medication effectiveness.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a history of angina reports the onset of chest pain. The nurse determines that the heart rate is 104 beats/minute and the blood pressure is 138/86 mm Hg. A transdermal nitroglycerin patch was applied 30 minutes ago to the right upper chest. Which action should the nurse take?

Correct Answer is D

Explanation

Correct Answer is A

Explanation

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?

A male client with a newly diagnosed seizure disorder starts a prescription for clonazepam. One week later, the nurse observes that his speech is slurred and he has an ataxic gait. Which action should the nurse implement?

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 is administering IV fluconazole to a client who has systemic candidiasis. After reviewing the client's diagnostic studies, the nurse identifies a rising trend in the liver enzyme levels for aspartate aminotransferase (AST). Which action should the nurse implement?

The nurse is caring for a client who is taking diclofenac for rheumatoid arthritis. During a clinic visit, the client appears pale and reports increasing fatigue. Which of the client's serum laboratory values is most important for the nurse to review?

While assessing a client who takes acetaminophen for chronic pain, the nurse observes that the client's skin looks yellow in color. Which action should the nurse take in response to this finding?

A client receives a new prescription for levothyroxine. Which statement made by the client indicates to the nurse that education was effective?

The nurse is preparing to administer the client's morning dose of digoxin. Which action should the nurse take prior to administering the digoxin?

Exhibits

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