In providing care to a patient admitted with an acute asthma exacerbation, the nurse prepares which "rescue" medication for administration first?

Long-acting beta2-adrenergic agonists

Short-acting beta2-adrenergic agonists

Mucolytic

Inhaled anti-inflammatories

Answer and Explanation

The Correct Answer is B

A.   Long-acting beta2-adrenergic agonists (LABAs) are used for the maintenance treatment of asthma but are not suitable for immediate relief during an acute exacerbation. They take longer to take effect and are used as part of a long-term management plan rather than a rescue plan.
B.   Short-acting beta2-adrenergic agonists (SABAs), such as albuterol, are the first-line treatment for acute asthma exacerbations. They work quickly to relax the muscles around the airways, providing immediate relief of bronchospasm and improving airflow. This is why they are referred to as "rescue" medications.
C.   Mucolytics are used to thin and loosen mucus in the airways, which can be helpful for conditions involving thick mucus. However, they are not used for immediate relief of asthma symptoms and do not address bronchospasm directly. They are not appropriate as a first-line treatment in an acute asthma attack.
D.   Inhaled corticosteroids are used for long-term control of asthma by reducing inflammation in the airways. While they are important for ongoing management, they do not provide immediate relief during an acute asthma exacerbation and should not be used as rescue medication.

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Correct Answer is D

Explanation

A. Insomnia is not a common side effect of rifampin. While individual responses to medications can vary, the typical side effects of rifampin do not generally include sleep disturbances. More common side effects include gastrointestinal upset, rash, and liver enzyme changes.
B. The treatment duration for rifampin in the context of active tuberculosis is typically much longer than 1 month. Standard therapy often lasts for at least 6 months and may vary depending on the specific treatment regimen and patient response.
C. Rifampin is generally recommended to be taken on an empty stomach, either 1 hour before or 2 hours after meals, to enhance absorption. Taking it with food may reduce its effectiveness. This information is crucial for ensuring the medication works optimally.
D. One of the notable side effects of rifampin is that it can cause urine, sweat, tears, and other bodily secretions to turn a reddish-orange color. This is harmless but important for the patient to be aware of, as it can cause concern or confusion regarding potential blood in urine or other secretions.

A. "We'll take his temperature every 4 hours." B. "We'll give him Tylenol for the pain." C. "We'll discard his toothbrush and buy another." D. "We'll continue to encourage him to drink lots of fluids."

Correct Answer is C

Explanation

A. While monitoring the child’s temperature is important for assessing fever and overall condition, it does not directly prevent the transmission of streptococcal infection. This response does not address methods to prevent spreading the illness to others.
B. Giving Tylenol (acetaminophen) can help relieve pain and reduce fever, which is important for the child’s comfort. However, this response does not address disease transmission prevention. It’s more about symptom management rather than infection control.
C. Discarding the toothbrush is a key infection control measure. Since the toothbrush can harbor bacteria from the throat, it’s essential to replace it after the child has been treated for streptococcal pharyngitis to prevent re-infection and reduce the risk of spreading the bacteria to others.
D. While encouraging fluid intake is important for recovery and can help soothe a sore throat, this response does not specifically address the prevention of disease transmission. It focuses more on the child’s care rather than controlling the spread of infection.

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In providing care to a patient admitted with an acute asthma exacerbation, the nurse prepares which "rescue" medication for administration first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to a client who has pulmonary tuberculosis and a new prescription for rifampin. Which of the following information should the nurse provide?

Correct Answer is D

Explanation

A nurse is providing teaching to the parents of a child who has streptococcal pharyngitis about ways to prevent disease transmission. Which of the following responses by the parents indicates an understanding of the teaching?

Correct Answer is C

Explanation

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Which statement describes the action of a beta-adrenergic agent for a patient with a respiratory disorder such as asthma?

The nurse is assessing a patient who is diagnosed with tuberculosis. Which assessment finding correlates with this diagnosis?

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