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 B

Explanation

A. This meal includes a hamburger, which is typically high in saturated fat and sodium, especially if it's made from fatty cuts of meat and includes processed cheese or condiments. Steak fries are often high in fat and sodium due to being fried. While the orange is a healthy fruit, the rest of the meal does not align with the DASH diet principles.
B. This meal is a good example of the DASH diet. The turkey provides lean protein, whole wheat bread offers whole grains, and the green beans are a vegetable. The banana adds a serving of fruit. This combination emphasizes a variety of food groups that are encouraged in the DASH diet, making it a balanced and heart-healthy option.
C. Pork sausage is typically high in saturated fat and sodium, which is not aligned with the DASH diet's recommendations to limit these components. Baked beans can be a good source of fiber but may also contain added sugars and sodium depending on how they are prepared. Overall, this meal does not fit well within the DASH diet framework.
D. While enriched cereal can provide essential vitamins and minerals, it may also be high in added sugars, which is discouraged on the DASH diet. Whole milk is higher in saturated fat compared to low-fat or non- fat dairy options recommended by the DASH diet. Therefore, this meal does not fully meet DASH guidelines.

A. "This medication can cause insomnia." B. "Treatment with this medication will last for 1 month. C. "It is best to take the medication with meals." D. "Urine and other secretions might turn orange."

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.

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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 educating a client who has a chronic illness about a DASH diet. Which of the following meals best fits the DASH diet?

Correct Answer is B

Explanation

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 patient has had a tonsillectomy yesterday and is now tolerating clear fluids and per order diet can be increased. The patient asks for something different to "eat." Which is most appropriate for the nurse to offer?

It is important for a patient with acute streptococcal pharyngitis be treated with antibiotics to prevent which disease process?

A nurse is instructing a client who is newly diagnosed with pulmonary tuberculosis (TB) about the use of antitubercular medications. Which of th following information should the nurse include in the teaching?

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Which interventions does the nurse implement when providing care for a patient who is admitted for the treatment of active tuberculosis? (Select All that Apply.)

A patient is diagnosed with acute pharyngitis. Which clinical manifestation would the nurse expect to see in this client?

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