A nurse is reinforcing teaching to a school-age child who has asthma.
Which of the following medications should the nurse instruct the child to use to abort an ongoing attack?.
Montelukast
Fluticasone.
Cromolyn.
Albuterol.
The Correct Answer is D
Choice A rationale:
Montelukast is a leukotriene receptor antagonist used for the prophylaxis and chronic treatment of asthma, not for aborting an ongoing attack.
Choice B rationale:
Fluticasone is a corticosteroid used for the long-term management of asthma symptoms, not for immediate relief of an ongoing attack.
Choice C rationale:
Cromolyn is a mast cell stabilizer used for the prophylaxis of asthma, not for aborting an ongoing attack.
Choice D rationale:
Albuterol is a short-acting beta-adrenergic agonist (SABA) used for the relief of acute asthma symptoms or attacks.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Atenolol does not commonly cause constipation.
Choice B rationale:
Atenolol, a beta blocker, can slow heart rate, leading to bradycardia.
Choice C rationale:
Atenolol does not typically cause cough.
Choice D rationale:
While some may experience headache, it’s not a common side effect of atenolol.
Correct Answer is A
Explanation
Enteric-coated aspirin is designed to dissolve in the intestines rather than the stomach to reduce gastrointestinal irritation. Crushing the medication would destroy the coating, causing the aspirin to be released in the stomach, which could lead to side effects like stomach ache or indigestion.
- A. "If I crush it, you might experience a stomach ache or indigestion.”: This is accurate, as crushing the enteric coating would expose the stomach to aspirin, increasing the risk of irritation or ulceration.
- B. "I will crush it and mix it in some ice cream for you.”: This is incorrect, as crushing enteric-coated aspirin is not recommended due to the loss of the protective coating.
- C. "That would release all the medication at once, rather than over time.”: This is incorrect, as enteric-coated aspirin is not a time-release formulation; the coating is for stomach protection, not controlled release.
- D. "Stomach acid will inactivate some of the medication if I crush the medication.”: This is incorrect, as stomach acid does not significantly inactivate aspirin, but rather the concern is increased gastric irritation.
The best response is A, as it correctly explains the risk of crushing the enteric-coated aspirin.
Final Answer: A. "If I crush it, you might experience a stomach ache or indigestion.”
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