Patient Data
Choose the most likely options for the information missing from the statement by selecting from the lists of options provided.
Albuterol is a
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
- Albuterol is classified as a beta-2 adrenergic agonist that specifically targets bronchial smooth muscle. It causes relaxation and bronchodilation, rapidly relieving bronchospasm in asthma exacerbations. This action improves airway flow and oxygenation almost immediately after administration. It is the primary rescue medication used in acute respiratory distress related to asthma.
- Beta-blockers inhibit beta-adrenergic receptors, leading to decreased heart rate and blood pressure. They can cause bronchoconstriction, especially in patients with reactive airway diseases like asthma. Using beta-blockers would worsen asthma symptoms rather than relieve them during an exacerbation. Therefore, they are contraindicated in many clients with a history of asthma or severe allergies.
- Corticosteroids are anti-inflammatory agents that decrease airway swelling over several hours or days. They do not provide the immediate bronchodilation needed during an acute asthma attack. Fluticasone and prednisone are examples used for long-term asthma control, not acute relief. Thus, corticosteroids differ significantly from bronchodilators like albuterol in onset and purpose.
- Albuterol reduces airway resistance by relaxing constricted bronchial smooth muscles. This effect allows greater airflow into and out of the lungs, improving oxygen exchange. Decreased airway resistance is the primary mechanism by which respiratory symptoms are relieved. Effective bronchodilation is critical to restoring normal breathing during asthma exacerbations.
- Albuterol may increase heart rate slightly due to beta-1 receptor cross-stimulation at high doses. It does not decrease heart rate and tachycardia is considered a known side effect. Heart rate monitoring is important during albuterol administration, especially in cardiac patients. Managing asthma symptoms requires balancing effective bronchodilation with minimal cardiac effects.
- Albuterol does not directly act on inflammation but instead targets smooth muscle relaxation. The inflammatory response in asthma is treated with corticosteroids and leukotriene modifiers. Immediate asthma symptom relief depends on bronchodilation, not anti-inflammatory action. Thus, albuterol is classified solely as a bronchodilator, not an anti-inflammatory medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Trouble sleeping: Sleep disturbances are not a major concern before administering pyridostigmine. Although insomnia can occur with many medications, it is not directly impacted by pyridostigmine, nor does it influence the decision to give the drug safely.
B. Recent oral intake: Pyridostigmine should be given on a consistent schedule relative to meals to optimize absorption and minimize gastrointestinal side effects. Additionally, coordinating dosing with food can help maximize muscle strength for chewing and swallowing, critical concerns in myasthenia gravis.
C. Unexplained weight loss: While significant weight loss could suggest disease progression or nutritional problems, it is not immediately relevant to the safe administration of pyridostigmine. Monitoring weight is important long-term but does not alter short-term dosing considerations.
D. Difficulty with urination: Pyridostigmine can affect smooth muscle function, including the bladder, but urinary issues are not the primary focus prior to administration. Ensuring safe medication absorption and effectiveness related to food intake is more critical immediately before dosing.
Correct Answer is A
Explanation
A. Hearing has decreased: Gentamicin is an aminoglycoside antibiotic known for its potential to cause ototoxicity, leading to hearing loss, tinnitus, or balance disturbances. Early signs of auditory damage, such as decreased hearing, must be promptly recognized because ototoxicity can be irreversible if the drug is not discontinued or adjusted quickly.
B. White blood cell count of 6,000/mm³ (6 × 10⁹/L): A WBC count within the range of 5,000 to 10,000/mm³ is considered normal. A value of 6,000/mm³ does not suggest bone marrow suppression or infection-related complications and is not an indicator of gentamicin toxicity.
C. Decreased blood urea nitrogen: Gentamicin is more commonly associated with nephrotoxicity, which typically leads to increased BUN and creatinine levels due to kidney injury. A decreased BUN level would not suggest an adverse reaction to gentamicin and would not be expected.
D. Reports of photophobia: Photophobia is not a recognized adverse effect of gentamicin. Visual disturbances like photophobia are more commonly associated with other medications or conditions, not aminoglycoside toxicity.
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