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
dropdown
that decreases
dropdown

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Document the assessment findings in the electronic health record: Riluzole is not curative for ALS; it only modestly slows disease progression. Continuing muscle weakness and atrophy are expected findings in ALS, even after starting treatment. Accurate documentation is appropriate because no immediate change in therapy is indicated based solely on these observations.

B. Explain that the medication takes several weeks to reverse symptoms: Riluzole does not reverse ALS symptoms. It may slightly prolong survival by slowing the progression of muscle weakness, but it does not regenerate lost function or reverse disease-related damage.

C. Advise the client to schedule an appointment for liver function tests: Riluzole can affect liver function and periodic monitoring is important, but muscle weakness alone does not directly signal liver problems. Unless there are signs of hepatotoxicity, there is no immediate need for unscheduled testing.

D. Withhold the medication until the healthcare provider is notified: There is no indication to withhold riluzole based on ongoing muscle weakness, as this is consistent with the natural course of ALS. Interrupting therapy without a clear medical reason could harm the client.

A. Feverfew may interact with aspirin or nonsteroidal antiinflammatory drugs (NSAIDs). B. Those with allergies to chamomile, ragweed, or yarrow should not take feverfew. C. Abdominal pain, gas, nausea, vomiting, and diarrhea can occur when taking feverfew. D. Increased anxiety and nervousness have been reported by those taking feverfew.

Correct Answer is A

Explanation

A. Feverfew may interact with aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs): Feverfew has antiplatelet effects that can increase the risk of bleeding when combined with aspirin or NSAIDs. Teaching the client about this interaction is critical to prevent serious adverse effects such as gastrointestinal bleeding or easy bruising.

B. Those with allergies to chamomile, ragweed, or yarrow should not take feverfew: Although this is important information for clients with specific allergies, it is not as immediately critical as informing about drug interactions that can cause dangerous bleeding risks.

C. Abdominal pain, gas, nausea, vomiting, and diarrhea can occur when taking feverfew: These gastrointestinal side effects are common but generally mild and not life-threatening, making them less critical to address compared to drug interactions.

D. Increased anxiety and nervousness have been reported by those taking feverfew: While some clients may experience mild mood changes, this is less common and not as serious as the bleeding risks associated with concurrent use of feverfew and other antiplatelet agents.

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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 dropdown that decreases dropdown

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with amyotrophic lateral sclerosis (ALS) has been taking riluzole for two weeks. The nurse notes that the client remains weak with observable muscle atrophy. Which action should the nurse take?

Correct Answer is A

Explanation

A client who experiences migraine headaches reports having fewer headaches since using the herbal remedy feverfew. Which information is most important for the nurse to include in a teaching plan for this client?

Correct Answer is A

Explanation

A client who uses transdermal contraceptive, calls to the clinic because she forgot to apply a new patch three days ago. Which instruction should the nurse provide to the client?

Patient Data Select from Word Choices to complete the sentence. The thiazide diuretic works to decrease the client's blood pressure by ______, and the angiotensin converting enyzme (ACE) inhibitor works to decrease the client's blood pressure by ________ and _______

A client with muscle spasticity receives a prescription for baclofen. Which information provided by the client requires additional instruction by the nurse?

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?

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?

Patient Data Which actions should the nurse take to assure safety during morphine administration? Select all that apply.

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 dropdown that decreases dropdown

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?

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
dropdown
that decreases
dropdown