Patient Data

Which other medications might be helpful for this client in his management of asthma? Select all that apply.

Antiproliferative agents

Biologics

Loop diuretic

Glucocorticoids

Long acting beta agonists

Angiotensin-converting enzyme (ACE) inhibitor

Answer and Explanation

Correct Answer : B,D,E

A. Antiproliferative agents: These are primarily used in conditions like organ transplantation and autoimmune diseases to suppress cell growth. They are not indicated for the management of asthma and would not benefit the client’s respiratory symptoms.

B. Biologics: Biologics such as omalizumab (anti-IgE) or mepolizumab (anti-IL-5) are used in moderate to severe asthma cases that are not well controlled with inhaled therapies. They target specific pathways in the inflammatory process and can help reduce exacerbations in allergic or eosinophilic asthma.

C. Loop diuretic: Loop diuretics like furosemide are used to manage fluid overload in conditions like heart failure, not for airway inflammation or bronchospasm in asthma. They have no direct role in asthma management.

D. Glucocorticoids: Inhaled or systemic glucocorticoids are essential in controlling airway inflammation and preventing exacerbations in asthma. They are a cornerstone of asthma management, especially if frequent rescue inhaler use is noted.

E. Long-acting beta agonists (LABAs): LABAs like salmeterol or formoterol are used in combination with inhaled corticosteroids for maintenance therapy in moderate to severe asthma. They help provide sustained bronchodilation but are not used alone due to increased risk of asthma-related death if unpaired with a steroid.

F. Angiotensin-converting enzyme (ACE) inhibitor: ACE inhibitors are primarily used for hypertension and heart failure. They are not asthma treatments and can sometimes worsen coughing, which could complicate asthma symptoms.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Apply the cream to the area for 2 weeks: Short-term use of topical corticosteroids like betamethasone is appropriate to reduce inflammation and itching. Using it for around 2 weeks helps control symptoms while minimizing the risk of adverse effects like skin thinning or systemic absorption.

B. Limit exposure to direct sunlight: Topical corticosteroids can make the skin more sensitive to UV radiation, increasing the risk of sunburn or irritation. Limiting sun exposure while using betamethasone is a correct precaution and demonstrates good understanding.

C. Use the cream only on intact skin: Betamethasone should be applied only to intact skin because using it on broken or infected areas can increase systemic absorption and raise the risk of side effects. This practice reflects safe and proper medication use.

D. Cover the site with an occlusive dressing: Occlusive dressings significantly increase the absorption of topical steroids, raising the risk of local and systemic side effects like thinning of the skin, adrenal suppression, or infection. Unless specifically directed by the healthcare provider, occlusion should generally be avoided.

A. Promotes stomach emptying and prevents gastric reflux B. Buffers hydrochloric acid and prevents gastric erosion C. Prevents indigestion associated with ingestion of spicy foods. D. Binds with phosphorus in foods and prevents absorption.

Correct Answer is D

Explanation

A. Promotes stomach emptying and prevents gastric reflux: Sevelamer does not influence gastric motility or act on the lower esophageal sphincter. It is not used to treat reflux or alter the rate of stomach emptying, so this explanation would be inaccurate.

B. Buffers hydrochloric acid and prevents gastric erosion: Sevelamer is not an antacid and does not buffer stomach acid or directly protect the stomach lining. Its action is specifically targeted toward phosphate binding, not gastric pH balance.

C. Prevents indigestion associated with ingestion of spicy foods: Sevelamer is not intended to manage symptoms of indigestion or dyspepsia from spicy foods. It plays no role in modifying digestive comfort related to specific dietary triggers.

D. Binds with phosphorus in foods and prevents absorption: Sevelamer is a phosphate binder prescribed for clients with CKD to prevent hyperphosphatemia. It must be taken with meals to bind dietary phosphorus in the gut, thereby preventing its absorption into the bloodstream and helping maintain normal phosphate levels.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Patient Data Which other medications might be helpful for this client in his management of asthma? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with eczema receives a prescription for betamethasone cream. Which client statement indicates to the nurse that further teaching is needed?

Correct Answer is D

Explanation

The nurse is administering sevelamer during lunch to a client with chronic kidney disease (CKD). The client asks the nurse to bring the medication later. The nurse should describe which action of sevelamer as an explanation for taking it with meals?

Correct Answer is D

Explanation

The nurse mixes diphenhydramine 25 mg in a 100 mL bag of 0.9% sodium chloride, which is to be administered IV over 30 minutes. The IV pump should be set to administer how many mL/hour? (Enter numeric value only.)

Patient Data For each statement, click to indicate whether the statements by the student nurse indicate understanding or no understanding of naloxone. Each row must have one option selected.

The client is receiving fentanyl transdermal patch 25 mcg/hr. Which nursing intervention is most important for the nurse to initiate?

A young male athlete tells the nurse that he is concerned because his testicles seem to be shrinking. Which question is most important for the nurse to ask this client?

Patient Data Review H and P, nurse's notes, flow sheet, and prescriptions. Click to mark whether the assessment finding represents a therapeutic result of the bisacodyl administered, a non-therapeutic side effect, or an unrelated finding. Each row must have one option selected.

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 myasthenia gravis receives a new prescription for pyridostigmine. Which information should the nurse obtain to prior to administering the medication?

Patient Data

Which other medications might be helpful for this client in his management of asthma? Select all that apply.