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.

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Correct Answer is A

Explanation

A. Promotes excretion of uric acid in the urine: Probenecid works by inhibiting the reabsorption of uric acid in the renal tubules, leading to increased urinary excretion of uric acid. This action helps lower serum uric acid levels, making it effective in the management of chronic gout and hyperuricemia.

B. Prevents the formation of kidney stones: Although lowering uric acid levels can indirectly reduce the risk of uric acid kidney stones, probenecid's primary mechanism is to promote uric acid excretion rather than directly preventing stone formation. Additional measures like hydration are typically emphasized for stone prevention.

C. Decreases pain and burning during urination: Pain and burning during urination are usually related to infections or inflammatory processes, not elevated uric acid. Probenecid does not have antimicrobial or analgesic effects and is not used to treat dysuria symptoms.

D. Increases the strength of the urine stream: Weak urine flow is commonly associated with bladder outlet obstruction or prostate issues. Probenecid does not act on the urinary tract muscles or prostate and has no role in improving the strength or flow of urination.

A. Notify the healthcare provider (HCP) that the client may need a change in dosage. B. Advise the client that healing typically takes several weeks to occur. C. Confirm that the client is taking the medication one hour after meals. D. Auscultate the client's bowel sounds and measure the abdominal girth.

Correct Answer is B

Explanation

A. Notify the healthcare provider (HCP) that the client may need a change in dosage: Lansoprazole, a proton pump inhibitor, requires several weeks of continuous use to promote sufficient healing of erosive esophagitis. Reporting to the provider after just one week would be premature unless severe symptoms worsen.

B. Advise the client that healing typically takes several weeks to occur: Full therapeutic effects of proton pump inhibitors like lansoprazole can take 4 to 8 weeks. Educating the client about the expected treatment timeline helps set realistic expectations and encourages adherence to the prescribed regimen.

C. Confirm that the client is taking the medication one hour after meals: Lansoprazole should be taken before meals, not after, to inhibit active proton pumps in the stomach lining. However, the primary concern here is the normal expected time course for healing, not the timing of the dose in relation to meals.

D. Auscultate the client's bowel sounds and measure the abdominal girth: Monitoring for bowel issues would be relevant if there were signs of gastrointestinal complications like obstruction or perforation, but these assessments are not indicated by the client’s report of minimal GERD symptom improvement after only one week.

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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

The nurse is providing instructions about a client's new medications. How should the nurse explain the purpose of probenecid, a uricosuric drug?

Correct Answer is A

Explanation

A client who is newly diagnosed with erosive esophagitis secondary to gastroesophageal reflux disease (GERD) reports to the home health nurse that there has been only a minimal reduction in symptoms after taking lansoprazole PO for one full week. Which action should the nurse take?

Correct Answer is B

Explanation

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Patient Data

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