The nurse is caring for a patient recently diagnosed with mild emphysema and provides teaching about the disease and medications for treatment.

Which statement by the patient indicates understanding of the medication regimen?

“My provider will prescribe prophylactic antibiotics.”

“My condition is reversible with proper medications.”

“I should use albuterol (Proventil) when my symptoms worsen.”

“I will need to take oral prednisone on a daily basis.”

Answer and Explanation

The Correct Answer is C

A. "My provider will prescribe prophylactic antibiotics."

While antibiotics may be prescribed if there is a bacterial infection or exacerbation, they are not typically used prophylactically in all cases of mild emphysema.

B. "My condition is reversible with proper medications."

Emphysema is a chronic and typically irreversible condition. While medications can help manage symptoms and improve quality of life, they do not generally reverse the damage caused by emphysema.

C. "I should use albuterol (Proventil) when my symptoms worsen."

Albuterol (Proventil) is a short-acting beta-agonist bronchodilator, and it is commonly used as a rescue inhaler to provide quick relief of symptoms such as shortness of breath and wheezing in patients with conditions like emphysema. Using albuterol as needed during symptom exacerbations aligns with appropriate management of mild emphysema.

D. "I will need to take oral prednisone on a daily basis."

Daily use of oral prednisone is not a standard treatment for mild emphysema. Prednisone is a corticosteroid that may be used in certain situations, such as during exacerbations, but its long-term use carries potential risks and is generally avoided unless necessary.

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Correct Answer is C,A,B

Explanation

The correct order for administering ipratropium bromide (Atrovent), albuterol (Proventil), and an inhaled glucocorticoid (steroid) to treat chronic bronchitis is:

C. Ipratropium bromide (Atrovent), albuterol (Proventil), glucocorticoid (steroid)

Here's the rationale for this order:

Ipratropium bromide (Atrovent): Ipratropium is an anticholinergic bronchodilator that helps to relax the muscles around the airways, allowing for increased airflow. It is typically recommended to use ipratropium before other bronchodilators to maximize their effectiveness.

Albuterol (Proventil): Albuterol is a short-acting beta-agonist bronchodilator. It works by relaxing the muscles in the airways, leading to improved airflow. Using it after ipratropium further promotes bronchodilation.

Glucocorticoid (steroid): Inhaled glucocorticoids have anti-inflammatory effects and help to reduce airway inflammation. Using the glucocorticoid last allows it to reach the airways and exert its anti-inflammatory effects.

A. Shellfish B. Grapefruit C. Yerba mate D. Aged cheese

Correct Answer is B

Explanation

A. Shellfish

Shellfish consumption is not typically contraindicated with targeted cancer therapy. However, it is essential for individuals undergoing cancer treatment to follow a well-balanced and nutritious diet. If there are specific dietary restrictions or recommendations based on an individual's overall health or treatment plan, these should be discussed with the healthcare provider or a registered dietitian.

B. Grapefruit

Grapefruit and grapefruit juice contain compounds that can interfere with the metabolism of certain medications, including many targeted therapies. This can result in either increased or decreased levels of the drug in the bloodstream, potentially affecting the efficacy and safety of the treatment. Therefore, individuals receiving targeted therapy are often advised to avoid grapefruit.

C. Yerba mate

Yerba mate is a type of tea made from the leaves of the Ilex paraguariensis plant. While it is generally considered safe, specific interactions with targeted cancer therapies are not well-documented. However, it is always advisable for individuals undergoing cancer treatment to consult with their healthcare team regarding dietary choices, including herbal teas.

D. Aged cheese

Aged cheese is not typically contraindicated with targeted cancer therapy. However, dietary recommendations may vary based on individual health conditions and treatment plans. In some cases, certain dietary restrictions or modifications may be advised, so it's important for individuals to discuss their specific dietary needs with their healthcare providers or dietitians.

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The nurse is caring for a patient recently diagnosed with mild emphysema and provides teaching about the disease and medications for treatment. Which statement by the patient indicates understanding of the medication regimen?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C,A,B

Explanation

Clients receiving targeted therapy to treat cancer need to avoid which food?

Correct Answer is B

Explanation

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The nurse is caring for a patient recently diagnosed with mild emphysema and provides teaching about the disease and medications for treatment.

Which statement by the patient indicates understanding of the medication regimen?