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.”
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
A. Chest X-rays
Chest X-rays are imaging tests that provide detailed pictures of the inside of the chest, including the heart, lungs, and other structures. They are noninvasive as they do not involve any penetration or insertion into the body.
B. Echocardiogram
An echocardiogram is a noninvasive test that uses sound waves to create images of the heart. It provides information about the structure and function of the heart without the need for invasive procedures.
C. Pulmonary function tests
Pulmonary function tests (PFTs) are noninvasive tests that assess the function of the lungs. They include various breathing exercises and measurements to evaluate lung capacity and respiratory function.
D. Cardiac catheterization
Cardiac catheterization is an invasive procedure that involves the insertion of a catheter into the heart. It is not considered noninvasive.
Correct Answer is D
Explanation
Choice A rationale: Incorrect. Methotrexate is a chemotherapy drug and an immunosuppressant but not an antibiotic. It inhibits the metabolism of folic acid, which is necessary for cell replication, but it does not have antibiotic properties.
Choice B rationale: Incorrect. Antiestrogens are a class of drugs used to treat hormone-sensitive cancers like breast cancer by blocking the effects of estrogen. They are not antibiotics and do not have antimicrobial properties.
Choice C rationale: Incorrect. Corticosteroids are used in cancer treatment primarily to reduce inflammation and manage side effects of chemotherapy, such as nausea and allergic reactions. They have immunosuppressive properties but are not antibiotics.
Choice D rationale: Correct. Doxorubicin (Doxil) is an antitumor drug that also has antibiotic properties. It belongs to the anthracycline class of chemotherapy drugs and works by intercalating DNA, disrupting the replication and transcription processes, leading to cell death. Doxorubicin was originally derived from the bacterium Streptomyces peucetius, which imparts its antibiotic properties.
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