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 D

Explanation

. because many chemotherapy patients require blood transfusions:

While some chemotherapy patients may require blood transfusions, this is not the primary reason for using intravenous ports, central lines, or peripherally inserted central lines.

B. because many chemotherapy patients need long-term intravenous access:

Long-term intravenous access may be needed for some chemotherapy patients, but the critical consideration is the vesicant nature of many chemotherapy drugs.

C. because chemotherapy patients have frequent blood draws orders:

Frequent blood draws may be necessary for monitoring purposes, but the primary reason for using specialized lines in chemotherapy patients is to administer the drugs safely.

D. because many chemotherapeutic drugs are vesicants:

The primary reason for using intravenous ports, central lines, or peripherally inserted central lines in chemotherapy patients is to administer chemotherapy drugs directly into large veins. Many chemotherapeutic drugs are vesicants, meaning they can cause severe damage to tissues if they leak into the surrounding areas. These specialized lines allow for the safe and controlled administration of chemotherapy drugs, reducing the risk of extravasation (leakage into surrounding tissues).

A. Albuterol (Proventil) B. Glucocorticoid (steroid) C. Ipratropium bromide (Atrovent)

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.

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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

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Correct Answer is D

Explanation

Correct Answer is C,A,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?