The nurse is educating the parents of a recently diagnosed child with asthma. When reviewing the medications, the nurse explains the differences between rescue and controller medications. The nurse focuses on teaching the family which anti-inflammatory corticosteroid is used to prevent an asthma attack.
Cromolyn sodium (Intal)
Levalbuterol (Xopenax)
Terbutaline (Brethaire)
Budesonide (Pulmocort)
The Correct Answer is D
A. Cromolyn sodium is a mast cell stabilizer, not a corticosteroid. It is used for preventing asthma symptoms, but it is not a corticosteroid and is less commonly used now.
B. Levalbuterol is a short-acting beta-agonist (SABA) and used as a rescue medication, not for long-term prevention.
C. Terbutaline is a beta-2 agonist and may be used for rescue or emergency use, especially in status asthmaticus, but not a corticosteroid or daily controller.
D. Budesonide (Pulmicort) is an inhaled corticosteroid used regularly as a controller medication to prevent asthma attacks by reducing airway inflammation. It is not used for acute relief, but rather for long-term management of asthma.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Aortic stenosis affects blood flow from the left ventricle to the aorta, but it is not a component of Tetralogy of Fallot.
B. A patent ductus arteriosus (PDA) is a separate congenital defect and not part of Tetralogy of Fallot.
C. Mitral valve regurgitation is related to left-sided heart valve dysfunction and is not a feature of this condition.
D. One of the four components of Tetralogy of Fallot is a ventricular septal defect (VSD). The VSD, along with pulmonary stenosis, leads to right-to-left shunting of deoxygenated blood, which bypasses the lungs and enters systemic circulation, causing cyanosis.
Correct Answer is A
Explanation
A. This statement reflects a proper understanding of the peak flow meter’s purpose — it can help detect early changes in airway function before symptoms are felt, allowing for early intervention and improved asthma control.
B. This reflects a misunderstanding of the correct technique — the meter should be reset to zero before each use, and the child should use a full, fast breath to blow into the meter.
C. While daily monitoring is helpful, the peak flow meter does not prevent asthma attacks — this statement reflects false reassurance and misunderstanding.
D. Peak flow should be measured with a single, forceful breath, not multiple breaths — this indicates incorrect use of the device.
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