The nurse is reviewing newly written prescriptions for a client diagnosed with acute bronchitis. The client has a productive cough with green sputum and shortness of breath. The nurse would question the primary care provider regarding which medication order?

Albuterol nebulizer 2.5 mg q 4 hours

Guaifenesin 1200 mg PO q 12 hours

Methylprednisolone 40 mg IV q 12 hours

Dextromethorphan 60 mg PO q 12 hours

Answer and Explanation

The Correct Answer is D

Choice A reason: Albuterol is a bronchodilator that helps to open up the airways, making it easier to breathe. It is commonly used in the treatment of acute bronchitis, especially if the patient is experiencing wheezing or shortness of breath. Albuterol works by relaxing the muscles around the airways, which helps to relieve symptoms of bronchospasm.

Choice B reason: Guaifenesin is an expectorant that helps to thin and loosen mucus in the airways, making it easier to cough up and clear out. This can be particularly helpful for a patient with a productive cough and green sputum, as it aids in clearing the respiratory passages. Guaifenesin is often used in the management of acute bronchitis to help alleviate symptoms.

Choice C reason: Methylprednisolone is a corticosteroid that helps to reduce inflammation in the airways. It can be beneficial in severe cases of acute bronchitis where there is significant inflammation and swelling of the bronchial tubes. Corticosteroids like methylprednisolone are used to decrease the inflammatory response and improve breathing.

Choice D reason: Dextromethorphan is a cough suppressant that works by affecting the signals in the brain that trigger the cough reflex. However, in the case of acute bronchitis with a productive cough, suppressing the cough can be counterproductive. The goal is to clear the mucus from the airways, and suppressing the cough can lead to mucus retention and potentially worsen the condition. Therefore, the use of a cough suppressant like dextromethorphan is not recommended in this scenario.

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Correct Answer is B

Explanation

Choice A reason: Assisting in the administration of blood products is typically the responsibility of the circulating nurse. The circulating nurse manages the overall environment of the operating room and ensures that all necessary supplies, including blood products, are available and administered correctly.

Choice B reason: Counting the surgical sponges and instruments is a shared responsibility of both the scrub and circulating nurses. This task is crucial to ensure that no surgical instruments or sponges are left inside the patient, which can prevent serious post-operative complications. The scrub nurse handles the instruments directly, while the circulating nurse verifies the counts, ensuring accuracy and safety.

Choice C reason: Monitoring the traffic in the operating room is primarily the responsibility of the circulating nurse. The circulating nurse ensures that the operating room environment remains sterile and that only authorized personnel are present.

Choice D reason: Monitoring the client’s cardiopulmonary status is typically the responsibility of the anesthesiologist or nurse anesthetist, not the scrub or circulating nurses. These professionals are trained to manage the patient’s vital signs and anesthesia during surgery.

A. Would you like to see a member of the clergy to receive a blessing? B. Do you have children who can help your wife? C. Do you have a living will? D. Have you discussed your feelings with your wife?

Correct Answer is D

Explanation

Choice A reason: Asking if the client would like to see a member of the clergy to receive a blessing can be supportive, but it may not directly address the client’s immediate emotional needs. While spiritual support is important, the nurse should first focus on the client’s expressed concerns about their wife.

Choice B reason: Inquiring if the client has children who can help their wife is practical, but it may not address the client’s emotional distress. The nurse should prioritize providing emotional support and facilitating communication between the client and their family.

Choice C reason: Asking if the client has a living will is important for end-of-life planning, but it does not directly address the client’s emotional concerns. This question is more appropriate for a discussion about advance directives rather than an immediate response to the client’s expressed worries

Choice D reason: Encouraging the client to discuss their feelings with their wife is the most appropriate response. It addresses the client’s emotional needs and promotes open communication between the client and their spouse. This can help alleviate some of the client’s anxiety and ensure that their wife is aware of their feelings and concerns.

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The nurse is reviewing newly written prescriptions for a client diagnosed with acute bronchitis. The client has a productive cough with green sputum and shortness of breath. The nurse would question the primary care provider regarding which medication order?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which function or task during a surgical procedure is the responsibility of both the scrub and circulating nurses?

Correct Answer is B

Explanation

A client who is in the end stage of chronic bronchitis tells the nurse, “I don’t know how my wife will manage without me.” The most appropriate response by the nurse at this time is:

Correct Answer is D

Explanation

A nurse is caring for a client who has active pulmonary tuberculosis (TB) and a new prescription for IV rifampin. The nurse should instruct the client that they should expect to experience which of the following manifestations while taking this medication?

A nurse is caring for a client who is hospitalized with active pulmonary tuberculosis and is started on ethambutol therapy. The nurse should understand that which of the following should be monitored?

The nurse is assisting the client with arm and shoulder exercises on the first post-op day following a right-sided thoracotomy. The client reports pain with the exercise and wants to know why they must be performed. What explanation should the nurse provide? The exercises:

The nurse recognizes the assessment data which best indicates that the client diagnosed with asthma is achieving good control with the prescribed medication regimen is when:

A client who receives an antihypertensive medication daily is NPO except medications for surgery. The most recent blood pressure recording is 174/88. What action should the nurse take first?

The nurse is preparing to perform tracheostomy care on a client diagnosed with COPD. Which action should the nurse complete first?

The client with right lower lobe pneumonia has been treated with intravenous antibiotics for three days. Which assessment data obtained by the nurse indicates that the treatment has been effective?

The nurse is performing a physical assessment on the respiratory system. Although the client is currently confined to bed, they have the strength and ability to move and reposition themselves. The nurse instructs the client to assume which position for the assessment?