The physician prescribed albuterol, beclomethasone, and zafirlukast for a client being discharged with asthma. The client tells the nurse he can’t remember what to take before exercising. The best response by the nurse would be:

None of these medications will work for this activity.

Use beclomethasone prior to exercising.

Albuterol is most effective when taken before this type of activity.

Use zafirlukast prior to aerobic activity.

Answer and Explanation

The Correct Answer is C

Choice A reason: Stating that none of these medications will work for this activity is incorrect. Albuterol, a short-acting beta-agonist, is specifically used to prevent exercise-induced bronchoconstriction (EIB). It is effective in opening the airways and preventing asthma symptoms triggered by exercise.

Choice B reason: Using beclomethasone prior to exercising is not recommended. Beclomethasone is an inhaled corticosteroid used for long-term control of asthma and is not effective as a pre-exercise medication. It helps reduce inflammation in the airways over time but does not provide immediate relief or prevention of exercise-induced symptoms.

Choice C reason: Albuterol is most effective when taken before this type of activity. Albuterol is a short-acting beta-agonist (SABA) that works quickly to relax the muscles around the airways, making it easier to breathe. It is commonly prescribed to be taken 10-15 minutes before exercise to prevent exercise-induced bronchoconstriction. This medication helps to prevent the narrowing of the airways that can occur during physical activity, making it the best choice for preventing exercise-induced asthma symptoms.

Choice D reason: Using zafirlukast prior to aerobic activity is not the best option. Zafirlukast is a leukotriene receptor antagonist used for long-term control of asthma. It helps reduce inflammation and prevent asthma symptoms but is not typically used as a pre-exercise medication. It does not provide the immediate bronchodilation needed to prevent exercise-induced bronchoconstriction.

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Correct Answer is A

Explanation

Choice A reason:

Sitting upright is the best position for a respiratory assessment. This position allows for optimal lung expansion and makes it easier to auscultate breath sounds accurately. It also helps in observing the client’s breathing pattern and effort.

Choice B reason:

Semi-Fowler’s position, where the head of the bed is elevated to 30-45 degrees, is often used for clients with respiratory issues to promote lung expansion and reduce the risk of aspiration. However, it is not as effective as the sitting upright position for a thorough respiratory assessment.

Choice C reason:

The supine position, where the client lies flat on their back, is not ideal for a respiratory assessment. This position can limit lung expansion and make it more difficult to hear breath sounds clearly.

Choice D reason:

The side-lying position is also not suitable for a respiratory assessment. This position can cause uneven lung expansion and make it challenging to assess both lungs accurately.

A. Ask the client their date of birth and confirm it with the chart and name of surgery. B. Check the client’s medical record number and surgical consent form. C. Check the client’s armband and ask their name, date of birth, and site of surgery. D. Ask the client their name and social security number.

Correct Answer is C

Explanation

Choice A reason: Asking the client their date of birth and confirming it with the chart and name of surgery is a good practice, but it is not the most comprehensive method. This approach verifies only one identifier and does not ensure the correct surgical site.

Choice B reason: Checking the client’s medical record number and surgical consent form is important, but it does not involve direct interaction with the client. This method verifies the documentation but does not confirm the client’s identity through personal verification.

Choice C reason: Checking the client’s armband and asking their name, date of birth, and site of surgery is the best method. This approach uses multiple identifiers and involves direct interaction with the client, ensuring accurate identification and confirmation of the correct surgical site. The use of multiple identifiers reduces the risk of errors and enhances patient safety.

Choice D reason: Asking the client their name and social security number is another method of identification, but it is not as commonly used in clinical settings due to privacy concerns. Additionally, it does not confirm the surgical site.

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The physician prescribed albuterol, beclomethasone, and zafirlukast for a client being discharged with asthma. The client tells the nurse he can’t remember what to take before exercising. The best response by the nurse would be:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

Which is the best method for the nurse to correctly identify a client prior to surgery?

Correct Answer is C

Explanation

The nurse is completing an admission assessment on a client diagnosed with asthma. What clinical manifestations are typical of the disorder?

Which nursing action should the nurse implement to prevent wound dehiscence in the postoperative client?

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Which of the following would the nurse discuss as common triggers for a client newly diagnosed with asthma? (SELECT ALL THAT APPLY)

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