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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A reason: Increasing blood flow back to the heart is not the primary reason for performing arm and shoulder exercises after a thoracotomy. While exercise can improve circulation, the main goal of these specific exercises is to maintain mobility and prevent complications related to immobility.

Choice B reason: Promoting the expansion of the left lung is not the primary purpose of arm and shoulder exercises. While deep breathing exercises and the use of an incentive spirometer are crucial for lung expansion and preventing atelectasis, arm and shoulder exercises focus more on maintaining joint and muscle function.

Choice C reason: Preventing stiffening and loss of function is the primary reason for performing arm and shoulder exercises after a thoracotomy. These exercises help maintain the range of motion in the shoulder and arm, prevent joint stiffness, and reduce the risk of muscle atrophy. Postoperative immobility can lead to significant functional impairments, and these exercises are essential for a smooth recovery.

Choice D reason: Rebuilding the muscle that was removed is not accurate in this context. Thoracotomy involves accessing the thoracic cavity, and while muscle tissue may be affected, the primary goal of postoperative exercises is to maintain existing muscle function and prevent stiffness, not to rebuild muscle tissue.

A. Apply an iodine-soaked sterile dressing. B. Irrigate the wound and apply a dry sterile dressing. C. Apply a dressing and notify the surgeon. D. Apply a sterile dressing soaked with normal saline.

Correct Answer is D

Explanation

Choice A Reason:

Applying an iodine-soaked sterile dressing is not the best initial action. Iodine can be irritating to exposed tissues and may not provide the necessary moisture to protect the underlying tissue. The primary goal is to keep the tissue moist and prevent further damage.

Choice B Reason:

Irrigating the wound and applying a dry sterile dressing is not appropriate in this situation. Irrigation might cause further damage to the exposed tissue, and a dry dressing will not keep the tissue moist, which is crucial for preventing desiccation and promoting healing.

Choice C Reason:

Applying a dressing and notifying the surgeon is important, but the type of dressing is crucial. A dry dressing or an inappropriate dressing material can harm the exposed tissue. The nurse should first apply a moist dressing to protect the tissue and then notify the surgeon.

Choice D Reason:

Applying a sterile dressing soaked with normal saline is the most appropriate initial action. This type of dressing keeps the exposed tissue moist, which is essential for preventing further damage and promoting healing. Normal saline is gentle and will not irritate the tissue, making it the best choice for initial wound care.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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 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:

Correct Answer is C

Explanation

The nurse is changing a client’s abdominal dressing and notes a separation of the incision line. The underlying tissue is protruding from the wound. The nurse should plan to do which of the following in the initial care of this wound?

Correct Answer is D

Explanation

The priority nursing intervention for a client who has a serum sodium level of 154 mEq/L would be:

The nurse is aware that a common adverse effect of anesthetic agents experienced by the client is:

The nurse is caring for a client who has a core temperature of 97°F (36.1°C) post-op in the post-anesthesia care unit. What action(s) will the nurse take in light of this finding? (Select all that apply)

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?

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?

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 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:

A client with left lower lobe pneumonia has activity intolerance related to impaired oxygen supply and demand as evidenced by fatigue, dyspnea, and difficulty performing self-care. Which expected outcome must be included in the care plan related to this problem? The client will: