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 D

Explanation

Choice A reason:

Administering oxygen per the prescriber’s order to keep SpO2 greater than 96% is not typically recommended for clients with chronic bronchitis. High levels of oxygen can suppress the respiratory drive in clients with chronic obstructive pulmonary disease (COPD), which includes chronic bronchitis. The target SpO2 for these clients is usually between 88% and 92%.

Choice B reason:

Placing the patient in the Sims position is not the most effective position for airway clearance. The Fowler’s or semi-Fowler’s position is generally preferred as it promotes better lung expansion and facilitates easier breathing.

Choice C reason:

Assessing the client’s use of a peak expiratory flow rate meter is important for monitoring the severity of bronchospasm and airflow obstruction. However, it is not a direct intervention for improving gas exchange.

Choice D reason:

Assisting with coughing and deep breathing at least every 2 hours while awake is an effective intervention for clients with chronic bronchitis. This helps to mobilize secretions, improve ventilation, and enhance gas exchange. Regular coughing and deep breathing exercises can prevent atelectasis and reduce the risk of respiratory infections.

A. Covers the mouth and nose when coughing. B. Reports daily to the public health department. C. Demonstrates correct use of the N95 mask. D. Washes dishes and personal items after use.

Correct Answer is A

Explanation

Choice A reason: Covering the mouth and nose when coughing is a critical measure to prevent the spread of tuberculosis (TB). TB is primarily transmitted through airborne particles when an infected person coughs, sneezes, or talks. By covering the mouth and nose, the client reduces the risk of spreading the bacteria to others, which is a fundamental goal of TB transmission education.

Choice B reason: Reporting daily to the public health department is important for monitoring and managing TB treatment, but it does not directly relate to preventing the transmission of TB. This action is more about ensuring adherence to treatment protocols and monitoring the client’s health status.

Choice C reason: Demonstrating correct use of the N95 mask is also crucial in preventing the spread of TB, especially in healthcare settings or when the client is in close contact with others. The N95 mask filters out airborne particles, including TB bacteria, thereby reducing the risk of transmission. However, this measure is typically emphasized in specific situations rather than as a general practice for all clients with TB.

Choice D reason: Washing dishes and personal items after use is good hygiene practice but is not specifically related to the transmission of TB. TB is not spread through contact with dishes or personal items but through airborne particles.

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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 has applied a client problem of ineffective gas exchange for a client diagnosed with chronic bronchitis. Which intervention would the nurse include in the plan of care?

Correct Answer is D

Explanation

The nurse recognizes that the goals of teaching about the transmission of tuberculosis have been met when the client with tuberculosis:

Correct Answer is A

Explanation

The nurse recognizes that the client is manifesting early signs of hypoxia with findings of:

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

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The nurse is assessing the client and notes fine crackles throughout the lungs bilaterally. This assessment finding is often associated with:

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