Tyleemah the nurse is caring for a child who is experiencing an acute asthma attack. Which of the following medications should the nurse administer first?
Methylprednisolone
Albuterol
Montelukast
Fluticasone
The Correct Answer is B
A. Methylprednisolone: Methylprednisolone is a corticosteroid used to reduce inflammation but is not the first-line treatment for an acute asthma attack. It is used in the management of longer-term control and inflammation after the initial symptoms are managed.
B. Albuterol: Albuterol is a short-acting beta-agonist (SABA) that provides quick relief by dilating the airways. It is the first medication given during an acute asthma attack to relieve bronchospasm and improve airflow.
C. Montelukast: Montelukast is a leukotriene receptor antagonist used for long-term control and prevention of asthma symptoms but is not used in an acute asthma attack.
D. Fluticasone: Fluticasone is an inhaled corticosteroid used for long-term management of asthma to reduce inflammation, but it is not effective in treating an acute asthma attack.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Used in the treatment of cystic fibrosis to help break up thick secretions: Prednisone is not used to treat cystic fibrosis. Drugs like dornase alfa are used for this purpose, not corticosteroids.
B. Used for the prophylactic treatment of asthma/allergies: Prednisone is not typically used for the prophylaxis of asthma or allergies. It may be used for acute exacerbations but is not for long-term control.
C. Used to treat hypertension and edema: Prednisone is not used to treat hypertension or edema directly. Corticosteroids like prednisone can sometimes increase blood pressure and cause fluid retention as side effects.
D. Used to treat inflammation and swelling: Prednisone is a corticosteroid used to reduce inflammation and swelling in conditions such as asthma, arthritis, and other inflammatory disorders.
Correct Answer is C
Explanation
A. Lack of adequate ventricle strength to pump blood to the body: While right ventricular hypertrophy is part of Tetralogy of Fallot, the primary cause of fatigue is inadequate oxygenation, not muscle strength.
B. Restricted blood flow leaving the heart: This contributes to low oxygen levels but isn’t the direct reason for fatigue; the issue lies in oxygen availability for metabolism.
C. Inadequate oxygenation for supporting energy metabolism: The structural defects cause reduced oxygen delivery to tissues, leading to fatigue during activities like feeding.
D. Increased circulation pressure to the lungs: Pulmonary stenosis reduces blood flow to the lungs, but this doesn’t directly explain fatigue from eating.
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