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. "I should give the iron with milk to help prevent stomach upset.": Milk should not be given with iron supplements as it can decrease the absorption of iron. Vitamin C is often recommended with iron to enhance absorption.
B. "My child should avoid eating citrus fruits while taking the supplements.": Citrus fruits, which are high in vitamin C, actually help increase the absorption of iron, so they should not be avoided.
C. "I should take my child to the emergency room if his stool becomes dark.": Dark stools are a common and harmless side effect of iron supplementation due to unabsorbed iron, so this is not an emergency situation.
D. "My child should take the supplement through a straw.": Liquid iron supplements can stain the teeth. To avoid this, it is recommended to give the supplement through a straw to minimize contact with the teeth.
Correct Answer is D
Explanation
A. "If your baby vomits a dose, you should repeat the dose to ensure that the correct amount is received.": If the baby vomits the dose, the caregiver should not repeat the dose unless instructed by the healthcare provider.
B. "Do not offer your baby fluids after giving the medication.": Digoxin can be given with fluids, and withholding fluids is not necessary unless specified by a healthcare provider.
C. "Digoxin increases your baby's heart rate.": Digoxin slows the heart rate, which helps in treating conditions like heart failure or arrhythmias.
D. "Give the correct dose of medication at regularly scheduled times.": Regularity in administration is crucial to maintaining therapeutic drug levels and preventing toxicity.
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