Which medication is prescribed for a client with COPD to treat acute bronchospasm?
Epinephrine
Montelukast (Singulair)
Theophylline
Tiotropium Bromide (Spiriva)
The Correct Answer is A
A. Epinephrine
Epinephrine is a bronchodilator that can be used in emergencies to treat acute bronchospasm. It works by relaxing the smooth muscles in the airways and can be administered via inhalation or injection. However, it is not typically the first-line treatment for COPD, and other bronchodilators are often preferred.
B. Montelukast (Singulair)
Montelukast is a leukotriene receptor antagonist that is used for the long-term control and prevention of symptoms in conditions like asthma, but it is not typically used for acute bronchospasm. It is more commonly used for maintenance therapy to prevent exacerbations.
C. Theophylline
Theophylline is a bronchodilator that can be used to treat acute bronchospasm in COPD. However, it is not commonly used as a first-line treatment due to its narrow therapeutic range and potential for side effects. It may be considered in certain cases when other bronchodilators are not well-tolerated or effective.
D. Tiotropium Bromide (Spiriva)
Tiotropium bromide is a long-acting antimuscarinic bronchodilator used for the long-term maintenance treatment of COPD. It is not typically prescribed for the treatment of acute bronchospasm but rather for the prevention of symptoms over the long term.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
. because many chemotherapy patients require blood transfusions:
While some chemotherapy patients may require blood transfusions, this is not the primary reason for using intravenous ports, central lines, or peripherally inserted central lines.
B. because many chemotherapy patients need long-term intravenous access:
Long-term intravenous access may be needed for some chemotherapy patients, but the critical consideration is the vesicant nature of many chemotherapy drugs.
C. because chemotherapy patients have frequent blood draws orders:
Frequent blood draws may be necessary for monitoring purposes, but the primary reason for using specialized lines in chemotherapy patients is to administer the drugs safely.
D. because many chemotherapeutic drugs are vesicants:
The primary reason for using intravenous ports, central lines, or peripherally inserted central lines in chemotherapy patients is to administer chemotherapy drugs directly into large veins. Many chemotherapeutic drugs are vesicants, meaning they can cause severe damage to tissues if they leak into the surrounding areas. These specialized lines allow for the safe and controlled administration of chemotherapy drugs, reducing the risk of extravasation (leakage into surrounding tissues).
Correct Answer is D
Explanation
A. Decrease viral load:
This is a goal typically associated with antiviral medications, which aim to reduce the amount of virus in the body, commonly seen in the treatment of viral infections like HIV.
B. Kill tumor cells:
This is the goal of many cancer treatments, such as chemotherapy or radiation therapy. These treatments aim to destroy or inhibit the growth of cancer cells.
C. Increase body defenses:
This is a goal often associated with immunotherapy, which aims to enhance the body's immune system to better recognize and attack cancer cells or other pathogens.
D. Relieve symptoms:
This is the primary goal of palliative therapy, which focuses on managing and alleviating symptoms, improving the patient's comfort and quality of life, especially in the context of serious or life-limiting illnesses like cancer.
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