Which medications would be most appropriate to administer to a patient experiencing an acute asthma attack? Select all that apply.

Ipratropium (Atrovent HFA)

Albuterol (Proventil HFA)

Salmeterol (Serevent Diskus)

Montelukast (Singulair)

Inhaled hypertonic saline

Answer and Explanation

Correct Answer : A,B,E

A. Ipratropium (Atrovent HFA) is an anticholinergic medication that can be used in combination with short-acting beta-agonists like albuterol to help relieve bronchospasm during an acute asthma attack.

B. Albuterol (Proventil HFA) is a short-acting beta-agonist (SABA) that is commonly used as a first-line treatment during an acute asthma attack to rapidly relieve bronchoconstriction and improve airflow.

C. Salmeterol (Serevent Diskus) is a long-acting beta-agonist (LABA) used for long-term asthma control, not for acute exacerbations. LABAs are not effective in quickly relieving symptoms during an acute attack.

D. Montelukast (Singulair) is a leukotriene modifier used for long-term asthma management and prevention. It is not effective in treating acute asthma attacks.

E. Inhaled hypertonic saline can help in acute asthma attacks by increasing mucus clearance and improving respiratory function, especially in patients with severe symptoms.

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Correct Answer is C

Explanation

A. Assessing the patient’s vital signs is important but is not the first priority during an acute asthma attack. The primary concern is airway patency and breathing effectiveness.

B. Checking the patient’s blood pressure is part of a comprehensive assessment but is not the immediate priority in this scenario. It does not directly address the respiratory distress associated with an asthma attack.

C. Assessing the patient’s lung sounds is the first priority as it provides critical information about the severity of the airway obstruction and the effectiveness of the patient’s breathing. Identifying wheezing, diminished breath sounds, or silent chest (absence of airflow) is essential for immediate intervention.

D. Obtaining a complete medical history is important for long-term management but is not the priority during an acute asthma attack. Immediate assessment and stabilization take precedence.

A. Cough with clear sputum B. Oxygen saturation of 95% C. Respiratory rate of 28 breaths per minute D. Mild dyspnea with activity

Correct Answer is C

Explanation

A. A cough with clear sputum is a common symptom in COPD and does not warrant immediate intervention unless there is a change in the color, consistency, or amount of sputum, which could indicate infection.

B. An oxygen saturation of 95% is within normal limits for most individuals and is often acceptable for clients with COPD, as their target saturation is usually lower (88-92%) to avoid suppressing their hypoxic drive.

C. A respiratory rate of 28 breaths per minute indicates tachypnea, which suggests respiratory distress or worsening of the client’s condition. Immediate assessment and intervention are needed to prevent further deterioration.

D. Mild dyspnea with activity is a common symptom in clients with end-stage COPD and does not require immediate intervention unless it becomes severe or unrelieved with rest.

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Which medications would be most appropriate to administer to a patient experiencing an acute asthma attack? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient who is experiencing an acute asthma attack is admitted to the emergency department. Which assessment should the nurse complete first?

Correct Answer is C

Explanation

The nurse is caring for a client diagnosed with end-stage chronic obstructive pulmonary disease (COPD). Which of the following data warrants immediate intervention by the nurse?

Correct Answer is C

Explanation

A nurse is applying oxygen via nasal cannula to a client diagnosed with chronic obstructive pulmonary disease (COPD). The client reports extreme shortness of breath. At what rate should the nurse set the flowmeter?

Which medications would be most appropriate to administer to a patient experiencing an acute asthma attack? Select all that apply.

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