Which statement describes the action of a beta-adrenergic agent for a patient with a respiratory disorder such as asthma?
Bronchodilation.
Decrease in peak expiratory flow.
Thinner respiratory secretions.
Increase in respiratory rate.
The Correct Answer is A
A. Beta-adrenergic agents (often called bronchodilators) work by stimulating beta-2 adrenergic receptors in the airway smooth muscle, leading to relaxation of the muscles and dilation of the airways. This helps improve airflow and relieve symptoms of asthma.
B. A beta-adrenergic agent should ideally increase peak expiratory flow (PEF) by dilating the airways and improving airflow, not decrease it.
C. This is not a direct action of beta-adrenergic agents. While some medications (like mucolytics or certain expectorants) can thin secretions, beta-adrenergic agents primarily focus on bronchodilation and do not significantly affect the viscosity of respiratory secretions.
D. While beta-adrenergic agents can sometimes cause mild tachycardia (increased heart rate) as a side effect, they are not intended to increase the respiratory rate directly. The primary goal of these medications is to improve airway patency rather than change the rate of breathing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
A. It is important to place a surgical mask on the patient when transporting them to minimize the risk of spreading TB droplets in the environment. This practice helps reduce transmission during transport.
B. TB is primarily transmitted via airborne particles, not droplets. Therefore, patients with active TB should be placed on airborne precautions, not droplet precautions. Airborne precautions include the use of specialized masks and a negative airflow room to prevent the spread of infectious aerosols.
C. While a surgical mask is not adequate for protecting healthcare workers from TB, they should wear a fitted N95 respirator or a powered air-purifying respirator (PAPR) when providing care to a patient with active TB. A surgical mask does not filter out the small particles that can carry TB bacteria.
D. Patients with active TB should be placed in a private room that has negative pressure ventilation. This design helps prevent airborne TB particles from escaping into other areas of the healthcare facility, protecting other patients and staff.
E. Eye protection is recommended when collecting sputum samples from a patient with active TB, as it helps protect against potential splashes of respiratory secretions that may contain infectious droplets. This is particularly important during procedures that may aerosolize the bacteria.
Correct Answer is A
Explanation
A. Propranolol is a non-selective beta-blocker that can cause bronchoconstriction, making it contraindicated for patients with asthma. It can worsen asthma symptoms by blocking beta-2 adrenergic receptors, which are important for bronchodilation.
B. Theophylline is a bronchodilator that can be used in asthma management, especially in chronic cases. While it has a narrow therapeutic index and can have side effects, it is not contraindicated in acute exacerbations. However, it’s less commonly used today due to better alternatives.
C. Prednisone is a corticosteroid used to reduce inflammation during asthma exacerbations. It is a common and appropriate medication for managing acute asthma attacks, so it does not require clarification.
D. Montelukast is a leukotriene receptor antagonist used for long-term asthma control. It helps reduce inflammation and bronchoconstriction. While it’s not a first-line treatment for acute exacerbations, it is appropriate for ongoing management and doesn’t need clarification.
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