You are an RN in a busy Emergency Department who is caring for a patient who was brought in for an acute asthma attack about 5 minutes ago. Upon arrival, the patient was loudly wheezing and able to talk in 4 to 5 word sentences. A couple of minutes later as you are charting, you notice that you can no longer hear the patient wheezing. You know you should now.

Reassess the client for a potential life-threatening development

Prepare the client for discharge

Chart that the patient has improved on their own

Return the Albuterol to medication bin as you will no longer need it

Answer and Explanation

The Correct Answer is A

A.   The absence of wheezing in a patient with an acute asthma attack is a critical sign. It may indicate that the patient is deteriorating rapidly, and their airways are closing significantly. This is a life-threatening situation requiring immediate intervention.
B.   A patient with an acute asthma attack would not be discharged without significant improvement and stabilization.
C.   While it might seem like an improvement, the absence of wheezing in this context is a red flag and not a positive sign.
D.   The patient may still require additional bronchodilators or other interventions.

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Correct Answer is A

Explanation

A. Vasopressin has a vasoconstrictive effect, which means it narrows blood vessels while nitroglycerin has a vasodilatory effect, meaning it widens blood vessels. Combining these two medications could potentially lead to a significant drop in blood pressure and increase the risk of angina or myocardial infarction.
B. While hyperglycemia and insulin use are relevant for managing diabetes, they are not directly related to the use of Vasopressin. Vasopressin's main concerns are related to fluid balance and blood pressure rather than glucose levels.
C. Vasopressin can actually help to increase blood pressure, which might be beneficial for a patient with hypotension.
D. The family history of ovarian cancer does not have a direct impact on the use of Vasopressin. Vasopressin’s use is more closely related to cardiovascular and fluid balance issues rather than cancer history.

A. The appendix B. The pancreas C. The liver D. The bone marrow

Correct Answer is C

Explanation

A. The appendix is involved in the immune system, not glucose storage.
B. The pancreas produces insulin and glucagon, hormones that regulate blood sugar levels, but it's not a major storage site for glucose.
C. The liver is the primary storage site for glucose in the body. It stores glucose in the form of glycogen. When blood sugar levels drop, the liver breaks down glycogen into glucose and releases it into the bloodstream.
D. The bone marrow is responsible for blood cell production and has no role in glucose storage.

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Naxlex Comprehensive Predictor Exams

Your patient with Diabetes Insipidus is prescribed Vasopressin. Which of the following findings in your patient's medical history should cause you to question the order with the Dr.?

Correct Answer is A

Explanation

The body stores glucose to use in times of hypoglycemia. Where does the majority of this storage take place?

Correct Answer is C

Explanation

A nurse at a clinic is talking with a patient who has cancer and takes extended-release opioids BID. The patient reports an increase in localized, achy pain over the last few days. How should the nurse document this increase in pain?

Patients with Chronic Bronchitis can sometimes display some characteristic signs and symptoms. Which of the following is NOT commonly one of these characteristic signs?

A nurse is caring for a client 2 hours after admission. The client has an SpO2 of 91%, exhibits audible wheezes, and is using accessory muscles when breathing. Which of the following classes medications should the nurse expect to administer?

Patients with Emphysema can sometimes display some characteristic signs and symptoms. Which of the following is NOT commonly one of these characteristic signs?

Metabolic syndrome is a set of patient findings that place them at high risk for developing Type 2 Diabetes Mellitus. Which of the following findings would be consistent with Metabolic Syndrome?

Which of the following can lead to an acute rise in blood sugar levels?

A nurse is caring for a patient who has Diabetes Insipidus. Which of the following urinalysis laboratory findings should the nurse expect?

You are teaching your patient about goals for their cholesterol/lipid levels. Which of the following goals is MOST accurate?