Nokea
A nurse is caring for a patient who wants to know how albuterol aids his breathing. What should the nurse's response be? How does albuterol aid breathing?
- A. The medication will decrease coughing episodes.
- B. The medication will prevent wheezing.
- C. The medication will open the airways.
- D. The medication will stimulate the flow of mucus.
- E. The medication will reduce inflammation.
Correct Answer: B,C
Rationale: The correct answers are B and C. Albuterol aids breathing by preventing wheezing (choice B) and opening the airways (choice C). Albuterol is a bronchodilator that works by relaxing the muscles around the airways, allowing them to widen and making it easier to breathe. Choices A, D, and E are incorrect because albuterol does not directly decrease coughing episodes, stimulate mucus flow, or reduce inflammation. The key is understanding albuterol's mechanism of action in dilating the airways to improve breathing.
You may also like to solve these questions
A nurse is preparing to administer furosemide 40 mg IV. Available is furosemide 10 mg/1 mL. How many mL should the nurse administer per dose? How many mL of furosemide should the nurse administer?
Correct Answer: 4
Rationale: The correct answer is 4 mL. To determine this, the nurse uses the formula: Desired dose (40 mg) ÷ Stock strength (10 mg/1 mL) = mL to administer. Thus, 40 mg ÷ 10 mg/1 mL = 4 mL. This calculation ensures the proper dosage is given. Other choices are incorrect because they do not follow the correct dosage calculation based on the given information.
A nurse is preparing to replace a nearly empty container of total parenteral nutrition (TPN) for a patient. There has been a delay in receiving the new TPN solution from the pharmacy. Which of the following solutions should the nurse infuse until the next TPN solution is available? Which solution should the nurse infuse during TPN delay?
- A. Lactated Ringer's.
- B. 0.9% sodium chloride.
- C. Sodium chloride.
- D. Dextrose 10% in water.
Correct Answer: D
Rationale: The correct answer is D: Dextrose 10% in water. During a delay in receiving TPN, it is important to provide a source of glucose to prevent hypoglycemia. Dextrose 10% in water provides a source of glucose for the patient. Lactated Ringer's (A) and 0.9% sodium chloride (B) are isotonic solutions but do not provide glucose. Sodium chloride (C) is a saline solution and does not provide any nutritional value. Therefore, Dextrose 10% in water is the most appropriate choice to prevent hypoglycemia in this situation.
A nurse is caring for a patient whose right leg is in Buck's traction. Which interventions should the nurse implement to promote the patient's mobility? Which intervention promotes mobility in Buck's traction?
- A. Perform passive range of motion exercises on the right leg.
- B. Perform isometric exercises on both legs.
- C. Perform active range-of-motion exercises on the left leg.
- D. Log roll the patient every 2 hours.
Correct Answer: C
Rationale: Rationale: Performing active range-of-motion exercises on the left leg promotes mobility in Buck's traction by maintaining muscle strength and joint flexibility, preventing muscle atrophy, and improving circulation. This helps prevent complications and supports eventual rehabilitation. Passive range of motion exercises on the right leg are not recommended as it may cause discomfort. Isometric exercises on both legs may not address the specific immobilization of the right leg. Log rolling every 2 hours is not directly related to promoting mobility in Buck's traction.
Nurse's Notes & Physical Examination
• The client has been lying in bed and appears more fatigued than earlier. They complain of increased dizziness and a persistent headache. The nausea has worsened, and the client reports feeling faint upon sitting up. There is noticeable pallor, and the skin feels cool to touch. The client is breathing rapidly and appears anxious, stating that they feel something is not right. Heart rate has increased further, and rhythm remains regular but fast. Lung sounds are now clear bilaterally without diminished areas. The client still requires assistance for ambulation due to unsteadiness.
Vital Signs
• Blood Pressure: 110/68 mm Hg
• Temperature: 36.4° C (97.5° F)
• Pulse: 98/min
• Respirations: 24/min
Diagnostic Results
• Hemoglobin: 13.4 g/dL
• Hematocrit: 40.8%
• Blood Glucose: 245 mg/dL
• Serum Potassium: 4.8 mEq/L (Reference range: 3.5-5.0 mEq/L)
Provider's Prescriptions
• Administer IV fluids at 75 mL/hr.
• Recheck blood glucose level in 2 hours.
• Continue monitoring fluid intake and output.
Scenario :A nurse is caring for a client admitted to the medical-surgical unit. The exhibits below detail the client's condition at different time points throughout the day. Review the exhibits and determine how the client's condition evolves and whether it worsens or improves.
1500 hrs - Follow-Up Assessment
Based on the 1500 hrs assessment, categorize the following actions for the client
- A. Increasing IV fluid rate
- B. Encouraging the client to sit up without assistance
- C. Administering antiemetic medication
- D. Monitoring respiratory rate closely
- E. Providing reassurance and calming interventions
- F. Checking electrolyte levels regularly
Correct Answer:
Rationale: [1, 1, 0]
Increasing IV fluid rate and encouraging the client to sit up without assistance are essential actions based on the assessment. Increasing IV fluid rate helps maintain hydration and support physiological functions, while sitting up without assistance promotes lung expansion and aids in respiratory function. Administering antiemetic medication, monitoring respiratory rate closely, and providing reassurance are important but not essential at this time. Checking electrolyte levels regularly is not mentioned in the scenario and is therefore not relevant.
A nurse is caring for a patient who attacked a friend and is now admitted to the psychiatric unit. Which of the following actions should the nurse take first? Which action should the nurse take first for an aggressive patient?
- A. Establish a patient relationship.
- B. Explore the truth of the patient's statements.
- C. Set behavioral limits for the patient.
- D. Explain to the patient that the behavior was unacceptable.
Correct Answer: C
Rationale: The correct answer is C: Set behavioral limits for the patient. This is the first action the nurse should take to ensure the safety of the patient and others. By setting clear boundaries and limits, the nurse can help manage the patient's aggressive behavior and prevent any further harm. Establishing a patient relationship (A) is important but secondary to ensuring immediate safety. Exploring the truth of the patient's statements (B) can be addressed once the aggressive behavior is under control. Explaining to the patient that the behavior was unacceptable (D) may not be effective in the heat of the moment and should come after setting limits.