Nokea
A patient with asthma is receiving a nebulizer of Cromolyn. The patient reports a burning sensation in the nose along with a horrible taste in their mouth. As the nurse you will?
- A. Immediately stop the nebulizer
- B. Re-adjust the nebulizer
- C. Call a rapid response because the patient is having a potential anaphylactic reaction to the medication.
- D. Reassure the patient this is a temporary side effect of this medication.
Correct Answer: D
Rationale: Burning sensation and bad taste are common temporary side effects of Cromolyn nebulizer treatment and do not indicate a severe reaction.
You may also like to solve these questions
The client diagnosed with a pulmonary embolus is in the intensive care department. Which assessment data warrant immediate intervention from the nurse?
- A. The client's ABGs are pH 7.36, Pao2 95, Paco2 38, Hco3 24.
- B. The client's telemetry exhibits occasional premature ventricular contractions (PVCs).
- C. The client's pulse oximeter reading is 90%.
- D. The client's urinary output for the 12-hour shift is 800 mL.
Correct Answer: C
Rationale: SpO2 90% (C) indicates hypoxia in PE, requiring immediate oxygen adjustment. Normal ABGs (A), occasional PVCs (B), and urine output (D) are less urgent.
When the client asks why the physician chose this particular drug to treat the pneumonia, which response by the nurse is best?
- A. The sensitivity report showed the organism is often killed by penicillin.
- B. Most viral infections respond well when treated with penicillin drugs.
- C. Penicillin is one of the safest yet most effective antibiotics.
- D. All antibiotics are similar; the choice of drug is not that important.
Correct Answer: A
Rationale: Penicillin is chosen based on the sensitivity report, indicating that the pneumococcal bacteria are susceptible to it.
A patient receiving medical treatment for an active tuberculosis infection asks when she can starting going out in public again. You respond that she is no longer contagious when:
- A. She has 3 negative sputum cultures
- B. Her signs and symptoms improve
- C. She has completed the full medication regime
- D. Her chest x-ray is normal
- E. She has been on tuberculosis medications for about 3 weeks
Correct Answer: A,B,E
Rationale: These are all criteria for when a patient with active TB can return to public life (school, work, running errands). Until then they are still contagious and must stay home in isolation.
The client who smokes two (2) packs of cigarettes a day develops ARDS after a near-drowning. The client asks the nurse, 'What is happening to me? Why did I get this?' Which statement by the nurse is most appropriate?
- A. Most people who almost drown end up developing ARDS.
- B. Platelets and fluid enter the alveoli due to permeability instability.
- C. Your lungs are filling up with fluid, causing breathing problems.
- D. Smoking has caused your lungs to become weakened, so you got ARDS.
Correct Answer: C
Rationale: Fluid-filled lungs (C) explain ARDS simply, addressing breathing issues. Drowning link (A), permeability (B), and smoking (D) are less accurate or overly technical.
Which finding best indicates that the sponge bath is having a therapeutic effect on the client?
- A. The client feels more comfortable.
- B. The client begins sweating profusely.
- C. The client's temperature is 101°F (38.3°C).
- D. The client's skin is flushed.
Correct Answer: C
Rationale: A reduced temperature (101°F) directly indicates the sponge bath is effectively lowering the client's fever.