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What type of medication is used to relax the muscles around the airways and improve breathing in conditions like asthma and COPD?
- A. Bronchodilator
- B. Corticosteroid
- C. Mucolytic
- D. Antihistamine
Correct Answer: A
Rationale: The correct answer is A: Bronchodilator. Bronchodilators are used to relax the muscles around the airways, allowing them to open up and improve breathing in conditions like asthma and COPD. They work by widening the airways, making it easier to breathe. Corticosteroids (B) reduce inflammation, mucolytics (C) help loosen mucus, and antihistamines (D) are used for allergies and not specifically for relaxing muscles in the airways. Therefore, A is the correct choice for this question.
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The most realistic discharge goal for Mrs. G., with a history of compensated congestive heart failure, is
- A. Knowledge of illness and treatment
- B. Absence of signs of congestive failure
- C. Total decompensation for failure
- D. Avoidance of all stress
Correct Answer: B
Rationale: Achieving stability is a practical goal.
The nurse is caring for a client on enalapril (Vasotec). What is the most important side effect to monitor?
- A. Cough
- B. Hyperkalemia
- C. Hypotension
- D. Dizziness
Correct Answer: A
Rationale: The correct answer is A: Cough. Enalapril is an ACE inhibitor that can cause a dry, persistent cough as a common side effect. It is important to monitor for this because it can indicate a potentially serious adverse reaction called angioedema. Hyperkalemia (B) is a possible side effect of enalapril but is typically not as urgent to monitor as cough. Hypotension (C) is a common side effect but is usually monitored during the initial dose titration. Dizziness (D) is a less common side effect and is often transient. Monitoring for cough is crucial to detect and manage any potential angioedema promptly.
What test involves the nurse instructing the client to avoid eating or drinking until sensation and the gag reflex return, which may take 1 hour or longer?
- A. Transesophageal echocardiography (TEE)
- B. Magnetic resonance imaging (MRI)
- C. Echocardiography
- D. Cardiac catheterization
Correct Answer: A
Rationale: TEE requires the client to fast until the gag reflex returns to prevent aspiration.
Which test uses sound waves to create images of the heart, allowing doctors to assess its structure and function?
- A. Echocardiogram
- B. MRI
- C. CT scan
- D. X-ray
Correct Answer: A
Rationale: The correct answer is A: Echocardiogram. An echocardiogram uses sound waves to create images of the heart, providing detailed information about its structure and function in real time. It is a non-invasive and safe imaging technique commonly used to diagnose heart conditions. MRI (B) uses magnetic fields, CT scan (C) uses X-rays, and X-ray (D) uses electromagnetic radiation, but these techniques do not specifically use sound waves to image the heart.
What procedure is used to visualize the airways and diagnose lung disease?
- A. Bronchoscopy
- B. Thoracentesis
- C. Pulmonary function test
- D. Chest X-ray
Correct Answer: A
Rationale: The correct answer is A: Bronchoscopy. Bronchoscopy is a procedure where a thin, flexible tube with a camera is inserted into the airways to visualize and diagnose lung diseases directly. It allows for direct visualization of the airways, collection of samples for biopsy, and removal of obstructions. Thoracentesis (B) is a procedure to remove fluid from the pleural space, not for visualizing airways. Pulmonary function test (C) measures lung function but doesn't directly visualize airways. Chest X-ray (D) provides an image of the lungs but doesn't allow for direct visualization or diagnosis of airway diseases.