Nokea
Which medication below blocks the function of Leukotriene for the treatment of asthma?
- A. Salmeterol
- B. Theophylline
- C. Tiotropim
- D. Montelukast
Correct Answer: D
Rationale: Montelukast is a leukotriene receptor antagonist that blocks leukotrienes, reducing asthma symptoms.
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The nurse is assessing the client diagnosed with COPD. Which data require immediate intervention by the nurse?
- A. Large amounts of thick white sputum.
- B. Oxygen flowmeter set on eight (8) liters.
- C. Use of accessory muscles during inspiration.
- D. Presence of a barrel chest and dyspnea.
Correct Answer: B
Rationale: High oxygen (8 LPM, B) risks CO2 retention in COPD, requiring immediate adjustment (2–4 LPM). Sputum (A), accessory muscles (C), and barrel chest (D) are expected but less urgent.
When the nurse is teaching a client to self-administer nose drops, which head position is appropriate?
- A. Bending the head forward, then instilling the drops
- B. Pushing the nose laterally, then instilling the drops
- C. Tilting the head backward, then instilling the drops
- D. Turning the head to the side, then instilling the drops
Correct Answer: C
Rationale: Tilting the head backward allows nose drops to reach the nasal passages effectively by gravity, ensuring proper distribution of the medication.
When the nurse obtains the nasal swab, which action is most accurate?
- A. The nurse dons sterile gloves before obtaining the specimen.
- B. The swab is placed in the anterior portion of the nare and swept superiorly.
- C. The client is asked to blow the nose before the specimen is collected.
- D. The nurse uses separate applicators for each nare.
Correct Answer: D
Rationale: Using separate applicators for each nare prevents cross-contamination and ensures an accurate sample for MRSA screening.
Which nursing interventions should the nurse implement for the client diagnosed with a pulmonary embolus who is undergoing thrombolytic therapy? Select all that apply.
- A. Keep protamine sulfate readily available.
- B. Avoid applying pressure to venipuncture sites.
- C. Assess for overt and covert signs of bleeding.
- D. Avoid invasive procedures and injections.
- E. Administer stool softeners as ordered.
Correct Answer: B,C,D
Rationale: Avoiding pressure (B), monitoring bleeding (C), and avoiding procedures (D) prevent hemorrhage during thrombolytics. Protamine (A) reverses heparin, and softeners (E) are unrelated.
When the client asks the nurse why skin testing is beneficial, which explanation is best?
- A. The symptoms may be related to more than one substance.
- B. Skin testing helps to build up blocking antibodies.
- C. Allergic responses vary from person to person.
- D. The allergy symptoms could become more serious.
Correct Answer: A
Rationale: Skin testing identifies specific allergens causing symptoms, which is crucial when symptoms may be triggered by multiple substances.