Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse in a clinic sees a client who has an acute asthma exacerbation. Which of the following medications should reduce the symptoms?
A. Montelukast orally
B. Albuterol via jet nebulizer
This is because albuterol is a short-acting beta2 agonist that relaxes the smooth muscles of the airways and improves bronchodilation and airflow. Montelukast, budesonide, and cromolyn are long-term control medications that prevent inflammation and reduce the frequency of asthma attacks, but they do not provide immediate relief.
C. Budesonide via dry-powder inhaler
D. Cromolyn via metered-dose inhaler
This question is an excerpt from Nurse Dive's nursing test bank - ATI SP 250 Exam 3 Med Surg Proctored Exam. Take the full exam now
Full Explanation
This is because albuterol is a short-acting beta2 agonist that relaxes the smooth muscles of the airways and improves bronchodilation and airflow. Montelukast, budesonide, and cromolyn are long-term control medications that prevent inflammation and reduce the frequency of asthma attacks, but they do not provide immediate relief.
Similar Questions
A nurse is caring for a client who has asthma and is taking fluticasone. The nurse should monitor the client for which of the following adverse effects?
A. Oral candidiasis
This is because fluticasone is an inhaled corticosteroid that suppresses the immune system and increases the risk of fungal infections in the mouth and throat. The nurse should instruct the client to rinse their mouth with water after each use of fluticasone and to report any signs of oral thrush, such as white patches, soreness, or difficulty swallowing. Polyuria, hypertension, and hypoglycemia are not associated with fluticasone.
B. Polyuria
C. Hypertension
D. Hypoglycemia
Full Explanation
This is because fluticasone is an inhaled corticosteroid that suppresses the immune system and increases the risk of fungal infections in the mouth and throat. The nurse should instruct the client to rinse their mouth with water after each use of fluticasone and to report any signs of oral thrush, such as white patches, soreness, or difficulty swallowing. Polyuria, hypertension, and hypoglycemia are not associated with fluticasone.
A nurse is developing a plan of care for a client who is rehabilitating from major burns. Which of the following interventions should the nurse include to provide emotional support?
A. Rotate nursing staff so he can have varied interactions.
B. Keep family members aware of his condition.
C. Talk with the client during wound care.
This is because talking with the client can help reduce anxiety, pain, and isolation, as well as build trust and rapport between the nurse and the client. Talking with the client can also provide an opportunity for education, feedback, and encouragement.
D. Assign assistive personnel to keep his room neat and clean.
Full Explanation
This is because talking with the client can help reduce anxiety, pain, and isolation, as well as build trust and rapport between the nurse and the client. Talking with the client can also provide an opportunity for education, feedback, and encouragement.
A nurse is caring for a client who is receiving mechanical ventilation and has an ideal weight of 60 kg. The nurse should expect the tidal volume to be set at which of the following?
A. 800 mL
B. 480 mL
This is because the recommended tidal volume for mechanical ventilation is 6 to 8 mL/kg of ideal body weight. Therefore, for a client who has an ideal weight of 60 kg, the tidal volume should be between 360 and 480 mL. A tidal volume that is too high or too low can cause lung injury or hypoventilation.
C. 950 mL
D. 300 mL
Full Explanation
This is because the recommended tidal volume for mechanical ventilation is 6 to 8 mL/kg of ideal body weight. Therefore, for a client who has an ideal weight of 60 kg, the tidal volume should be between 360 and 480 mL. A tidal volume that is too high or too low can cause lung injury or hypoventilation.