The nurse helps a client establish goals to control asthma with medications. The nurse emphasizes that the preferred drugs for long-term control of asthma are:
1. inhaled corticosteroids.
2. inhaled beta 2 agonists.
3. anticholinergics.
4. systemic corticosteroids.
Correct Answer: 1
Rationale 1: Inhaled corticosteroids decrease inflammation, resulting in fewer asthma attacks.
Rationale 2: Beta 2 agonists are the most effective drugs for relieving acute bronchospasm, not preventing bronchospasm.
Rationale 3: Anticholinergics are alternative drugs used for clients who cannot tolerate short-acting beta agonists during an acute asthma attack.
Rationale 4: Systemic corticosteroids are used for short periods to reduce the frequency of acute asthma attacks.
Global Rationale: Inhaled corticosteroids are the drugs of choice for prevention of asthmatic attacks and for the management of chronic asthma. Oral corticosteroids are used for the short-term management of acute asthma attacks. Beta 2 agonists are the most effective drugs for relieving acute bronchospasm, not preventing bronchospasm. Anticholinergics are alternative drugs used for clients who cannot tolerate short-acting beta agonists during an acute asthma attack.
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