A hypotonic solution with an ultrasonic nebulizer is ordered for a patient who has a history of hyperreactive airways. In such a situation, the respiratory therapist should recommend which of the following?

1. Refuse to give the treatment.
2. Suggest giving a bronchodilator before the hypotonic solution.
3. Suggest that an isotonic solution be used instead.
4. Administer oxygen before the hypotonic solution.
a. 1 c. 3 and 4
b. 2 and 3 d. 4


ANS: B
If the physician still requests bland aerosol therapy for this patient, pretreatment with a broncho-dilator might be required. In addition, isotonic solutions (0.9% saline) might also be better toler-ated by these patients than water. Administered oxygen will not prevent bronchospasm—even if an isotonic solution is used in a patient with hyperreactive airways.

Health Professions

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