A patient with chronic obstructive pulmonary disease (COPD) who is prescribed a short-acting inhaled beta2 agonist reports hating the inhaler and asks why the drug can't be taken as a pill. What is the nurse's best response?

a. "Inhaled drugs work more slowly."
b. "Inhaled drugs have no side effects."
c. "Oral drugs are usually more expensive."
d. "Oral drugs have more systemic side effects."


D
When used as prescribed, inhaled drugs go more to the site where the intended responses are needed (the airways) and less drug is absorbed systemically. Thus inhaled drugs have fewer (but still have some) side effects. Oral drugs always have systemic side effects.

Nursing

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When admitting a patient to the hospital, the nurse observes that the patient is distracted and tense. What does this behavior suggest as a common reaction to hospitalization?

a. Relief about being cared for b. Fear of the unknown c. Feeling of powerlessness d. Concern about cost

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A nurse says, "I'm the only one who truly understands this patient. Other staff members are too critical." The nurse's statement indicates:

a. boundary blurring. b. sexual harassment. c. positive regard. d. advocacy.

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A client who smokes cigarettes tells the nurse that sleep is light, and that he awakens easily. What can the nurse suggest to help this client with sleep?

1. Smoke no cigarettes 1 hour before sleep. 2. Smoke no cigarettes after the evening meal. 3. Limit the number of cigarettes smoked during the day. 4. Adjust to the lack of sleep, because those who smoke do not get sufficient sleep.

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Which bones are affected in Legg-Calvé-Perthes disease?

a. Heads of the femur b. Distal femurs c. Heads of the humerus d. Distal tibias

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