A patient has been prescribed a beta agonist for acute asthma attacks. Which beta agonist should not be used for acute exacerbations of asthma?
a. Salmeterol
b. Albuterol
c. Metaproterenol
d. Pirbuterol
ANS: A
Deaths have been reported in patients who used salmeterol as a rescue drug, not understanding that it takes a minimum of 20 minutes for the drug to become effective.
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Which change in renal or urinary functioning as a result of the normal aging process increases the older client's risk for infection?
A. Decreased glomerular filtration B. Decreased filtrate reabsorption C. Weakened sphincter muscles D. Urinary retention
The client who has been diagnosed with diabetes mellitus type 1 asks the nurse what this means. What is the best response by the nurse? (Select all that apply.)
1. "The exocrine function of your pancreas is to secrete insulin.". 2. "It means your pancreas cannot secrete insulin.". 3. "The endocrine function of your pancreas is to secrete insulin.". 4. "Your alpha cells should be able to secrete insulin, but cannot.". 5. "Without insulin you will develop ketoacidosis.".
The nurse manager knows that for change to be successful which of the following must occur?
a. Autocratic approach must be used. b. Only RNs should be involved in the change process. c. Empowerment of those involved in the change must occur. d. Physicians should be the initiators of change on the unit.
An older person may have swallowing difficulties because of:
a. Less saliva b. Dulled taste and smell c. Decreased digestive juices d. Decreased peristalsis