A patient with stable COPD receives prescriptions for an inhaled glucocorticoid and an inhaled beta2-adrenergic agonist. Which statement by the patient indicates understanding of this medica-tion regimen?

a. "I should use the glucocorticoid as needed when symptoms flare."
b. "I will need to use the beta2-adrenergic agonist drug daily."
c. "The beta2-adrenergic agonist suppresses the synthesis of inflammatory mediators."
d. "The glucocorticoid is used as prophylaxis to prevent exacerbations."


D
Inhaled glucocorticoids are used daily to prevent acute attacks. They are not used PRN. The be-ta2-adrenergic agonist drugs should not be used daily; they are used to treat symptoms as needed. They do not suppress mediators of inflammation.

Nursing

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An increase in the osmolality of a patient's blood has prompted the release of antidiuretic hormone (ADH) from the patient's posterior pituitary gland. What effect will result from the release of this hormone?

A) The patient's kidneys will resorb more water than usual. B) The patient will retain more sodium than normal. C) The patient's kidneys will reduce their filtration rate. D) Excretion of water by the kidneys will increase.

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The nurse assesses a newborn's Apgar score at birth and documents that it is normal. Which score did the nurse most likely record?

A) 1 B) 4 C) 8 D) 13

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The nurse is preparing a plan of care for a newly admitted client with chronic obstructive pulmonary disease (COPD). The client currently is receiving oxygen at 4 liters per nasal cannula

Her oxygen saturation is 82%, respiratory rate is 32, heart rate is 98, and blood pressure is 102/68. Which of the following is the highest-priority nursing diagnosis for this client? 1. Activity Intolerance 2. Ineffective Tissue Perfusion 3. Ineffective Airway Clearance 4. Ineffective Management of Therapeutic Regimen

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Isolation is never used in the long-term care facility.

Answer the following statement true (T) or false (F)

Nursing