A patient presents to the emergency department (ED) having an acute asthma attack. An ED physician has ordered a sympathomimetic (epinephrine). The nurse expects what as the therapeutic effect of this drug?
A) Decrease the inflammatory response in the airways
B) Reduce the surface tension within the alveoli allowing for gas exchange
C) Inhibit the release of histamine and slow-reacting substance of anaphylaxis (SRSA) to prevent the allergic asthmatic response
D) Cause dilation of the bronchi with increased rate and depth of respiration
D
Feedback:
Epinephrine will cause the bronchi to dilate and also cause the rate and depth of respiration to increase. Inhaled steroids decrease the inflammatory response and lung surfactants reduce the surface tension within the alveoli. Mast cell stabilizers inhibit the release of histamine and SRSA to prevent the allergic response. Options A, B, and C are not correct.
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What are characteristics of Magnet hospital status?
1 . Centralized environment 2 . Open, participatory management 3 . Improved patient outcomes 4 . Higher staff nurse satisfaction A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4
A client who has an enlarged prostate gland tells the nurse he feels like his bladder is not completely empty after voiding, and his health care provider requests a check for residual urine. Which of these nursing actions is correct?
a. Catheterize him immediately after he voids, and record the amount obtained. b. Have him measure his voidings in sequentially numbered containers and record the amount and time of each voiding. c. Insert a retention catheter, and connect it to a bedside collection unit. d. Keep an accurate intake and output (I&O), and subtract and record the difference be-tween the intake and the output for each 8-hour shift.
Express the dosage using the official symbol/abbreviation: one hundred milliequivalents
What will be an ideal response?
The nurse is performing a neurological assessment. Which patient behaviors demonstrate a level of consciousness within normal limits?
a. States name, age, and date but not location b. Is lethargic; responds logically to ques-tions c. Responds verbally, but words are unintel-ligible d. Responds to questions spontaneously; is alert and oriented