A patient will begin using an albuterol metered-dose inhaler to treat asthma symptoms. The patient asks the nurse about the difference between using an oral form of albuterol and the inhaled form
The nurse will explain that the inhaled form of albuterol
a. has a more immediate onset than the oral form.
b. may cause more side effects than the oral preparation.
c. requires an increased dose in order to have therapeutic effects.
d. will not lead to tolerance with increased doses.
ANS: A
Inhaled medications have more immediate effects than oral preparations. As long as they are used correctly, systemic side effects are less common. Less drug is needed for therapeutic effects, since the drug is delivered directly to target tissues. Increased doses will lead to drug tolerance.
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Which of the following statements is true about "ketones"?
A) Ketones are normally found in the urine. B) Whenever blood sugar is low, ketones can be found in the urine. C) Ketones are present in the blood before they show up in the urine. D) To test for ketones, a ketone reagent strip is used in a fresh urine sample.
Mr. Kaye has become septic following a perforated diverticulum. In order to meet his nutritional needs, he should receive
A) a low residue diet with high protein and calorie supplements. B) intermittent enteral feedings. C) continuous enteral feedings. D) total parenteral nutrition (TPN).
A client with heart failure is diagnosed with a low ejection fraction. What aspects of the client's heart function should the nurse realize contributed to this poor finding? (Select all that apply.)
1. Preload 2. Afterload 3. Contractility 4. Ventricular response 5. Sinoatrial node firing
The nurse knows that a FHR monitor printout indicates a Category III abnormal fetal heart rate pattern when:
a. Baseline variability is minimal or absent with decelerations. b. FHR mirrors the uterine contractions. c. Occasional periodic accelerations occur. d. Baseline variability is 6 to 25 bpm with decelerations