A client with asthma asks the nurse which type of medication will decrease inflammation associated with asthma. What is the best response by the nurse?
1. "Corticosteroids."
2. "Expectorants."
3. "Bronchodilators."
4. "Antitussives."
1
Rationale 1: Glucocorticoids, also known as corticosteroids, may be applied directly to the nasal mucosa to prevent symptoms of allergic rhinitis. When applied consistently, they decrease the secretion of inflammatory mediators, reduce tissue edema, and cause a mild vasoconstriction.
Rationale 2: Expectorants reduce the thickness or viscosity of bronchial secretions.
Rationale 3: Bronchodilators relieve an acute bronchospasm characteristic of an asthmatic attack.
Rationale 4: Antitussives control cough.
Global Rationale: Glucocorticoids, also known as corticosteroids, may be applied directly to the nasal mucosa to prevent symptoms of allergic rhinitis. When applied consistently, they decrease the secretion of inflammatory mediators, reduce tissue edema, and cause a mild vasoconstriction.
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A patient recently began receiving clindamycin [Cleocin] to treat an infection. After 8 days of treatment, the patient reports having 10 to 15 watery stools per day. What will the nurse tell this patient?
a. The provider may increase the clindamycin dose to treat this infection. b. This is a known side effect of clindamy-cin, and the patient should consume extra fluids. c. The patient should stop taking the clin-damycin now and contact the provider immediately. d. The patient should try taking Lomotil or a bulk laxative to minimize the diarrheal symptoms.
A patient is prescribed fexofenadine (Allegra) for allergic rhinitis. For which reasons in the patient's medical history should the nurse question providing the medication to this patient?
Select all that apply. 1. history of asthma 2. treatment for glaucoma 3. type 2 diabetes mellitus controlled by diet 4. medication for benign prostatic hypertrophy 5. over-the-counter pain medication for arthritis
The nurse is assessing a client before administering an analgesic. What are some of the factors the nurse should consider? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. The client is willing to receive medication after being advised about it. 2. The client's vital signs are stable. 3. The partner agrees to use of the medication. 4. The client has no known allergies to the medication. 5. The client is aware of the contraindications of the medication.
A home care nurse visits a pregnant client with a diagnosis of mild preeclampsia. During the assessment, the client tells the nurse that she has had an upset stomach and pain in the epigastric area. The nurse most appropriately:
A. Contacts the client's health care provider B. Tells the client to avoid lying flat C. Instructs the client to eat a small portion of food every 2 to 3 hours D. Administers an antacid to the client and tell her to take a dose every 6 hours