A client is admitted to the emergency room complaining of difficulty of breathing and upon auscultation, the nurse noted that the patient has wheezes. An allergic reaction to penicillin was

Correct Answer: D

Rationale: Albuterol is a short-acting beta-agonist bronchodilator commonly used in the treatment of asthma and other respiratory conditions. In this scenario where the patient is experiencing difficulty breathing and wheezing, albuterol is the most appropriate medication to administer first. Albuterol works by relaxing the smooth muscles in the airways, which helps to open up the air passages and improve breathing. It can provide quick relief of symptoms such as wheezing, shortness of breath, and chest tightness. In an emergency situation like this, it is crucial to address the underlying airway constriction promptly, making albuterol the priority medication to administer. This will help improve the patient's breathing and stabilize their respiratory status before considering other medications such as corticosteroids or theophylline.

Correct Answer: A

Rationale: When administering Morphine, the typical starting dose for an adult is 2.5 mg to 10 mg every 3 to 4 hours as needed for pain. The dose should be adjusted according to the severity of the pain, the patient's response, and any side effects. Therefore, the correct choice is A, 2-5 mg every 3-4 hours, as it falls within the recommended starting dose range for Morphine administration.

Correct Answer: D

Rationale: Lithium is commonly used to treat bipolar disorder, a mental health condition characterized by mood swings that range from depressive lows to manic highs. Lithium helps stabilize these mood swings by altering the levels of certain chemicals in the brain. It is not used to treat hypertension, nausea, or thyroid disorders.

Correct Answer: C

Rationale: Omeprazole is a proton pump inhibitor commonly used to treat conditions such as acid reflux and ulcers. It is typically recommended to be taken in the morning on an empty stomach, at least 30 minutes before the first meal of the day. This is because omeprazole works best when the stomach is empty to ensure optimal absorption and effectiveness of the medication. Taking omeprazole with food or at other times of the day may reduce its potency and could lead to suboptimal results in managing the patient's condition.

Correct Answer: D

Rationale: Propranolol is a non-selective beta-blocker, which means it blocks the stimulation of both beta1 and beta2 adrenergic receptors. By blocking beta1 receptors in the heart, propranolol reduces heart rate and contractility, helping to lower blood pressure and decrease the heart's workload. Blocking beta2 receptors in the lungs may cause some constriction of the airways, so caution is required in patients with respiratory conditions.