A client with asthma is prescribed albuterol (Proventil) via inhaler. Which instruction should the nurse include in the teaching plan?

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ATI Capstone Pharmacology Assessment 2 Quizlet Questions

Question 1 of 5

A client with asthma is prescribed albuterol (Proventil) via inhaler. Which instruction should the nurse include in the teaching plan?

Correct Answer: B

Rationale: Albuterol, a short-acting beta-agonist, relieves acute asthma symptoms by bronchodilation. Shaking the inhaler well ensures proper aerosolization of the dose, maximizing delivery to the lungs. Using it daily is incorrect'albuterol is PRN, not preventive like inhaled steroids. Holding breath for 2 seconds is too short; 10 seconds is standard to deposit medication. Daily soap-and-water cleaning risks damage'weekly rinsing suffices. Shaking aligns with albuterol's delivery mechanism, critical for efficacy in asthma exacerbations where rapid relief is needed. This instruction prevents misuse, ensuring the client gets the full therapeutic effect, especially in emergencies. Other options either misalign with its PRN use or exaggerate care needs, making B the essential teaching point for safe, effective administration.

Question 2 of 5

The number of people with hypertension in the United States is estimated to be

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

What action is often recommended to help reduce tolerance to transdermal nitroglycerin therapy?

Correct Answer: D

Rationale: To help reduce tolerance to transdermal nitroglycerin therapy, it is often recommended to remove the patch at bedtime and then apply a new one in the morning. This drug-free period during sleep helps prevent the development of tolerance to nitroglycerin. By allowing the body to have a break from continuous exposure to the drug, the effectiveness of nitroglycerin can be maintained over time.

Question 4 of 5

The nurse is preparing to transfuse a patient with a unit of packed red blood cells (PRBCs). Which intravenous solution is correct for use with the PRBC transfusion?

Correct Answer: B

Rationale: When preparing to transfuse packed red blood cells (PRBCs), the correct intravenous solution to use is 0.9% sodium chloride (NS), which is also known as normal saline. This solution is preferred because it is isotonic and compatible with blood products like PRBCs. Using NS helps maintain the osmolarity of the blood, preventing hemolysis of red blood cells and providing a stable environment for the transfusion. Other solutions like D5W, D5NS, and D5LR are not recommended for use with PRBC transfusion because they are either hypotonic, hypertonic, or contain additives that can lead to hemolysis or other adverse reactions in the patient receiving the blood transfusion.

Question 5 of 5

A 74-year-old professional golfer has chest pain that occurs toward the end of his golfing games. He says the pain usually goes away after one or two sublingual nitroglycerin tablets and rest. What type of angina is he experiencing?

Correct Answer: D

Rationale: The 74-year-old professional golfer is likely experiencing Prinzmetal™s angina, also known as variant angina. This type of angina is characterized by episodes of chest pain that occur at rest or during minimal physical exertion. It is caused by a spasm in the coronary arteries, leading to a temporary reduction or cessation of blood flow to the heart muscle. The chest pain associated with Prinzmetal™s angina can be severe and is often relieved by sublingual nitroglycerin, as described by the golfer. Additionally, the fact that the pain occurs towards the end of his golfing games suggests that it may be triggered by stress or exertion, common triggers for coronary artery spasm in Prinzmetal's angina.

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