What is the primary action of a short-acting beta2-agonist (SABA) prescribed to a patient with an acute asthma exacerbation?

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Question 1 of 5

What is the primary action of a short-acting beta2-agonist (SABA) prescribed to a patient with an acute asthma exacerbation?

Correct Answer: B

Rationale: The correct answer is B: Relieve bronchospasm. Short-acting beta2-agonists (SABAs) like albuterol act by stimulating beta2 receptors in the airway smooth muscle, leading to bronchodilation and relieving bronchospasm. This helps to quickly open up the airways during an acute asthma exacerbation. Choice A is incorrect because SABAs do not directly reduce inflammation. Choice C is incorrect as SABAs do not affect respiratory secretions. Choice D is incorrect as SABAs do not suppress cough but rather target bronchospasm.

Question 2 of 5

A patient with anemia is prescribed ferrous sulfate. What advice should the nurse give regarding the administration of this medication?

Correct Answer: B

Rationale: The correct answer is B: Take on an empty stomach for best absorption. Ferrous sulfate is best absorbed on an empty stomach to maximize its effectiveness. When taken with food or dairy products (Choice A), the absorption of iron is reduced. Vitamin C actually enhances the absorption of iron, so avoiding it (Choice C) is not recommended. Taking the medication before bedtime (Choice D) may lead to gastrointestinal side effects and is not optimal for absorption.

Question 3 of 5

A patient with heart failure is prescribed digoxin. What is the most important instruction the nurse should provide?

Correct Answer: C

Rationale: The correct answer is C: Report any visual disturbances. This is important because digoxin can cause visual disturbances, such as blurred or yellow-tinted vision, which may indicate toxicity. By reporting these symptoms promptly, the nurse can prevent serious complications. A: Taking an extra dose if a dose is missed can lead to overdose and toxicity. B: Avoiding high-potassium foods is important for patients taking potassium-sparing diuretics, not digoxin. D: Stopping the medication if the pulse is normal is incorrect as it should be taken as prescribed for heart failure management.

Question 4 of 5

In a patient with chronic kidney disease (CKD) receiving erythropoietin therapy, what laboratory result should the nurse monitor to evaluate the effectiveness of this therapy?

Correct Answer: C

Rationale: Rationale: The correct answer is C, hemoglobin level. Erythropoietin therapy is used to stimulate red blood cell production in CKD patients with anemia. Monitoring hemoglobin levels helps assess the effectiveness of the therapy in improving anemia. If hemoglobin levels increase, it indicates the therapy is working. Summary of incorrect choices: A: Serum creatinine - This measures kidney function, not the effectiveness of erythropoietin therapy for anemia in CKD patients. B: White blood cell count - Monitors immune function, not related to erythropoietin therapy for anemia. D: Serum potassium - Important for monitoring electrolyte balance in CKD patients but not specific to assessing erythropoietin therapy effectiveness.

Question 5 of 5

A patient with rheumatoid arthritis is prescribed methotrexate. What should the nurse include in the patient teaching?

Correct Answer: A

Rationale: The correct answer is A: Take folic acid supplements as prescribed. Methotrexate can lead to folic acid deficiency, so supplementing with folic acid helps prevent side effects. It is important for the nurse to educate the patient on the importance of taking folic acid to maintain overall health. Choice B is incorrect. While it is generally recommended to limit alcohol consumption with methotrexate, avoiding it completely may not be necessary for all patients. Choice C is incorrect. Methotrexate takes time to work, often several weeks to months, so immediate results should not be expected. Choice D is incorrect. Limiting fluid intake to 1 liter per day is not a standard recommendation for patients taking methotrexate. Adequate hydration is important for overall health.

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