Podcast
Questions and Answers
A nurse is teaching a client about a new montelukast prescription for asthma. Which statement by the client demonstrates understanding?
A nurse is teaching a client about a new montelukast prescription for asthma. Which statement by the client demonstrates understanding?
- I'll take this medication once a day in the evening. (correct)
- I'll take this medication when I get an asthma attack.
- I’ll use my spacer device when I inhale this medication.
- I'll rinse my mouth after taking this medication.
A client is prescribed an ipratropium inhaler. Which statement requires clarification by the nurse?
A client is prescribed an ipratropium inhaler. Which statement requires clarification by the nurse?
- This medication will not impact my urinary retention. (correct)
- This medication will help decrease my airway secretions.
- I will make sure to not miss my optometrist appointment.
- I will suck on a hard candy to prevent dry mouth.
A client is prescribed guaifenesin. What teaching should the nurse include to promote its therapeutic effect?
A client is prescribed guaifenesin. What teaching should the nurse include to promote its therapeutic effect?
- Take this medication at bedtime.
- Avoid taking foods rich in Vitamin K.
- Take this medication with food.
- Increase fluid intake. (correct)
A nurse is preparing to administer albuterol to a patient in respiratory distress. Albuterol should be used cautiously in patients with which diagnosis?
A nurse is preparing to administer albuterol to a patient in respiratory distress. Albuterol should be used cautiously in patients with which diagnosis?
Which intravenous fluid is considered hypotonic?
Which intravenous fluid is considered hypotonic?
A nurse is concerned that a patient is hypervolemic. Which clinical cues would indicate hypervolemia? Select all that apply.
A nurse is concerned that a patient is hypervolemic. Which clinical cues would indicate hypervolemia? Select all that apply.
The nurse is starting an infusion of isotonic IV fluids. What effect is expected on the patient's blood pressure?
The nurse is starting an infusion of isotonic IV fluids. What effect is expected on the patient's blood pressure?
A nurse is concerned about a patient's fluid status. What is the best indicator of the patient's fluid volume status?
A nurse is concerned about a patient's fluid status. What is the best indicator of the patient's fluid volume status?
A patient is ordered 0.9% NS. What is the primary goal of this IV fluid?
A patient is ordered 0.9% NS. What is the primary goal of this IV fluid?
A nurse is caring for a patient with heart failure who is receiving intravenous fluids. Which assessment finding would be the MOST concerning?
A nurse is caring for a patient with heart failure who is receiving intravenous fluids. Which assessment finding would be the MOST concerning?
A patient with chronic obstructive pulmonary disease (COPD) is prescribed ipratropium. What specific effect of this medication is MOST beneficial for this patient?
A patient with chronic obstructive pulmonary disease (COPD) is prescribed ipratropium. What specific effect of this medication is MOST beneficial for this patient?
A nurse is teaching a patient about potential side effects of albuterol. Which side effect should the nurse prioritize in this teaching session?
A nurse is teaching a patient about potential side effects of albuterol. Which side effect should the nurse prioritize in this teaching session?
A patient is receiving 3% saline solution. The nurse should closely monitor for which of the following?
A patient is receiving 3% saline solution. The nurse should closely monitor for which of the following?
What is the mechanism of action of guaifenesin that helps to clear the airway?
What is the mechanism of action of guaifenesin that helps to clear the airway?
When initiating intravenous fluid replacement for a dehydrated patient, which laboratory value should the nurse monitor MOST closely?
When initiating intravenous fluid replacement for a dehydrated patient, which laboratory value should the nurse monitor MOST closely?
A patient on a fluid restriction of 1500 mL per day reports a dry mouth. What nursing intervention is MOST appropriate?
A patient on a fluid restriction of 1500 mL per day reports a dry mouth. What nursing intervention is MOST appropriate?
A patient with heart failure has gained 2 kg of weight overnight. What nursing intervention is MOST important to implement first?
A patient with heart failure has gained 2 kg of weight overnight. What nursing intervention is MOST important to implement first?
A patient is prescribed montelukast and an inhaled corticosteroid for persistent asthma. How should the nurse instruct the patient to take these medications?
A patient is prescribed montelukast and an inhaled corticosteroid for persistent asthma. How should the nurse instruct the patient to take these medications?
Which assessment finding would indicate a therapeutic response to guaifenesin?
Which assessment finding would indicate a therapeutic response to guaifenesin?
A patient receiving intravenous fluids develops shortness of breath and crackles in the lungs. What action should the nurse take FIRST?
A patient receiving intravenous fluids develops shortness of breath and crackles in the lungs. What action should the nurse take FIRST?
Flashcards
Montelukast Timing
Montelukast Timing
Take montelukast once daily in the evening for asthma management.
Ipratropium and Dry Mouth
Ipratropium and Dry Mouth
Ipratropium can cause dry mouth, so sucking on hard candy is a good way to relieve it. The nurse doesn't need to clarify this.
Guaifenesin and Hydration
Guaifenesin and Hydration
Increase fluid intake promotes guaifenesin's therapeutic effect by thinning secretions.
Albuterol Caution
Albuterol Caution
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Hypotonic IV Fluids
Hypotonic IV Fluids
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Hypervolemia Signs
Hypervolemia Signs
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Isotonic Fluids Effect
Isotonic Fluids Effect
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Fluid Status Indicator
Fluid Status Indicator
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0.9% NS Goal
0.9% NS Goal
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Study Notes
- Montelukast is for asthma treatment and should be taken once daily in the evening, according to the teaching evaluation
- A client statement that needs clarification regarding ipratropium (Atrovent) is that the medication will not impact urinary retention
- When taking guaifenesin (Mucinex), increase fluid intake to promote its therapeutic effect
- Albuterol should be used cautiously in patients with cardiovascular disease
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- 9 NS is an Isotonic solution
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- 45 NS is a Hypotonic solution
- 3 NS is a Hypertonic solution
Clinical cues for hypervolemia include:
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Crackles in lungs
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Bilateral leg edema
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Bounding pulse
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Isotonic IVF infusions increase blood pressure
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Daily weight is the best indicator of a patient's fluid volume status
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The primary goal of 0.9NS IV fluid is to expand the volume of fluid in the vascular system
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