When giving dextromethorphan, the nurse understands that this drug suppresses the cough reflex by which mechanism of action? a)decreases viscosity of bronchial secretions. b)causes depression of the central nervous system c)has direct action on the cough center in the brain d)anesthesizes the stretch receptors in the lungs
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a)decreases viscosity of bronchial secretions.
b)causes depression of the central nervous system
c)has direct action on the cough center in the brain
d)anesthesizes the stretch receptors in the lungs
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- A patient with chronic obstructive pulmonary disease (COPD) is prescribed oxygen therapy. The nurse understands that oxygen therapy is primarily aimed at: a) Decreasing airway inflammation b) Improving gas exchange and relieving hypoxemia c) Preventing bronchospasm d) Reducing mucus production.A toddler is admitted to the pediatric unit with a diagnosis of bronchiolitis. The nurse monitors the child for which common complication of bronchiolitis? a) Hypotension b) Bradycardia c) Respiratory distress d) HyperglycemiaA patient in the ICU is receiving neuromuscular blockade as part of mechanical ventilation management. The nurse monitors the patient for signs of neuromuscular blockade reversal, such as: a) Increased muscle tone and reflexes b) Bradycardia and hypotension c) Tachypnea and hyperactivity d) Profound muscle weakness and inability to follow commands
- A patient with chronic obstructive pulmonary disease (COPD) is experiencing increased dyspnea and cough productive of thick, yellow sputum. Which nursing intervention is the priority for managing the patient's airway clearance? a) Encourage deep breathing exercises b) Administer bronchodilator therapy c) Perform chest physiotherapy d) Provide humidified oxygen therapyDuring a teaching session for a patient who will be receiving a new prescription for the LTRA montelukast (Singulair), the nurse will tell the patient that the drug has which therapeutic effect?a) Improves the respiratory driveb) Loosens and removes thickened secretionsc) Reduces inflammation in the airwayd) Stimulates immediate bronchodilation8) The diagnostic criteria for chronic bronchitis should be cough and expectoration() A) They occur for at least 3 months each year and last for more than 10 years B) They occur for at least 1 months each year and last for more than 2 years C) They occur for at least 2 months each year and last for more 3 years D) They occur for at least 3 months each year and last for more than 2 years E) They occur for at least 6 months each year and last for more than 4 years
- A 38 year old female has been experiencing intermittent shortness of breath, wheezing and cough for six months. Which of the following features most strongly supports a diagnosis of asthma rather than COPD? a) Improvement of lung function with steroid therapy b) Smoking history from adolescence c) Marked diurnal variation in peak expiratory flow rate d) FEV1/FEV ration less than 70%Which one of the following drugs should be administered only when resuscitative equipment such as airway control and vasoactive meds are immediately available? A) FLUmazenil B) Meperidine C) Nitrous Oxide D) PropofolA patient presents to the emergency department with a suspected pneumothorax. The nurse assesses the patient for which classic signs and symptoms of pneumothorax? a) Hypertension and tachycardia b) Hyperresonance to percussion and decreased breath sounds on the affected side c) Bradycardia and diminished bowel sounds d) Cyanosis and elevated temperature
- The emergency treatment of open pneumothorax is() A) Closed thoracic drainage B) Endotracheal intubation, positive end expiratory pressure ventilation C) Rapid closure of chest wall wound D) Oxygen inhalation E) Exploratory thoracotomyThe nurse knows that an antitussive cough medication would be the best choice for which patient? a) A patient with a productive coughb )A patient with chronic paranasal sinusitisc )A patient who has had recent abdominal surgeryd) A patient who has influenzaAfter the patient takes a dose of an inhaled corticosteroid, such as fluticasone (Flovent), what is the most important action the patient needs to do nexta) Hold the breath for 60 seconds.b) Rinse out the mouth with water.c) Follow the corticosteroid with a bronchodilator inhaler, if ordered.d) Repeat the dose in 15 minutes if the patient feels short of breath.