NURS 267 Jennifer Hoffman Post Quiz accurately Answered 100% Correct

NURS 267 Jennifer Hoffman Post Quiz accurately Answered 100% Correct Jennifer Hoffman Post Quiz Answer Key QUESTION 1: Jennifer Hoffman was prescribed methylprednisolone (Solu-Medrol) IV for her asthma. For which adverse effects would the nurse monitor with this medication? (Select all that apply.)more Your Response: Correct! Correct Response: Hyperglycemia Pancreatitis Cardiac arrhythmias Seizures Explanation: The nurse should monitor for the known adverse effects of methylprednisolone (Solu-Medrol), which include seizures, cardiac arrhythmias, pancreatitis, and hyperglycemia. . 
Lippincott Advisor: Methylprednisolone
 QUESTION 2: Before administering albuterol sulfate, what should the nurse do with the metered-dose inhaler? Your Response: Correct! Correct Response: Shake the metered-dose inhaler Explanation: The inhaler should always be shaken well before use to thoroughly mix the contents before using.. 
Lippincott Advisor: Albuterol sulfate
 QUESTION 3: When the patient inhales albuterol sulfate, a spacer device should be used for maximal drug delivery. Your Response: Correct! Correct Response: True Explanation: The spacer device can improve drug delivery to the lungs. . 
Lippincott Advisor: Albuterol sulfate
 QUESTION 4: If more than one inhalation of albuterol sulfate is ordered, how long should the nurse instruct the patient to wait between inhalations? Your Response: Correct! Correct Response: 2 minutes Explanation: If the provider orders more than one inhalation, the patient should wait at least 2 minutes before repeating the procedure. This is to allow for maximal effect and time to allow the drug to . 
Lippincott Advisor: Albuterol sulfate
QUESTION 5: Is the following statement true or false? When administering ipratropium bromide (Atrovent) to Jennifer. Hoffman, the nurse should include the following key point in patient teaching: Ipratropium bromide (Atrovent) via metered-dose inhaler is not the medication of choice as a rapid treatment of Your Response: Correct! Correct Response: True Explanation: Ipratropium bromide (Atrovent) has a slower response in treating acute episodes of bronchospasm. A beta 2-adrenergic agonist such as albuterol sulfate has a quicker onset of action in promoting bronchodilation when a rapid response is . 
Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th Edition, pp. 656-663
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Lippincott Advisor: Ipratropium bromide
 QUESTION 6: Is the following statement true or false? Prior to administering the ipratropium bromide (Atrovent) by inhaler, the nurse should instruct the patient to breathe in, inhaling as much air as Your Response: Correct! Correct Response: False Explanation: The patient should breathe out, expelling as much air as possible from the lungs. Then inhale as deeply as possible as the dose is released from the inhaler.. 
Lippincott Advisor: Ipratropium bromide
 QUESTION 7: Albuterol sulfate and ipratropium bromide (Atrovent) via nebulizer are ordered for a patient with asthma experiencing severe wheezing. Which of the following statements is correct?more Your Response: Correct! Correct Response: Albuterol sulfate and ipratropium can be delivered together in a nebulizer treatment. Explanation: Albuterol sulfate and ipratropium (Atrovent) are given together to promote bronchodilation. Albuterol sulfate is quick acting relaxing smooth muscle and ipratropium an anticholinergic promotes an extended bronchodilation. If the medications are ordered as two separate inhalers, the albuterol sulfate would be administered first (quick acting) followed by ipratropium, which extends the time maintaining . 
Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th Edition, pp. 656-663
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Lippincott Advisor: Albuterol sulfate
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Lippincott Advisor: Ipratropium bromide
 QUESTION 8: Is the following statement true or false? If Jennifer Hoffman’s condition continued to deteriorate, she could develop status asthmaticus, which isa complication of asthma. If this were to occur, her wheezing would Your Response: Correct! Correct Response: True Explanation: The extent of wheezing does not indicate the severity of the attack. As the obstruction worsens, the wheezing may disappear due to severe impairment of air movement from bronchoconstriction; this is frequently a sign of impending respiratory . 
Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th Edition, pp. 664-665
 QUESTION 9: Arterial blood gases were ordered for Jennifer Hoffman to monitor her condition. If her initial blood gases and second results one hour later were as shown in the table, this would indicate she initially had __________ and this changed to __________ (name the acid-base disturbance). Base your answer on the Show exhibit Your Response: Correct! Correct Response: A normal ABG; respiratory acidosis Explanation: The initial arterial blood gas was within normal limits; however, over the course of an hour, her condition deteriorated and she was retaining excess carbon dioxide resulting in respiratory . 
Lippincott Advisor: Arterial blood gas analysis
 QUESTION 10: The nurse compares Jennifer. Hoffman’s most recent arterial blood gas (ABG) to her initial ABG and notes an increase in PaCO2 to 55 and decrease in PaO2 to 72. Which of the following is true of Jennifer Hoffman’s condition from the nurse’s evaluation of the ABG changes?more Your Response: Correct! Correct Response: Her condition is worsening. Explanation: Jennifer Hoffman's condition is worsening, since she has developed a respiratory acidosis and is becoming more hypoxemic. These are signs for potential respiratory failure and she needs immediate